Transcript Highlights:

• It modifies the provision that directs the UTC and Commerce to collaborate to improve resource forecasting
• of data center loads, including facilitating a work group to establish best practices for data centers
• So I believe this bill is practical, it's narrow, and it's urgently needed, and I urge your support.
• I echo the appreciation for the collaboration on the bill.
• That experience should caution us against moving forward without deeper technical collaboration.

Summary: The committee first took up House Bill 2515, which addresses emerging large energy use facilities, especially data centers. Staff explained that the bill requires utilities to adopt tariffs or policies for data centers, adds reporting and sustainability requirements, sets renewable energy targets, and creates a sales tax exemption for certain eligible data center equipment in eastern Washington. The House sponsor said the bill is intended to protect ratepayers, grid reliability, water resources, and Washington’s climate goals as data center growth accelerates. Tribal representatives and several environmental and labor witnesses urged restoring provisions removed from the House version, especially authority to curtail data center load during energy emergencies and to refuse service if reliability or affordability would be harmed; they also asked for stronger water reporting and protections for salmon. Utility, business, and data center industry witnesses supported the bill’s general framework but raised concerns about implementation, costs, and some of the added requirements, while some opposed the tax exemption and the loss of earlier protections. No final action on 2515 was taken during the hearing portion shown. The committee then heard and acted on several bills in executive session. It passed Substitute House Bill 1302, which allows municipal utilities to waive connection charges for industrial symbiosis projects. It also passed House Bill 2338 on community-scaled weatherization projects after rejecting an amendment, and House Bill 2367 on eliminating preferential treatment for a coal-fired plant after rejecting an amendment. Substitute House Bill 2496 on tribal consultation by the Energy Facility Site Evaluation Council was amended and then passed, while amendments to change public meeting and tribal summary provisions were rejected. Engrossed Substitute House Bill 2225 on AI companion chatbots, House Bill 2426 on PCHB efficiency and appeals, House Bill 2606 on the Office of Privacy and Data Protection, Engrossed House Bill 2575 on reducing reporting obligations, and Engrossed Second Substitute House Bill 2215 on Climate Commitment Act compliance for fuels were also advanced, with some amendments adopted and others rejected. The committee then reopened public hearing on House Bill 2416, which would treat a Spokane waste-to-energy facility differently under the Climate Commitment Act by allocating no-cost allowances in the second compliance period and requiring a decarbonization and waste-reduction plan. Spokane city officials, labor, environmental groups, and Ecology generally supported the bill as a balanced approach that protects ratepayers while allowing the facility to decarbonize, though Avista raised a concern about language implying a utility compliance obligation. After that, the committee resumed testimony on House Bill 1170, which requires large AI providers to offer provenance tools and disclosures for AI-generated or altered images, video, and audio. Supporters said the bill would help workers and consumers identify synthetic media and prevent impersonation and misinformation, while industry and civil liberties witnesses argued the bill is technically difficult, uses new definitions, and may be unworkable or premature compared with California’s evolving approach.

Transcript Highlights:

• So it's a place for transparency and collaboration and sharing information.
• Transparency and collaboration and sharing information.
• We've seen a lot of beautiful collaboration in the post-fire scheme, right?
• Where's that collaboration before the disaster happens?
• The practices through EWP have what's considered a practice life, so it's a requirement for them to leave

Transcript Highlights:

• Tommy Lucas, and I'm an optometrist practicing in Colleen, Texas.
• help small independent optometry practices administer their plans.
• Streamlines their coding practices to help small independent optometry practices administer their plans
• I started my optometry practice in Brenham in late 2023.
• owned independent optometry practice in all of Washington County.

Bills: HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Summary: The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.

Transcript Highlights:

• It took 14 years of partnership and collaboration, and it takes cross-sector work.
• CHA has the pulse on this through our patients' care and community collaboration.
• what happens when you invest in collaboration and community-driven solutions.
• Invest in collaboration, invest in communities.
• Invest in collaboration, invest in communities.

