Transcript Highlights:

• systemic changes.
• And ultimately it moves us away from being a reactionary system to a proactive system, meaning we can
• So, when we move towards more systems accountability, we account for all layers of the system.
• system as well.
• I, again, yes, I think it can be applied across all of your systems and your government systems.

Keywords: 1182, all

Summary: The committee met to review Department of Child Safety reforms developed after oversight hearings on the deaths of Emily Pike, Zariah Dodd, and Rebecca Baptiste. Members described a stakeholder process involving tribes, DCS, law enforcement, county attorneys, schools, and advocates that produced several bills already moving through the Legislature or signed by the governor. Those measures include SB 1125 on tribal-DCS information sharing, a bill requiring schools to provide records to DCS in investigations, a duty-to-report bill requiring direct knowledge, a hotline bill allowing DCS to consider 90 days of prior reports and route repeat cases to more experienced staff, a bill allowing attorneys to share more safety information with judges, and a requirement for advanced forensic interviews within 72 hours in sexual abuse cases. The chair emphasized that reforms are needed across DCS, the courts, and attorneys, and that the San Carlos Tribe’s letter would be entered into the record. DCS Director Catherine Patak presented 2025 agency data, saying the hotline received nearly 160,000 calls and 43,000 cases were investigated, while the out-of-home care population stayed relatively steady at just over 7,000 children. She reported 3,000 reunifications, 1,300 adoptions, 800 guardianships, 1,100 young adults receiving transition services, 534 new foster homes licensed, a 50% reimbursement increase for older youth caregivers, a 40% drop in youth missing from care since September 2024, and a 30% reduction in fatalities of children in care since 2024. She also discussed the annual fatality review process, noting 123 alleged fatality or near-fatality reports in the review period, 52 with prior DCS involvement, and systemic themes such as support for teens with complex needs, collaboration with law enforcement and the courts, and better staff support. Patak answered questions about group-home notification rules, saying DCS is updating rules to remove “runaway” and “AWOL” and use “missing” consistently, while also considering a statute change for the timing of notifications. She said about 300 children in care are there because of behavioral issues after adoption, and members raised concerns about insufficient behavioral health services for adopted children and the need for better training and support in group homes. Senators also asked about placement practices for sexually abused children and whether staff gender matching is considered; Patak said she was not aware of a specific requirement and would look into it. The committee then heard from Malcolm Hightower of Casey Family Programs, who said Arizona is generally near the national average on child welfare measures, does better than average on kin placements, but has a higher-than-average share of children in congregate care and slightly lower permanency within two years. He noted Arizona’s safety outcomes are roughly in line with national rates and urged continued cross-branch collaboration and timely information sharing. A final presentation from KC Melsick of Collaborative Safety focused on the agency’s systemic critical incident review model. He argued that child welfare and other public systems should move away from blame-focused responses after tragedies and toward a “safety culture” that examines system factors, near misses, and decision-making. He said Arizona has used this approach since 2016, with reported improvements including reduced turnover, and that the model is similar to after-action reviews used in the military and root-cause analysis in healthcare. Members discussed applying the same approach more broadly across state agencies. The committee ended with expressions of appreciation for the bill sponsors, DCS staff, tribal partners, and ongoing work, and adjourned with plans to continue the reforms in the interim and next session.

Transcript Highlights:

• Moving forward for a new system.
• system including system performance limitations, inefficient system interactions, duplicative system
• And then as I mentioned, there's all the Enterprise Systems, HR system that the state uses the HR system
• And so it is it's an accounting system rights, all those business systems that they're remediating, you
• , doing up flows into the system.

Transcript Highlights:

• It's like our water systems, our highways, and universities.
• remedies and solutions that come out of this research are so critical to the future of our health systems
• I'm a trustee of UAW Local 4123, the union for academic student workers throughout the Cal State system
• Of UPTI, a union of over 26,000 research, technical, and health care workers across the UC system, and
• Josh Gagra on behalf of the California Association of Public Hospitals and Health Systems in support.

