Transcript Highlights:

• and toddlers like us without access to sound.
• 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
• 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

Transcript Highlights:

• And, as I said, we are working towards expanding those.
• to health care, consistent education, mental health services, accessible inpatient treatment, accessible
• Let's expand it.
• Instead of cutting services, we need to expand them.
• We can invest in rebuilding and expanding Pappas.

Summary: The hearing focused on the future of the Pappas Rehabilitation Hospital for Children and the work of the special legislative commission studying whether and how the facility should continue. Senators and representatives said the Legislature has continued funding Pappas, that the hospital cannot be closed before the commission reports, and that they are seeking to extend the commission’s deadline. Multiple commissioners and witnesses described Pappas as a unique setting combining inpatient medical care, residential programming, special education, therapy, and campus-based activities for children with complex medical needs. Union leaders, staff, parents, and local officials argued that Pappas is being quietly depopulated through blocked admissions and continued discharges despite the formal pause on closure. They said the hospital’s integrated model cannot be replicated elsewhere, that families and staff are being left in limbo, and that the state should invest in repairs, modernization, and possibly temporary modular space to reopen admissions. Several witnesses emphasized the impact on children who have benefited from Pappas and on workers who fear losing a specialized workforce built over decades. Department of Public Health Commissioner Robert Goldstein said the state is committed to keeping Pappas open and stable while the commission works, but that admissions must meet hospital-level-of-care standards and the current infrastructure limits who can safely be served. He said the administration has been expanding outreach, hiring staff, and exploring ways to broaden services, including outpatient and therapy programs over time. Commissioners pressed him on why admissions remain so limited and whether the facility is being effectively depopulated, while Goldstein maintained that the restrictions reflect legal and safety requirements rather than an effort to close the hospital.

Transcript Highlights:

• We appreciate the goal of expanding timely access to behavioral health care for individuals suffering
• We've not done a great job at expanding access, and I think when we look at programs that are designed
• 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
• treatments for children, we... ...of the bill and share the chair's interest in expanding access to

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• Too many people are unable to gain access due to cost.
• To mitigate the burden of cost, we increase equitable access.
• While there have been many advances to expanding access to birth control, barriers still remain for many
• While there have been many advances to expanding access to birth control, barriers still remain for many
• Christine Smith, Health Access California, in support. Thank you. Bless you.

Summary: The Assembly Business and Professions Committee held its first regular bill hearing of 2025 and considered a wide range of measures on health care access, professional regulation, animal welfare, and consumer protection. Early in the hearing, the committee adopted its rules and then approved a consent calendar of several bills, including measures by Chen, Caloza, Carrillo, Arreguín, Berman, and Flora. The committee also took up AB 1082, which would allow California nursing students enrolled in out-of-state programs to complete clinical training in California; supporters said it would help address the nursing shortage and keep students closer to home, while opponents warned it could worsen already limited clinical placement capacity and reduce oversight. The bill passed on a do pass recommendation to Appropriations after a quorum was established. The committee then heard and advanced several health-related bills. AB 50, by Assembly Member Bonta, would ease Medi-Cal access to over-the-counter hormonal contraception by removing the need for a prescription for coverage purposes; pharmacists, reproductive health advocates, and medical groups supported the bill, and it passed unanimously to the Committee on Health. AB 489, also by Bonta, would prohibit AI systems from misrepresenting themselves as licensed health professionals; supporters from medical, psychiatric, behavioral health, and other professional groups said the bill would protect patients from misleading chatbot advice, and it passed to Privacy and Consumer Protection. AB 481, by Assembly Member Rubio, would expand the tasks that federally qualified lab personnel can perform under CLIA supervision to help address lab staffing shortages; labor groups raised concerns about training, certification, and supervision, but the bill passed to Appropriations with an amended do pass recommendation. The committee also considered animal welfare and access-to-care measures. AB 631, by Assembly Member Lee, would require animal shelters to post intake and outcome data online; supporters said the reporting would improve policy and resource allocation, while members discussed how the requirement would work for shelters without websites, and the bill passed to Appropriations. AB 867, also by Lee, would prohibit cat declawing except when medically necessary for the animal; animal welfare groups strongly supported the bill, while the veterinary association opposed it as an improper legislative regulation of veterinary surgery, and the bill passed to Appropriations. Finally, AB 1307 would create a pilot program allowing a limited number of qualified dentists trained in Mexico to practice in underserved California areas; supporters framed it as a cost-neutral way to address major dental access gaps, the California Dental Association remained opposed unless amended, and the bill passed to Appropriations. Several members later added their votes on the various items after the hearing, and the committee kept the hearing open briefly to allow additional add-ons.