Keywords: 995, all

Summary: The Joint Committee on Community Development and Small Business held its final hearing of the session on H. 5187 and S. 3022, the Enough Act, with Chair Andy Vargas and Senator Adam Gomez opening by thanking committee members and stakeholders for their work during the session. The bills were described as a grant-based, place-based anti-poverty initiative intended to support cradle-to-career services by funding local nonprofits, schools, community organizations, and backbone entities that can coordinate housing, education, health, workforce, and family supports in high-poverty neighborhoods. Testimony was overwhelmingly in support of the bills. Speakers including Strategies for Children, Chelsea Public Schools, Bunker Hill Community College, Senator Sal DiDomenico, Rep. Kate Lipper-Garabedian, Rep. Antonio Cabral, the Harlem Children’s Zone’s Kwame Owusu Kesse and Jeffrey Canada, former Education Secretary Paul Reville, AFT Massachusetts, United Way, the Boston Foundation, Give Black Alliance, Eastern Bank Foundation, and others argued that poverty is a systems issue that schools alone cannot solve. They emphasized the need for local control, community voice, coordinated services, and long-term public-private investment, often citing examples from Chelsea, New Bedford, Springfield, Lowell, Boston, and other communities, as well as the Harlem Children’s Zone and Maryland’s similar model. Committee members asked several questions about how the bill would function in practice, including what organizations would do on day one, how it would interact with existing efforts like community schools, McKinney-Vento, and the Student Opportunity Act, and how it would be sustained over time. Witnesses said the act would help create or strengthen backbone organizations, reduce duplication, align existing resources, and leverage philanthropy and future revenue sources for long-term sustainability. No vote was taken during the hearing, but multiple speakers urged the committee to report the bill favorably and quickly.

Transcript Highlights:

• As you know, DHS hosts the Washington Economic Justice Alliance, a collaboration between experts with
• As you know, DHS hosts the Washington Economic Justice Alliance, a collaboration between experts with
• state policy or practices that will help implement the strategic plan.
• Second, cross-sector collaboration. Parent mental health during and after pregnancy.
• Second, cross-sector collaboration.

Bills: SB5979, SB6308, SB6319

Keywords: opioids, substance abuse, dependent children, child welfare, caregiver substance use, court orders, shelter care, judicial discretion, family law, early childhood, family services, diversion programs, court-ordered assessments, 904, all

Transcript Highlights:

• concurrently, and we'll begin with those two resolutions, which urge the Department of Education to collaborate
• between DOE and the other stakeholders, collaboration with the Safe Routes to School Advisory Committee
• Hawaii leaders to collaborate on shared Hawaii leaders to collaborate on shared issues<00:15:12.959><
• opportunity to demonstrate that they're being safe or employing proper safety measures and best practices
• opportunity to demonstrate that they're being safe or employing proper safety measures and best practices

Keywords: 912, senate, all

Summary: The joint Transportation and Culture and the Arts and Education committees heard STR 1117 and SR 98, which urge the Department of Education, Department of Transportation, and Hawaii County to inventory bus stops used by children on Hawaii Island and develop safety improvements. DOE testified that routes are based on student locations, families must register riders, and access is complicated by county roads and privately owned or HOA-managed roads; members noted the need to focus on the most affected areas and on safety rather than just counting stops. The committees recommended both resolutions be passed with amendments, including adding the Safe Routes to School Advisory Committee and technical changes, and both measures were adopted by vote. The Transportation and Culture and the Arts committee then heard several resolutions on international relationships and transportation safety. STR 196/SR 76 supporting broader ties with Norway, STR 197/SR 77 supporting broader ties with Sweden, and STR 195/SR 175 supporting broader ties with Sweden all moved forward; testimony generally favored learning from those countries, and the committee adopted amendments to add collaboration language and, in the Norway measure, a reference to prisons and criminal justice. The committee also heard STR 181/SR 51 on lowering the blood alcohol limit from 0.08 to 0.05; the Hawaii Alcohol Policy Alliance supported the measure and suggested adding flexibility for the DOT director to appoint additional working group members. The committee amended the resolution to broaden the working group and direct it to examine data, impacts, and implementation issues, then adopted it. On later agendas, the committee approved CR 12/SR 8 recognizing International Dark Sky Week with amendments to create a task force on light pollution and dark skies. It also passed CR 180/SR 150, which would have DOT report on commercial tour operator safety and performance, after amending it to clarify the purpose, require online public information, involve the NTSB, and create a transparency/scoring framework. STR 150 on subsidizing waterborne cargo transport was also passed with technical amendments. Finally, STR 222/SR 197 on towing companies having on-site ATMs was amended into a task force proposal led by the Office of Consumer Protection, and the committee adopted that recommendation. In each case, the chair’s recommendation was to pass with amendments or, for one Sweden measure, pass unamended, and the votes were unanimous with no recorded opposition.