Summary: The Assembly Appropriations Committee met on June 24, 2026, but initially lacked a quorum and began by hearing presentations only. SB 308 was presented as a bill to streamline fiscal reporting for California community colleges by combining two overlapping annual audit reports into one. SB 895, the California Science and Health Research Bond, drew extensive testimony from the authors and many supporters, who argued it would help offset federal research cuts, protect California’s science infrastructure, support jobs, and preserve life-saving research in areas such as cancer, HIV, Parkinson’s, ALS, climate resilience, and quantum computing. The bill was described as a bond measure that would require a three-party agreement and was sent to suspense. After quorum was established, the committee took up the consent and suspense calendars. Several bills were approved on consent, including SB 308 and a large group of other measures, while the suspense calendar was deemed approved, including SB 895 and other bills listed by the chair. Public comment on SB 895 continued for a long period, with many researchers, students, labor representatives, university officials, and patient advocates speaking in strong support and urging the bill be moved to the floor. The committee also heard SB 1350, which would expand green hydrogen by allowing renewable portfolio standard credits for certain hydrogen use in power generation; the author and supporters said it would help clean energy development, create jobs, and support projects like ARCHES and Element. Later, SB 1306 was presented to align California law with federal exemptions for certain chemical mixtures containing GBL used in semiconductor manufacturing research. The author and SEMI’s representative said the bill would reduce unnecessary regulatory burdens, avoid disrupting semiconductor supply chains, and not change rules for pure GBL. The bill passed out of committee on a roll call vote, with one no vote and one not voting. The hearing then adjourned.

Transcript Highlights:

• It had to be a whole ecosystem, a system that could support the needs.
• Additionally, we have no similar setting within the state system.
• So we are not putting that through the education system.
• They have invested in the HVAC system. Take one building.
• So the health care system itself is in stress right now.

Keywords: 995, all

Summary: The special legislative commission on the future of Pappas Rehabilitation Hospital for Children held a hybrid public hearing focused on the hospital’s future, admissions, staffing, infrastructure, and whether the facility should be preserved, expanded, or reimagined. Opening remarks from legislators, commissioners, parents, and union representatives emphasized that Pappas provides a unique combination of medical, rehabilitative, educational, and residential services for children with complex needs, and several speakers argued that the hospital is effectively being depopulated through reduced admissions and ongoing discharges despite public assurances that it remains open. Multiple speakers urged the commission to extend its authorization and continue its work before any closure or major change can occur. Testimony from labor leaders, including AFSCME, SEIU Local 509, and the Massachusetts Nurses Association, described a “silent closure” in practice, with staff reporting confusion about the hospital’s status, declining census numbers, blocked admissions, and uncertainty about the workforce’s future. They called for immediate action to stop admission denials and unnecessary discharges, and some proposed short-term solutions such as temporary modular structures to address infrastructure barriers and allow admissions to resume. Parents and former patients testified that Pappas provided life-changing independence, specialized therapy, and campus-based supports that they said could not be replicated elsewhere, and they criticized alternative placements as inadequate. Commissioner Robert Goldstein of the Department of Public Health said the administration supports keeping Pappas open and funded while the commission works, but he argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits the kinds of children who can safely be served there. He said the department is continuing admissions for appropriate patients, working to expand outreach and services, and exploring long-term options, including broader statewide models of care. Commissioners pressed him on whether discharge status or lack of a clear discharge plan had been used as a barrier to admission, and requested de-identified data on patients recommended for admission but denied. No formal votes were taken during the hearing.

Transcript Highlights:

• Medicare, and your money will not continue to come in and raise up, which is Evident with the pension systems
• Would we then create a system where a school may need to have multiple contracts and different terms
• It is a common sense step to make our foster care system work better for kids and taxpayers.