Transcript Highlights:

• access to care.
• As mentioned earlier, the RHCDF is intended to expand access to care in rural and underserved communities
• Shows that across providers, the most common project goals focus on expanding access or service capacity
• That is very vague for anyone to know how to access it. To access it.
• And Tab K shows you how to access more...

Transcript Highlights:

• AB 554 protects and expands access to HIV prevention medications like PrEP, ensuring that patients and
• This includes expanding access to injectable PrEP, which studies show improves medication adherence and
• This bill would expand access to HIV prevention in California, while similar coverage is in peril for
• It removes barriers and expands access to timely trauma-informed care from any licensed behavioral health
• And I agree with you, a physician has expanded access and scope of practice.

Committee: House Health

Summary: The committee heard several health-related bills, with most testimony focused on access to care, patient safety, and health system costs. AB 554 (Prepare Act) would expand and clarify protections for HIV prevention medications, including PrEP and injectable PrEP, by limiting prior authorization and step therapy, extending no-cost coverage requirements, and improving reimbursement for small clinics. Supporters said the bill would protect access amid federal threats to HIV prevention, while insurers opposed it as an expensive mandate that could raise premiums and conflict with state affordability targets. The author argued the bill would prevent infections and preserve California’s existing public health protections. AB 577 would limit health plans and PBMs from restricting physicians’ ability to administer or dispense medications directly to patients when medically necessary. Supporters, including physicians and patient advocates, said the bill would improve continuity of care and prevent delays for vulnerable patients; opponents argued it was too broad, could increase drug costs, and could undermine specialty pharmacy networks. The author said amendments narrowed the bill to in-network providers, required patient consent and cost transparency, and exempted hospital outpatient facilities, but the measure still drew opposition over cost concerns. The committee also heard AB 546, which would require coverage of portable HEPA purifiers for vulnerable enrollees during wildfire emergencies, and AB 224, which would codify California’s updated essential health benefits benchmark plan to add infertility treatment, hearing aids, and expanded durable medical equipment coverage if approved by CMS. AB 1032 would require plans to reimburse additional behavioral health visits for wildfire survivors, and AB 849 would require trained chaperones for sensitive ultrasound exams after testimony about sexual abuse in a hospital setting. AB 1196 would update outdated rules requiring three surgeons for certain heart-lung bypass procedures, and AB 1113 would codify a right to wear a mask for health reasons. AB 1386 would add perinatal care as a required hospital service, but the author said the bill would be amended further to address hospital closures and workforce concerns. Several bills drew support from patient advocates, medical groups, and county officials, while insurers and hospital groups often opposed or sought amendments over staffing, cost, and implementation concerns. Some measures were held pending quorum or were scheduled for later action, and no final votes were taken on the bills discussed in the transcript excerpt.

Transcript Highlights:

• I will say that access is in jeopardy right now.
• FAFSA to help these students access higher education.
• To expand student access, equity, and affordability.
• No, the goal is to expand the UCLA program and hopefully expanding to at least one more UC campuses.
• So it's, but it's called rationing access or referred to as. rationing access because you only have so

Transcript Highlights:

• access, college affordability, access to higher education, and to do everything possible to make college
• The hope was really that this would help expand access to apprenticeships and pre-apprenticeship programs
• these types of programs, expand workforce training programs, expand CTE programs?
• You can't access certain things.
• You can't access certain things.