Transcript Highlights:

• What we want to move toward in the future, and what we are in collaboration with the PACE organizations
• We would just like to thank the Legislature for their collaboration on this as we continue to move forward
• We're also seeking innovation with the use of best practices such as acclimation visits and teledentistry
• But what I can tell you is we collaborate with the Department of Children and Families about our clients
• But some examples of the way we collaborate are that we share data with the Department of Children and

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• The first thing that happens is now you've got folks going to schools and soccer practice and choir practice
• It has been a longstanding practice of this legislature. Development should pay for development.
• We know firsthand that MUDs create good growth, and that, that collaboration is key between agencies,
• Um, in the Houston area, and we support good government, we support good collaboration, and this bill
• More and helping them and spreading some of our best practices, um, um, there to make sure that works

Bills: HB23

Keywords: property tax exemption, ad valorem tax, Texas Tax Code, nonprofit corporation, charitable organization, educational nonprofit, scientific nonprofit, agriculture support, youth programs, community education, county population threshold, large county, local government revenue, leasehold interest, possessory interest, county property tax, nonprofit-owned property

Transcript Highlights:

• The first thing that happens is now you've got folks going to schools and soccer practice and choir practice
• It has been a long-standing practice of the...
• We know firsthand that MUDs create good growth, and that collaboration is key between agencies agencies
• And we support good government, and we support good collaboration, and this bill is a step to make sure
• And helping them and spreading some of our best practices there to make sure that works.

Bills: HB23, HB363, HB447, HB954, HB23

Keywords: third-party review, property development, local government, permits, construction inspection, regulatory authority, land development, liability, occupancy certificate, municipal utility district, petition, county clerk, water code, Texas Commission on Environmental Quality, traffic impact studies, bonds, road projects, eminent domain, extraterritorial jurisdiction, county authority

Transcript Highlights:

• Honeybee management practices mostly in hobbyist beekeepers who are not as educated on beekeeping practices
• And it really just promotes best practices.
• We're looking at stewardship practices.
• We adopt best practices.
• Of these practices in our community.

Transcript Highlights:

• Begin transition planning at age 14 in practice.
• Begin transition planning at age 14 in practice.
• At that time, we would have been one of the first states in the nation to end this practice.
• Washington's current practice of using these benefits to offset the cost of care is unjust.
• Momentum for ending this practice is clear and growing.

Bills: SB5911, SB5940, SB5942, SB5957

Keywords: children, youth, financial stability, care services, department of children and families, housing assistance, foster care, pilot program, social services, accountability, family services, state department, child welfare, homeless youth, youth homelessness, runaway youth, young adult homelessness, housing instability, family reunification, family stability

Transcript Highlights:

• And I'm happy to go into this separately in another conversation. need for collaboration, you know, and
• in ways... ...goals from policy through implementation and into practice in ways that meaningfully and
• Second, collaboration. California values collaboration across institutions and levels.
• I merely need point to the establishment of the California Collaborative for Excellence in Education,
• In practice, however, the experience of districts does not reflect this intended role.