Bills: HB3407, HB1242, HJR1081, HB3443, HB3781, HB1939, HB4237, HB3430, HB3321, HB3905, HB3329, HB4253, HB4421, HB4311, HJR1046, HB2015, HB3244, HB4265, HB3941, HB4203, HB2941, HB3695, HB3380, HB3132, HB3673, HB3134, HB3383, HB4490, HB4058

Keywords: property rights, abandoned homes, manufactured homes, notification, salvage, real estate, Oklahoma Tax Commission, landowner liability, redemption, HB1242, cervidae, deer, elk, sales tax exemption, agricultural exemption, livestock, ranching, farm tax, agricultural sales tax, agriculture

Transcript Highlights:

• And so for a lot of industrial systems, that's key.
• So it's not a permanent loss to the system. It is eventually returned.
• So that would be about 2,500 acre-feet in a given year for that hybrid system.
• Not work the system, work through the system. Language is everything.
• So balancing the natural gas system in Ontario is hard.

Summary: The committee met to review advanced nuclear energy issues in North Dakota, beginning with approval of the April 21, 2022 minutes. Nucleon presented an overview of the advanced reactor landscape, distinguishing light-water SMRs, advanced Gen 4 reactors, and microreactors. The presentation emphasized that light-water SMRs are the most near-term deployable and use familiar low-enriched uranium fuel, while many Gen 4 designs may require high-assay low-enriched uranium (HALU), which is not yet supported by a mature U.S. supply chain. Nucleon also noted that advanced reactors are being developed primarily for industrial heat applications, while microreactors are niche, higher-cost systems for remote or mission-critical uses. Committee members asked about fuel availability, safety, recycling, and whether large reactors such as AP-1000s were evaluated; the presenter said fuel development is proceeding in parallel but remains a bottleneck, and that siting and grid capacity often make SMRs more practical than gigawatt-scale plants in North Dakota. Representatives from the National Association of State Energy Officials described how other states are supporting advanced nuclear through task forces, roadmaps, regional coordination, grants, tax incentives, workforce and supply-chain efforts, and pilot programs. They highlighted the Advanced Nuclear First Mover Initiative and said states are focusing on multi-state coordination, demand aggregation, regulatory coordination, waste management, workforce readiness, and community engagement. They also discussed affordability tools such as construction work in progress (CWIP), financing incentives, and consumer protections, citing examples from Kentucky, Texas, Virginia, Illinois, Missouri, Utah, Tennessee, and others. In response to questions, they explained that pilot programs often involve site-readiness and feasibility studies, and that the federal Nuclear Innovation Campus process is moving forward with multiple submissions while broader waste and recycling policy may require congressional action. The Public Service Commission said it would likely have a major role in any North Dakota nuclear project through certificate-of-public-convenience-and-necessity review, siting, and rate regulation, but noted gaps in current law for small reactors, co-located facilities, NRC coordination, and long-term site stewardship. The commissioner said the commission has no authority over a private, self-contained reactor not connected to the grid. The Department of Environmental Quality explained that the state regulates radioactive materials under its agreement-state authority, but NRC retains primacy over fission reactors; DEQ would likely assist with emergency planning and could have a larger role if fusion reactors emerge. The Department of Emergency Services said it would serve as the lead off-site preparedness agency, requiring a dedicated radiological emergency preparedness program, training, drills, public outreach, and likely additional funding and staffing, with industry expected to bear much of the cost. The Department of Water Resources said North Dakota’s water laws and prior-appropriation system are adequate for nuclear siting, that the Missouri River is the best likely source, and that no statutory or budget changes are currently needed from a water perspective. The committee recessed for lunch after these agency presentations.

Transcript Highlights:

• And I do not want to impose an unfunded mandate on our school systems.
• That was the system in place before Act 409, the same system that failed our daughter.
• Right now, we have a system where the same child...
• Right now, we have a system where the same child, They're in.
• We are not creating one clear system.