Summary: The hearing opened the Select Committee on Effective Postsecondary Career, Technical Education, and Workforce Development Programs at Santa Ana College, with Assemblymember Mike Fong emphasizing the need for affordable, accelerated pathways into high-demand careers and noting his bill AB 1098 creating the California Interagency Education Council. Chancellor Marvin Martinez welcomed the committee and urged changes to AB 927 to remove the “duplication” barrier for community college bachelor’s degrees, arguing that applied baccalaureate programs can lead to high-wage jobs and expand access for low- and middle-income students. The first panel focused on statewide workforce trends and policy. California Community Colleges Vice Chancellor Anthony Cordova highlighted credit for prior learning, Strong Workforce funding, dual enrollment, and apprenticeship growth, asking the Legislature to restore and increase Strong Workforce funding and expand applied baccalaureate degrees. LAEDC’s Josep Bilayo described regional labor market data showing growth in health care, education, construction, bioscience, and clean energy, while stressing the need for employer-led, data-driven programs, wraparound supports, and flexible funding. Andrew Gonzalez of the Building and Construction Trades Council argued that registered apprenticeship must be paid, combine classroom and on-the-job training, and end in a portable credential; he also promoted apprenticeship readiness programs, community workforce agreements, and stronger exposure to trades starting in K-12. Eric Morrison Smith of the Alliance for Boys and Men of Color discussed the California Opportunity Youth Apprenticeship Grant Program and related youth apprenticeship recommendations, including bridge programs, intermediary infrastructure, reduced employer barriers, and better coordination of state funding. A later panel highlighted Santa Ana College’s fire technology and firefighting academy programs. President Annabelle Neri and Vice President Jeffrey Lamb said the college is one of the state’s largest fire training providers, with strong partnerships with local fire agencies, law enforcement, and the U.S. Forest Service, and with high job placement and six-figure starting salaries for some graduates. They also described related certificates, advanced officer training, wellness services, and workforce preparation such as mock interviews and sponsorships. Throughout the hearing, members and panelists repeatedly stressed the importance of aligning education with labor market demand, expanding apprenticeships and work-based learning, and using regional collaboration to connect students to living-wage careers.

Transcript Highlights:

• We expanded the state's sales tax, for example. There was Prop 56.
• She loses access to Medi-Cal. Can't get health care.
• They now don't have access or restricted access to care.
• Good afternoon, Christine Smith with Health Access California.
• Fullwell is a Bay Area-rooted nonprofit public policy organization focused on expanding access to healthy

Committee: Senate Budget and Fiscal Review

Transcript Highlights:

• In addition to expanding access to low- or no-cost preschool, CPPI strengthens program quality at the
• And number two, how do you want to expand that access? What are your ideas? Thank you.
• And they help expand horizons by offering access to resources in a variety of ways, including assistive
• And they help expand horizons of offering access to resources in a variety of ways, including assistive
• Our institutions are mission-driven to expand access to higher education for traditionally underserved

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held a public hearing in Lawrence focused on the governor’s proposed FY27 budget for education and local aid. Opening remarks from Senator Pavel Payano, Representative Pat Duffy, and local leaders emphasized the importance of education funding for Lawrence and other Gateway Cities, with Acting Mayor Giovanni Rodriguez and Superintendent Ralph Carrero highlighting the city’s high-need student population, Chapter 70 and Student Opportunity Act funding, early college and career pathways, and the need for sustained support to close achievement gaps. The Education Secretariat testified in support of the budget, with Acting Secretary Amy Kershaw outlining investments in early literacy, universal pre-K, student mental health, school meals, high school redesign, higher education affordability, and early childhood systems. Commissioner Noi Ortega described higher education proposals including expanded free community college, continued free tuition at public four-year institutions, student success funding, early college and dual enrollment investments, and the Bright Act and Drive Act. Commissioner Pedro Martinez detailed K-12 proposals such as full Student Opportunity Act funding, increased Chapter 70 aid, special education circuit breaker funding, transportation aid, literacy initiatives, and a new Accelerating Achievement Initiative aimed at schools with the greatest needs. Commissioner Kershaw also described early education proposals including funding for C3, child care financial assistance, CPPI, workforce supports, and administrative funding restoration. Committee members questioned the administration about the pending local contribution formula study, the final year of Student Opportunity Act implementation, and the need to address health care and other cost drivers in school funding. Officials said the local contribution report is expected by the end of June and that a draft will be shared for public comment after data analysis is complete. Members also raised concerns about Chapter 70 disparities between districts and urged a broader review of the formula. In response, the commissioners said the Student Opportunity Act narrowed funding gaps but further work is needed, and they pointed to the new achievement initiative, literacy efforts, and early college expansion as ways to improve outcomes. No votes were taken at the hearing.