Summary: The Assembly Education Committee first heard two bills. AB 1665 by Assemblymember Pacheco would require school sports coaches to complete approved mental health training. Supporters said coaches are trusted adults who are often first to notice student-athlete distress, and a witness described personal experience with body image and disordered eating pressures in athletics. There was no opposition, and the bill was moved out of committee on a due pass as amended motion to Appropriations, ultimately passing 9-0 after add-on votes. AB 2316 by Assemblymember Hoover would allow charter schools to apply for the same financial hardship relief in the state school facilities program that traditional districts can seek. Supporters argued this would improve parity and help smaller and low-income charter schools access permanent facilities; some initially opposed agencies said their concerns were addressed by amendments. The bill also passed unanimously, 9-0, to Appropriations. The committee then took up a consent calendar containing 12 additional measures, including bills on education funding, facilities, and other school-related matters, plus a resolution. Those items were approved on a 7-0 vote, with the roll left open for add-on votes. After the bill hearing portion was recessed and later reconvened, additional members added votes to AB 1665, AB 2316, and the consent calendar, bringing each to 9-0. The committee then held an informational hearing on state-level education governance, centered on Governor Newsom’s proposal to restructure the California Department of Education and the role of the elected Superintendent of Public Instruction, with AB 2117 serving as a policy vehicle carrying the same language and no action to be taken. Testimony came from the Legislative Analyst’s Office, the Education Commission of the States, and former CDE chief deputy Richard Zager. Witnesses reviewed the history of California’s governance structure, compared it with other states, and discussed accountability, legislative oversight, and the role of the superintendent under the proposal. Committee members raised concerns about preserving checks and balances, the fiscal implementation plan, county-office relationships, and whether the superintendent’s role would be reduced too far; no vote was taken at the informational hearing.

Transcript Highlights:

• </c><00:20:47.120><c> that</c> Partnerships and collaborations that Partnerships and collaborations that
• </c> these issues and they're collaborating these issues and they're collaborating every<00:55:07.440
• for rehabilitative and therapeutic practices.
• </c><01:05:02.520><c> for</c> far as the best practices for far as the best practices for rehabilitative
• and therapeutic practices rehabilitative and therapeutic practices so<01:05:05.359><c> this</c><01:05

Keywords: 912, senate, all

Transcript Highlights:

• The agreement required the collaborative to implement operations of the 24-7 Florida domestic violence
• But I do believe it's important that we have collaboration across the board.
• Collaboration between law enforcement and certified centers continues to strengthen.
• You know, I enjoy the collaboration that we have with everyone. I hate...
• You know, I enjoy the collaboration that we have with everyone.

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on the roles of the state, the federally designated coalition, direct-service providers, and law enforcement. Members reviewed the history of the system after the dissolution of the former coalition in 2020, the creation of the Florida Partnership to End Domestic Violence, DCF’s Office of Domestic Violence, and the current contract structure involving Women in Distress and its subcontractors for hotline and legal services. Panelists also discussed the 2024 lethality assessment law, the workgroup’s conclusion that the evidence-based Maryland tool could not be used because of copyright and cost issues, and the state’s current use of statutory questions instead. DCF and FDLE described the statewide certification and funding framework, including more than $60 million in domestic violence funding for fiscal year 2025-26 and the requirement that law enforcement complete lethality-assessment training by October 1, 2026. Testimony highlighted both collaboration and conflict. Florida Partnership to End Domestic Violence and Women in Distress described overlapping training and technical-assistance roles, but disagreed sharply about the quality of their relationship with DCF and whether the current structure is duplicative. DCF said it maintains communication with both the coalition and the centers and emphasized that the coalition is federally required, while the coalition argued that the department has obstructed its work. Women in Distress and Hope Villages stressed direct services, prevention, and the need for more housing, staffing, and funding, especially in rural areas. They also described programs in schools, hospitals, and child welfare settings, and noted that children exposed to domestic violence often need specialized services. Members asked about funding flows, certification, rural coverage, the number of centers, and the lethality assessment rollout. DCF said the 41 certified centers serve all 67 counties and that no new applications have been received in about 15 years. FDLE reported that 46 of roughly 400 law enforcement agencies had completed the lethality-assessment training and attestation, with the statutory deadline still ahead. Panelists said domestic violence appears to be increasing, citing higher hotline demand, shelter occupancy, and local case numbers, while also noting that statewide crime data remains outdated. The discussion ended with calls for better coordination, clearer implementation of statutes, more funding, and possible legislative fixes to improve data collection, training, and service delivery.

Transcript Highlights:

• a discredited practice.
• Those practices coercion, or shaming. Those practices are<00:24:58.200><c> wrong.
• </c> discriminatory practice. discriminatory practice.
• <01:08:13.240><c> or</c><01:08:14.240><c> um</c> practice or um practice or um like<01:08:15.320><c>
• </c> um practical candor that she brings. um practical candor that she brings.