Summary: The committee first heard SB 206, which would require cardiovascular pre-screening and blood pressure testing for student athletes beginning in the 2026-2027 school year. Chairman Miller said the bill was prompted by concerns about undiagnosed hypertension and sudden cardiac arrest in young athletes, and Coach Marcus Scott testified about his own kidney transplant after years of untreated high blood pressure. Members asked about who would perform the screenings and how follow-up would work; the American Heart Association said existing athletic physical processes and referral networks could handle it. An amendment was adopted, and the committee reported SB 206 favorably as amended. The committee then took up SB 305, which would require a publicly available statewide career-alignment dashboard showing how degree programs connect to workforce outcomes, including completion, employment, wages, and high-demand jobs. Chairman Edmonds and student task force member Cruz Cassard said the goal was to help students understand job opportunities in Louisiana and reduce the number leaving the state after graduation. Workforce and higher education stakeholders supported the measure as a transparency and workforce-planning tool. The committee reported SB 305 favorably. Next, the committee considered HB 624, a school safety cleanup bill updating references from crisis management plans to emergency operations plans and aligning school emergency language with national standards. Representative Johnson and the Louisiana Center for Safe Schools said the bill would not create new mandates or costs, but would clarify existing requirements. The committee reported HB 624 favorably. The committee then heard HB 1022, as substituted, concerning school-based health care services. Representative Jackson said the bill was intended to clarify that medical decisions in school-based health centers should be made by licensed health professionals, not school staff, while preserving parental consent. Testimony from school-based health center providers supported the bill, but several members raised concerns about consent, parental authority, and whether the language shifted too much responsibility away from schools; the Charter School Association suggested adding more collaborative language. After discussion, the committee adopted the substitute and reported HB 1022 favorably by a 10-4 vote.

Transcript Highlights:

• It's important that we have these auditing systems in place.
• There's an ample amount of distrust in the system currently.
• The system works.
• But I think that's a system that we can put into place securely.
• And I also think that people could do that under our current system.

Bills: HB311, SB447, SB505, SB2217, SB2753

Keywords: voter registration, electronic, Texas election law, Signature verification, DPS, internet application, Texas Election Code, signature verification, online application, data security, electronic application, Department of Public Safety, information security, electronic voter registration, voting technology, voter access, state election laws, digital signature, election irregularities, audit

Summary: The House Committee on Elections met with a quorum present and heard several election-related bills, with public testimony limited to two minutes per witness. The first measure, SB 447, would allow the City of Mission to move its municipal elections from May to November on a one-time, permanent basis. Supporters, including Mission’s mayor, said voters had already approved the change by a wide margin and argued it would improve turnout and reduce costs. The bill was left pending after no objection. The committee then heard SB 2217, which was described as a transparency measure to standardize election data reporting and reconciliation across counties. Testimony focused on a technical issue involving discrepancy thresholds for electronic voting system reconciliation, with one witness urging the bill be aligned with existing law’s “more than 3” standard rather than a 1% threshold, and another suggesting a definition fix. The bill was left pending. Members also heard SB 2753, a major proposal to create a continuous in-person voting period by combining early voting and election day into one uninterrupted period, with a committee substitute making it a pilot and permissive. Supporters said it could simplify administration and improve security, while opponents warned it would increase costs, require more staffing and equipment, delay results, and create logistical problems for counties. The committee substitute was withdrawn and the bill was left pending. Finally, SB 505 would let certain election stakeholders request explanations of irregularities from election officials and, if unresolved, escalate the matter to the Secretary of State for audit or possible conservatorship. Supporters framed it as a tool for accountability and transparency, while opponents called it overly broad and vulnerable to abuse. The bill was left pending. The committee also took up HB 311, which would expand online voter registration to first-time registrants and direct state agencies to develop a pathway for Texans without a driver’s license to register online. Supporters argued it would modernize the process, reduce errors, and save money, while opponents said first-time applicants still need a wet signature and raised concerns about signature verification and implementation. Due to the late hour and floor deadline, testimony was cut off, the names of remaining witnesses were read into the record, and the bill was left pending before the committee adjourned.

Transcript Highlights:

• And that enables us to monitor what's happening across the court system statewide.
• We have 4700 positions in the court system.
• And each of those has a judge, a judicial system, and it takes a while to integrate those into the system
• We do use a tiered credentialing system.
• I can promise you that to learn more about their system.