Transcript Highlights:

• A 0.25% additional excise tax... ...less accessible.
• This approach will reduce access to care.
• to access capital.
• As a result, we were able to expand infusion services into Silverdale, build new procedure rooms to expand
• This will also expand access for voters with disabilities, those on tribal reservations, and military

Summary: The Ways and Means Committee held a public hearing on multiple bills, beginning with a motion to suspend the five-day notice rule for a long list of Senate bills, which passed on a voice vote. The committee first heard Substitute Senate Bill 6026, a governor-request housing bill that would require cities and counties over 30,000 population to allow residential uses in commercial and mixed-use zones, limit mixed-use/ground-floor commercial requirements in some areas, and allow added height where such requirements are imposed. The lieutenant governor testified strongly in support, arguing the bill would add needed housing capacity without requiring ground-floor retail burdens. The hearing on SB 6026 was then suspended so the committee could move through the agenda. The committee then heard Senate Bill 6294, a broad local government finance measure with eight parts, including expanded uses for certain REET revenues, a new county public utility tax, a new local sales tax for children and family services, expanded housing-related tax uses, changes to county levy structure, longer lid lift periods, and expanded use of rental car tax revenue. Local government, housing, and public health witnesses largely supported the bill, emphasizing flexibility for affordable housing, rental assistance, children’s services, and county fiscal stability. Opponents, including wireless industry, water/sewer district, auto dealer, realtors, energy, and cannabis representatives, objected to specific tax provisions as regressive, costly, or likely to raise consumer prices. Several witnesses requested amendments, including adding public health clinic funding and flood recovery language from House bills. The committee also heard Substitute Senate Bill 5400 on local news sustainability, which would create a state grant program funded by a surcharge on large search engines and social media platforms to support journalism jobs and the Murrow Fellowship program. News organizations, the League of Women Voters, open government advocates, and local journalism supporters testified in favor, saying local news is essential to civic life and that the bill would help sustain reporting without using general fund dollars. Technology industry representatives opposed the bill, arguing it unfairly singles out tech companies and could face legal challenges. The committee then heard Senate Bill 6211, which would let opt-in GMA jurisdictions impose REET-2 without voter approval; cities and counties supported it as a parity and infrastructure funding measure, while Realtors opposed the loss of voter approval. Senate Bill 5650, authorizing local cannabis excise taxes, drew support from some local officials but strong opposition from cannabis businesses, which argued Washington’s cannabis taxes are already too high and drive sales to the illicit market. Senate Bill 6033, waiving penalties and interest for taxpayers who failed to collect new sales tax on certain services, was supported by NFIB as a compliance and fairness measure. Senate Bill 6297, exempting temporary staffing services for nonprofit behavioral health providers from sales tax, drew strong support from behavioral health organizations citing workforce shortages and unsustainable costs. Finally, Senate Bill 6343, extending and expanding tax relief for disaster-damaged property and repairs, was presented as aid for flood recovery; local officials testified in support. No final committee votes on the bills were taken in the portion of the meeting provided.

Transcript Highlights:

• access, college affordability, access to higher education, and to do everything possible to make college
• And, you know, the hope was really that this would help expand access to apprenticeships and pre-apprenticeship
• these types of programs, expand workforce training programs, expand CTE programs?
• Legislature to expand these types of programs for justice-impacted youth, to expand workforce training
• You can't access certain things.