Transcript Highlights:

• So if a water system has a public water system number, they are eligible whether they are public or private
• Would public school systems, that are obviously a part, Of community water systems, would they be eligible
• One last question: So you're saying that our public school systems, are the public school systems accessing
• Our system is quite old; the wastewater system is the old clay tile that's starting to collapse.
• We are now pinpointing and have a full GIS system as of the water system that we've been able to work

Transcript Highlights:

• They're using the systems that they want to use. Yep.
• And so as we concentrate... ...the systems that they want to use. Yep.
• They're using the systems that they want to use. Yep.
• And so as we concentrate. the systems that they want to use. Yep.
• can force technologies into our current system or change the system?

Summary: The Committee on Education Pre-K through 12 held a panel discussion on artificial intelligence in K-12 education. Dr. Maya Israel of the University of Florida gave an overview of AI literacy, emphasizing that AI can support personalized learning, school operations, and teacher efficiency, but also raises concerns about data privacy, overreliance, mental health, and the need for human oversight. She described the Florida K-12 AI Task Force, which has produced guidance on policy, ethics, privacy, cybersecurity, classroom integration, and professional development, and is now working on district surveys, webinars, case studies, and teacher/family resources. Superintendents Van Ayers of Hillsborough County and Kevin Hendrick of Pinellas County described district-level implementation. Hillsborough outlined a governance council, a district AI policy, and an implementation guide; it prohibits generative AI for students below eighth grade, allows limited use for older students with teacher permission and district-vetted tools, and uses models for classroom AI expectations. The district also reported growing student enrollment in AI courses, teacher training through summer academies and quick learns, and pilots with tools such as Magic School and Microsoft Copilot. Pinellas emphasized academic integrity, student data privacy, digital responsibility, and the importance of human interaction in learning; it said state assessments already limit technology use and that districts need clear governance and parent transparency. Committee members asked about whether AI improves academic performance, the risk of student dependence, the possibility of returning to more paper-based testing, and who should set guardrails. Witnesses said reliable achievement data is still limited because the technology is new, though districts reported anecdotal gains in tutoring and early literacy. They also said there is no established statewide baseline for teacher AI training yet, so districts are using professional development, stipends, and partnerships with universities to build capacity. The committee also heard from Drew Andrew of FSU’s Inspire program, who argued that industry is moving faster than schools and that education should focus on teaching how AI works, building teacher confidence, and aligning training with workforce needs. No bills were considered and the meeting ended with a motion to adjourn, which was adopted.

Transcript Highlights:

• There's, there's ample amount of distrust in the system currently.
• We do have a system in place for people to address election irregularities.
• So it just it does there is no tool in the court system. They were dismissed.
• The system works. In fact, it has already processed.
• in place for all voters, expanding on the existing system.

Bills: HB311

Keywords: flood hazards, recreational vehicles, temporary dwelling structures, Texas Water Development Board, flood safety standards, emergency management

Transcript Highlights:

• Trust in the system currently.
• System. So thank you for carrying this. Well, thank you.
• The system works.
• existing system that Texas has.
• That's a system that we can put into place securely.

Bills: HB311, SB447, SB505, SB2217, SB2753, HB311

Keywords: voter registration, electronic, Texas election law, Signature verification, DPS, internet application, Texas Election Code, signature verification, online application, data security, electronic application, Department of Public Safety, information security, electronic voter registration, voting technology, voter access, state election laws, digital signature, election irregularities, audit

Transcript Highlights:

• As you know, home care services are a vital and growing part of the health care delivery system.
• Home care is a much-needed, cost-effective, and humane part of the health care system.
• Let's expose the bad actors that abuse the system for their own gain.
• Sadly, we are one of only four states that do not have a licensure system.
• Sadly, we are one of only four states that do not have a licensure system.

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence held a hearing on several bills, led by Chair Tom Stanley and Senate Chair Patricia Jehlen. The committee first heard testimony on H. 765/S. 487, an act relative to councils on aging, which would update outdated statutory language and allow directors of councils on aging to make staffing decisions when a council is structured as an advisory body. Representative Donahue and Betsy Connell of the Massachusetts Association of Councils on Aging said the change reflects how most councils now operate and would resolve conflicts like the one that arose in Sherborn. Members asked about whether the bill would affect town managers, volunteer roles, and whether the language should more clearly exempt informal volunteer help; supporters said the bill is aimed at municipal staffing structures, not unpaid volunteer assistance. The committee then took extensive testimony on H. 789/S. 470, an act to improve Massachusetts home care, which would create a statewide licensure system for non-medical home care agencies and entities. Julie Watt, Jay Krillovich, Betsy Krimmins, Lisa Gargoni, Tim Foley, and several providers and advocates supported the bill, arguing that licensure would establish baseline standards for background checks, training, service plans, insurance, complaint procedures, and labor-law compliance, while helping consumers identify legitimate providers and reducing fraud and abuse. Several witnesses described problems with unlicensed or poorly supervised providers, and family members and dementia advocates emphasized the need for dementia-specific training and better oversight for vulnerable clients. Tim Foley also raised concerns about private equity’s growing role in home care and said stronger regulation is needed to protect consumers and workers. Committee members focused on practical questions about the bill’s scope, including whether it would reach informal paid helpers, volunteers, or people doing occasional household tasks, and what agency would enforce the rules. Supporters said the bill is intended to cover entities advertising home care services, not unpaid volunteer help, though they acknowledged regulators would need to work out details. John Sneeth of Tribute Home Care offered a more cautious view, saying licensure should not unduly burden smaller providers or reduce competition, and that enforcement would be key. The hearing also included testimony from the Alzheimer’s Association and family caregivers, who strongly supported the bill’s dementia-training provisions and described how trained caregivers improved safety and quality of life for people living with Alzheimer’s and dementia. At the end of the hearing, the committee also heard support for H. 778/S. 473, regarding the Commission on LGBTQ Aging, with Lisa Krinsky urging funding for a full-time director and continued support for the commission’s strategic plan. After public testimony concluded, the committee adjourned the hearing by motion and voice vote.

Transcript Highlights:

• We are helping to build a more sustainable, secure, and just food system.
• Our current food system relies on industrial animal agriculture, and...
• The ability to leverage a cap and trade system Thank you.
• and a funder focusing on food system sustainability.
• A unique asset in the state of California... ...is the UC system.

Summary: The Select Committee on Alternative Protein Innovation held its first informational hearing to examine the state of alternative protein research, industry growth, and policy needs in California. The chair opened by noting California’s $5 million public investment in UC research in 2022 and framed the hearing around three panels: the climate, environmental, and security potential of alternative proteins; industry scaling and commercialization; and university-led research and workforce development. Members emphasized that the committee will continue with site visits and additional hearings across the state. The first panel focused on the case for alternative proteins as a climate, land, water, biodiversity, and food-security solution. Shana Fertig of the Good Food Institute argued that plant-based, fermentation-derived, and cultivated proteins can reduce greenhouse gas emissions, land use, and water use while helping California meet its climate and conservation goals. Zane Swanson of CSIS added that alternative proteins could reduce risks tied to zoonotic disease, antimicrobial resistance, supply-chain disruption, and broader national security concerns. In questions, members discussed the role of pharmaceuticals in animal agriculture and how alternative proteins might complement, rather than replace, traditional farming by creating new markets for California crops and helping farmers diversify. The second panel featured industry leaders Ethan Brown of Beyond Meat, Myra Passick of Upside Foods, and Arye Elfenbein of Wildtype. Brown highlighted plant-based meat’s health and climate benefits, criticized misinformation campaigns against the sector, and urged better labeling, reduced subsidies for factory farming, and more plant-based food in public institutions. Passick described cultivated meat as a scalable food-production technology, said Upside Foods has already produced millions of pounds annually at its Emeryville facility, and asked for grants, low-interest loans, and possible participation in cap-and-trade or similar revenue programs. Elfenbein described cultivated seafood as a way to address overfishing, contamination, traceability problems, and the heavy import dependence of the U.S. seafood supply, while also noting conservation benefits and the need for California to remain a hub for the industry. The final panel centered on research and workforce development. UCLA’s Amy Rowat described state-funded work on technical bottlenecks such as growing fat cells and creating edible scaffolds, along with a Future Food Fellows program that trains students across science, engineering, law, and policy. UC Santa Cruz economist Galina Hale argued that alternative proteins are necessary to meet future protein demand while reducing food-system emissions, and said California must support the sector through grants, loans, procurement, and research centers to avoid losing leadership to other states and countries. The hearing ended with the chair thanking the witnesses, noting that all materials would be posted online, and saying the committee would continue building policy and budget proposals to support the sector.