Summary: The Select Committee on Effective Postsecondary Career, Technical Education, and Workforce Development Programs met at Santa Ana College for its first hearing, with Chair Mike Fong opening by emphasizing the role of community colleges in college access, affordability, and workforce pathways. He highlighted AB 1098 creating the California Interagency Education Council and AB 323, which expanded Strong Workforce funds to support paid internships, and framed the hearing as a showcase of successful CTE, apprenticeship, and workforce models across the state. The first panel focused on statewide workforce funding, labor-market trends, and apprenticeship. California Community Colleges Vice Chancellor Anthony Cordova described the Strong Workforce Program, credit for prior learning, dual enrollment, and apprenticeship growth, and asked the Legislature to restore and increase Strong Workforce funding and expand applied baccalaureate degrees. LAEDC’s Josep Bilayo pointed to high-growth sectors such as health care, education, construction, bioscience, and clean energy, stressing data-driven planning, employer engagement, flexible funding, and wraparound supports. Andrew Gonzalez of the Los Angeles/Orange County Building and Construction Trades Council argued that registered apprenticeship must be paid, classroom-based, and tied to a portable credential, and described apprenticeship readiness programs, wraparound services, and community workforce agreements as effective tools for placing diverse, low-income, and justice-involved workers into union careers. Eric Morrison Smith of the Alliance for Boys and Men of Color discussed SB 191 and the California Opportunity Youth Apprenticeship Grant Program, recommending stronger coordination, intermediary infrastructure, better tracking of youth apprenticeships, more resources for community-based organizations, and a bridge program to connect high school students and opportunity youth to apprenticeships. The committee then turned to firefighting academies and career training at Santa Ana College. President Annabelle Neri and Vice President Jeffrey Lamb described Santa Ana College as a major trainer of firefighters and first responders, with extensive noncredit workforce training, multiple bachelor’s degrees, and strong job placement in fire-related fields. They emphasized hands-on training, wellness services, mock interviews, sponsorships with fire agencies, and partnerships with local law enforcement and the U.S. Forest Service. Neri also urged changes to the state’s applied baccalaureate rules to remove the “duplication” restriction so more community colleges can offer workforce-focused bachelor’s degrees tied to living-wage jobs. The hearing ended with discussion of how regional and statewide planning should work together, how to reduce duplication and administrative barriers, and how to better align education, employers, and apprenticeship systems to meet California’s workforce needs.

Transcript Highlights:

• Allowing patients to test at home expands access for rural and working Californians, increases preventive
• Allowing patients to test in their homes expands access for rural and working Californians, increases
• This will expand access to critical preventive care, and it will help to ensure that Medi-Cal patients
• Expanding access to screening will improve early detection, reduce disparities, and save lives.
• Anyway, AB 1906 expands access to cervical cancer screening by ensuring Californians can access at-home

Summary: The committee heard AB 2575 on health care AI guardrails, with the author and supporters from the California Nurses Association and labor groups arguing that AI should support, not replace, clinical judgment. They said the bill would require basic disclosures about AI tools, protect workers from retaliation for overriding AI in good faith, and prevent developers or employers from shifting liability to frontline clinicians. Opponents including the California Medical Association, CalChamber, hospitals, and other health care organizations argued the bill would add costs, create uncertainty, and discourage useful AI applications. Committee members discussed bias in health care and accepted amendments narrowing the disclosure provisions; the bill was moved with a 7-1 vote and re-referred to Labor, Public Employment, and Retirement. AB 634 would ban the manufacture, sale, and distribution of products containing tianeptine, described by supporters as “gas station heroin.” The author and law enforcement supporters said the substance is dangerous, easily accessible, and can cause opioid-like addiction, while no opposition came forward. The committee also heard AB 1607 to extend the Maddy EMS Fund, which reimburses emergency providers for uncompensated care. Supporters said the fund is essential to keeping emergency departments staffed, especially amid expected coverage losses; an ACLU representative opposed the funding source because it relies on criminal and traffic fines. Members supported the need for the fund but raised concerns about the fairness and long-term stability of the revenue source, and the bill advanced on a 8-0 vote. AB 1906 would require coverage of at-home cervical cancer screening tests without cost sharing, and the author said the bill would improve early detection and reduce disparities, especially for rural and working Californians. Support came from Planned Parenthood, Health Access, and several health and labor organizations; insurers said they appreciated the amendments and were reviewing their position. The committee adopted amendments aligning the bill with clinical guidelines and passed it 6-0 to Appropriations. The committee also took up AB 2247, the Thrive Act, to create a pilot program for trauma and mental health services for youth affected by gun violence in four counties. Supporters described barriers survivors face in accessing counseling, while members questioned the narrow focus on gun violence, the choice of counties, documentation requirements, and whether the program should instead be housed in victim compensation. The bill passed 8-0 to Judiciary. Later, AB 2531 would expand California’s uncompensated care program so veterans denied abortion care through the federal VA system could receive coverage in California, and would add an abortion resources link for veterans. Supporters framed it as filling a gap created by federal restrictions; opponents argued state funds should not support abortion. Members noted the VA already provides many reproductive services but not this one, and the bill passed 7-0 to Military and Veterans Affairs. The committee also heard AB 1915, which would modernize restaurant facility rules and create a self-certification pathway for some equipment installations. Restaurant and business groups supported the bill as a way to reduce costly delays, while the Contractor State License Board opposed the self-certification provision over safety and inspection concerns. Members generally supported streamlining but echoed public safety concerns and indicated further work was needed.