Transcript Highlights:

• that we had created and given DCF to manage, the system really didn't work well.
• We got it through the system and signed by the governor.
• Or dementia, and they're also violent with our corrections system, with our juvenile system.
• We also have a system of care coordination.
• A number of beds were in the system, but they had nonrecurring funding.

Summary: The Human Services Subcommittee met to review implementation of House Bill 7021, the recent overhaul of Florida’s Baker Act and Marchman Act, and to hear from DCF Assistant Secretary Erica Floyd Thomas about how the department is using the $50 million appropriation tied to the bill. Representative Maney, the bill sponsor, gave a lengthy background on why he pursued the reforms and emphasized that the goal was to improve access, reduce unnecessary crisis interventions, and give agencies the resources needed to carry out their responsibilities. He and the chair both noted that the bill was the product of many years of work and broad bipartisan support. DCF reported several early outcomes and implementation steps, including a statewide reduction in Baker Act initiations over the past five years, strong diversion rates from crisis through 988, mobile response teams, care coordination, and forensic multidisciplinary teams, and the creation of new tools such as a Baker Act dashboard and the first annual Marchman Act report. The department described key statutory changes: law enforcement discretion in initiating Baker Acts, a single-petition process, remote appearances, stronger discharge planning, interim services, updated parent notification and hold-period rules, an ombudsman office for children’s behavioral health, and regional collaboratives to identify local service gaps. DCF said it has updated manuals, FAQs, trainings, and rules, and that the managing entities have begun contracting for services. Members asked about how the $50 million was allocated, why much of it went to crisis capacity rather than outpatient care, how much has been spent so far, whether administrative costs are capped, and how the department will measure success. DCF said most of the money was used to preserve and expand crisis beds, detox beds, CSU beds, short-term residential treatment, discharge planning, and outpatient supports, with $1.3 million for the ombudsman and regional collaboratives and $48.3 million to managing entities. The assistant secretary said the department tracks readmissions, utilization, provider capacity, and monthly and quarterly reports from managing entities, but it is still early to see full effects because contracts were only recently executed. Members also raised concerns about children, families, veterans, workforce shortages, transparency, and gaps for hard-to-place individuals, including those with developmental disabilities or dementia. The meeting ended with no formal action beyond adjournment after questions were completed.

Transcript Highlights:

• First, intake staff will review the complaint.
• And additional challenges on our existing technology system between Maxis and Mets and other systems
• Additionally, looking at administrative... ...burden of changes and complexity in our system.
• With downtime, it is a system that the state should have invested in upgrading a long time ago.
• Right now, it's very cumbersome, time-consuming, and staff-intensive to make systems changes.

Transcript Highlights:

• , helps...” “...the body’s immune system.
• So, you know, unfortunately, I don’t have the best immune system.
• I guess my question is the secondary effect on the health care system.
• We look at the complaint to do an initial intake.
• We have a very opaque system now that overcharges individuals.

Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.

Transcript Highlights:

• So, you know, unfortunately, you know, I don't have the best immune system.
• I guess my question is the secondary effect on the health care system.
• Not necessarily who can enter, who can be employed in a health care system, but more so.
• We look at the complaint to do an initial intake.
• We have a very opaque system now that overcharges individuals.

Bills: HB689, HB742, HB926, HB946, HB948, HB1028, HB1095, HB1114, HB1121, HB1155, HB1185, HB1217, HB1220, HB1227, HCR76

Keywords: public assistance, child welfare, benefit adjustment, DCFS, LDH, fraud detection, household reporting, Medicaid, immunization, healthcare eligibility, Family Independence Temporary Assistance Program, health policy, vaccination requirements, vaccination status, vaccine mandate, medical freedom, medical autonomy, public buildings, public access, government services

Summary: The House Committee on Health and Welfare met on April 23 with a quorum and first deferred or did not hear several bills, including HB 1093, HB 1145, and HB 946. The committee then quickly advanced HB 1095, which would allow nursing facilities to use alternative power generation sources in addition to fuel-powered backup systems; supporters said it would give nursing homes more flexibility while maintaining existing safety and backup-power requirements. The bill was reported favorably without objection. The committee then took up HB 926, a bill concerning vaccination status and admission to public buildings and related medical-freedom provisions. After adopting a set of amendments, including exclusions for licensed health care providers and facilities and clarifications regarding masks and school-related provisions, the committee heard testimony both for and against the measure. Supporters framed it as a privacy and bodily-autonomy bill, while opponents warned it could interfere with public health measures and school immunization rules. After extended debate, HB 926 was reported favorably with amendments by an 8-4 vote. HB 1220, a cleanup bill concerning the Louisiana State Board of Medical Examiners, was amended and then reported favorably. HB 1227, which would require physician peer review before certain disciplinary actions against doctors, drew testimony from the sponsor, a physician supporting the bill, and the board’s executive director, who described the board’s current complaint and review process and raised concerns about practicality and staffing; the sponsor asked for more time to work with the board, and the bill was voluntarily deferred. The committee also reported favorably HB 1217 on pharmacy benefit manager transparency after technical and substantive amendments, and HB 1028 on non-emergency medical transportation reimbursement rates, which was sent to Appropriations. Finally, the committee advanced HB 1185 on rural hospital payment methodologies and HCR 76, which would continue the rural health inequities task force for another year; both were reported favorably.

Transcript Highlights:

• This costs not only individuals, but our health system as a whole.
• Our desire is to actually make this accessible and deal with prevention, and the current system doesn't
• I think it's helpful for us to keep in mind that the research has advanced beyond the initial FDA system
• That I know is going to essentially devastate our ability to support our UC system in particular and
• SB 944 provides clarity for patients, providers, and the health systems.

Summary: The Assembly Health Committee heard several bills on June 9. SB 1023 by Senator Laird would require insurers that cover injectable HIV PrEP under the medical benefit to also cover it through the pharmacy benefit, with supporters saying the change would reduce reimbursement delays and expand access, while health plans opposed it as an unnecessary mandate that interferes with benefit design. SB 964 by Senator Smallwood-Quivas would limit prior authorization for certain dose or frequency adjustments to covered medications, especially for chronic complex conditions; medical supporters said it would prevent harmful delays in care, while insurers argued it weakens safety and utilization controls. SB 1323 by Senator Rubio, as amended, would strengthen protections for people in immigration custody receiving medical care by requiring hospitals and facilities to inform staff how to respond to requests and allowing patients to notify family members of their location; it passed with one no vote. SB 1099 by Senator Reyes would clarify local governments’ authority to provide state and local public benefits to all residents under federal PRWORA rules, with supporters saying it would reduce legal uncertainty for safety-net services; it passed, though one member later changed a vote to no on the add-on roll call. The committee also took up SB 895 by Senator Wiener, a proposed $12 billion science research bond for the November ballot that would create a California scientific research funding institute. Supporters from UC, UAW, hospitals, and advocacy groups said the measure would help offset federal cuts, protect research jobs, and sustain California’s leadership in biomedical and other research; there was no opposition, and the bill passed on a party-line style vote with two no votes. SB 944, also by Senator Wiener, would stabilize Medi-Cal coverage for acupuncture, which supporters described as a cost-effective, non-pharmacological treatment for pain and other conditions that has repeatedly been threatened in the budget process; it passed unanimously. The committee also approved consent items SB 918 and SB 1202, and later cleared the remaining measures on call after roll votes and add-on votes were taken.