Transcript Highlights:

• A PORTION OF 7016 ABOUT NON EMERGENT CARE ACCESS PLANS.
• WE DO HAVE 24 AND 12 ARE CRITICAL ACCESS HOSPITALS.
• AND THE NONEMERGENT CARE ACCESS PLAN.
• UPDATE ON HOUSE BILL 121 WHICH EXPANDED CHIP ELIGIBILITY.
• FINALLY HOUSE BILL 159 AIMS TO EXPAND ACCESS TO HIV INFECTION PREVENTION DRUGS BY ALLOWING CERTIFIED

Transcript Highlights:

• access to open space.
• Accessing public access under the Coastal Act generally is focused primarily on traffic improvements
• Though, like in a city like Santa Monica, which I represent, that city has expanded public access to
• While we share the bill's stated goals—expanding coastal access, supporting affordable housing, and keeping
• about protecting public access.

Committee: House Natural Resources

Transcript Highlights:

• treatment for neonatal abstinence syndrome, expanding the warm handoff Julie Meade: program recovery
• We started the expanding process of how we're going to expand the programs that we already have and I'll
• So we've expanded quite a bit since 2018.
• So, we have more than doubled access in the last seven years across the state.
• The logic model can serve as a basis for revised and expanded performance measures.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Thank you for hearing my comments today in strong support of H. 915 and S. 548, An Act Expanding Access
• access to our state's trail system for and H-915 to expand access to our state's trail system for people
• For many folks, what makes a trail accessible is accessible parking, not having a gate block the access
• And accessible bathrooms.
• As an ally once told me, 'Almost accessible is not accessible.'

Committee: Joint Joint Committee on Environment and Natural Resources

Summary: The hearing covered several environment and natural resources bills focused on natural and working lands, forest protection, municipal reforestation, trail accessibility, and a park naming bill. Representative Moschino and Senator Comerford described the natural and working lands bill as part of the state’s climate roadmap, arguing that protecting these lands supports carbon sequestration, resilience, biodiversity, and helps prevent development pressure on the least expensive land. Senator Comerford also testified on a separate bill to expand access to trails for people of all abilities, saying it would build on the administration’s Trails for All initiative and create a permanent advisory structure and trust fund. Representative Consolvo and family members testified in support of H. 4259 to name the tennis courts at Wether Park in Roslindale after Kim O’Connell, describing her long community service and activism. A large portion of the hearing focused on H. 952 and H. 953, bills to protect watershed and state forest lands as parks or reserves. Supporters, including environmental advocates, scientists, and organizations such as Standing Trees, Sierra Club, The Nature Conservancy, and the Massachusetts Forest Alliance’s opponents, debated whether state forests and watershed lands should be permanently reserved from logging and other active management. Supporters said the bills would improve carbon storage, water quality, biodiversity, flood and drought resilience, and would protect large acreages of public land at no cost. Opponents, including the Massachusetts Forest Alliance, argued that sustainable forest management and a mix of reserves and managed forests are needed for climate, water quality, wildfire prevention, rural jobs, and carbon outcomes, and urged the committee to allow the administration’s existing reserve process to continue. The committee also heard extensive testimony on the municipal reforestation bill, H. 1013/S. 553, which would create a statewide program, advisory council, and trust fund to support urban tree planting and maintenance. Municipal officials and advocates from Wellesley, Cambridge, Boston, the Mystic River watershed, and other communities said urban trees are critical for cooling, stormwater control, air quality, public health, and equity, especially in environmental justice neighborhoods with low canopy cover and high heat. Several witnesses emphasized that consistent funding is needed because trees take years to mature and many municipalities lack staff or watering capacity. Some witnesses asked that the bill be funded at $100 million and tied to the Mass Ready Act or environmental bond funding. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• H.R.1 expands the low-income housing tax credit program beginning in 2026.
• Christine Smith with Health Access California.
• to avoid people losing access to benefits.
• Losing access to food benefits does not just mean increased food insecurity.
• Protecting them protects access to entire communities. Thank you. Thank you.

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time. The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase. During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer. Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.

Transcript Highlights:

• Every day, we've got to balance access and security.
• And we work to advocate for legal actions to protect and expand access to voting for... ...to advocate
• for legal actions to protect and expand access to voting for all voters, but access isn't enough.
• We hope... ...that we curtail rather than expand internet voting. Thank you.
• The nature of my question that you tried to answer was your access... Yes.

Summary: The committee heard staff briefings and testimony on several bills. Senate Bill 6137 would expand Washington sports wagering by allowing wagers placed over the internet to be accepted at any tribal gaming facility, not just the same tribe’s facility, and would allow wagering on collegiate events involving Washington institutions while continuing to prohibit bets on individual Washington athletes’ performance. Washington State University opposed the bill over concerns about harassment, point shaving, and broader gambling harms, while the University of Washington supported the individual prop-bet ban but urged caution. An Emerald Queen Casinos representative supported the bill, saying it would move existing illegal wagering into a regulated system with safeguards. The committee also heard Second Substitute Senate Bill 6035, which would require regular consultation with tribes on voting access and authorize a secure electronic ballot return portal for military, overseas, Native American, and disability voters. The Secretary of State’s office supported the bill’s tribal outreach and said it was more comfortable with the revised portal language, but several election-security witnesses opposed the portal sections, arguing internet ballot return is too risky and lacks adequate standards. King County Elections supported the portal as a more secure option than current email and fax methods, and said it would improve access while preserving paper trails and security checks. Substitute Senate Bill 6034 would codify the Governor’s Office of Indian Affairs as a cabinet-level agency. The office and a tribal health liaison testified in support, saying codification would stabilize government-to-government relations with tribes and ensure continuity beyond executive preference. Substitute Senate Bill 6081 would restrict public disclosure of sex designation information in certain licensing and vital records; supporters said it would protect transgender people from doxing, harassment, and violence, while opponents argued it would make official records less accurate. Staff also briefed Senate Bill 5863 on Lakeland Village records, Senate Concurrent Resolution 8406 reestablishing the Joint Select Committee on Civic Health, and Senate Bill 5892 on voter data protections. The committee adopted amendments to SB 5863 and SB 5892, rejected some other amendments, and reported SB 5863, SCR 8406, and SB 5892 out of committee with due pass recommendations.

Transcript Highlights:

• They should include specific learning... ...presented in an accessible manner.
• That the access, availability, and awareness of these materials can be limited.
• However, that can be centralized and presented more accessibly.
• and you have access to the most current information.
• But that data collection could be expanded.

Summary: The Special Commission on xylazine convened a public meeting to review and discuss the first draft of its final report, approve prior minutes, and gather feedback for revisions. The commission first approved the December 11 minutes by roll call vote, then reviewed the report structure, which will include a commission overview, working group findings and recommendations, and appendices with public meeting materials and public resources. Staff explained the report’s framing of xylazine as both a licensed veterinary drug and an illicit drug supply contaminant, and members discussed the distinction between legal animal use and illicit importation/adulteration, with several commissioners emphasizing that people who use drugs do not intentionally seek xylazine. The commission then walked through draft findings and recommendations for best practices in oversight and enforcement, outreach and treatment, and education and training. Members discussed whether xylazine should be further scheduled or instead addressed through other public health and enforcement measures, with the draft leaning toward maintaining the current Schedule 6 status while strengthening public health responses, surveillance, drug checking, and targeted enforcement against illicit production and distribution. Commissioners also proposed stronger coordination among public safety, law enforcement, and public health, including real-time alerts, centralized data sharing, and possibly a DPH task force on emerging drug supply threats. The outreach and treatment section focused on existing harm reduction, wound care, naloxone, and mobile/low-threshold services, while noting gaps such as lack of an FDA-approved human reversal agent, geographic access barriers, insurance issues, and limited provider familiarity. A substantial portion of the meeting focused on education and training for first responders, clinicians, non-clinicians, and people who use drugs and their families. Commissioners supported tailored, stigma-free materials that cover xylazine basics, signs and symptoms, wound care, withdrawal, harm reduction, and when to seek medical care, with repeated emphasis on including firefighters, EMS, law enforcement, and other first responders in definitions and training. Members also stressed the need for consistent, centralized, and up-to-date public health data, better communication of emerging contaminants beyond xylazine, and practical guidance to prevent people with xylazine-related wounds from being turned away from care or recovery settings. The meeting ended with agreement to incorporate the feedback into a revised draft to be circulated by March 2, with another meeting scheduled for March 9 and a backup meeting later in March if needed; the commission then adjourned by unanimous motion.