Keywords: 1187, senate, all

Transcript Highlights:

• Strong collaboration. Ys including UCF restores the second alarm project.
• Mental wellness has grown but significant resource gaps, inconsistent practices and it over-reliance
• So CDC collaboration was vitally important in this project for us.
• What what happens practically? I mean, is that why? Why are they all bankrupt?
• How do you deficit spends like that in reality that it's just a practical question?

Keywords: 999, senate, all

Transcript Highlights:

• That's managed relocation in practice.
• That's managed relocation in practice.
• That's managed relocation in practice.
• </c><01:22:06.120><c> summary</c> 23rd, which was a collaborative summary 23rd, which was a collaborative
• . collaboration. collaboration.

Bills: SB3253, SB2401, SB3169, SB17, SB3014, SB3032, SB1432, SB2002, SB2972, SB3247

Keywords: conservation, endangered species, wildlife preservation, native birds, biodiversity, sanctuary, nonprofit, DLNR, agricultural district, land use, chapter 195D, chapter 205, chapter 42F, state funding, public purpose, habitat restoration, predator-free sanctuary, ecosystem restoration, Zealandia, wildlife refuge

Summary: The Committee on Water and Land heard testimony on SB 5253 SD2 relating to conservation and SB 2401 relating to regional shoreline mitigation district, with the chair emphasizing short testimony limits and the need to finish before session. On SB 5253, DLNR said it stood on its written testimony and answered questions about the bill’s proposed nonprofit endangered species sanctuary. Members asked whether existing entities or agreements, such as land trusts, private landowners, and DLNR safe harbor agreements, could accomplish similar conservation goals without creating a new entity. DLNR said similar work already exists, but it was not aware of a comparable sanctuary model in the state. A member also questioned language suggesting for-profit businesses in the sanctuary, and DLNR said the intent appeared to be sales of outreach or similar materials, though it agreed that such activities could be handled by a nonprofit. The bulk of the hearing focused on SB 2401, which would create a regional shoreline adaptation/mitigation framework. The Department of the Attorney General said it had concerns about inconsistent use of the terms “mitigation” and “adaptation,” warning of possible title-subject issues. DLNR said it was neutral on the terminology and more concerned with the substance, and noted that the bill would not waive permits; any plan would still require environmental review and applicable state and county permits. DLNR also supported OHA’s recommendation to consider impacts on Native Hawaiian traditional and customary practices during regional planning, and said the bill’s language on temporary shoreline protection measures could help address the gap between emergency permits and longer-term planning while avoiding a hardening-only approach. The Office of Planning supported the regional planning concept but noted it is not a regulatory agency and would need to work with DLNR and the Land Board. OHA supported the bill’s planning-based approach but recommended amendments to require assessment of impacts on Native Hawaiian traditional and customary practices during plan development and to clarify that environmental review would still apply at the project level. Testifiers from the Ka‘anapali Steering Committee strongly supported the bill, saying it would provide a regional framework for ongoing erosion problems while preserving full regulatory authority and normal permitting, and they proposed amendments to standardize terminology, create a limited pathway for temporary shoreline protection, and address ownership and maintenance responsibilities. Members discussed the meaning of “mitigation” versus “adaptation,” the scope of shoreline hardening, and whether the bill would help the legislature take a broader, more holistic view of shoreline decisions. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• ,</c><00:07:23.600><c> the</c> prevention best practices, the prevention best practices, the commission
• >> I don't know if it's a normal practice. I apologize.
• >> I don't know if it's a normal practice. I apologize.
• >> I don't know if it's a normal practice. I apologize.
• </c> which is our current practice currently. which is our current practice currently.

Keywords: 910, house, all

Summary: The committee began with resolutions HCR 93 and HR 85, which ask the Hawaii State Commission on the Status of Women, in collaboration with the Department of the Attorney General, to form a working group and report on ways to strengthen protections for survivors of image-based sexual abuse. The Attorney General’s office said it could support the effort as legal counsel to the commission but preferred not to be an active working-group member, and suggested the Legislative Reference Bureau could instead conduct a nationwide study for stakeholders. The Commission on the Status of Women supported the resolutions but urged broader scope to include prevention and intervention, expanded stakeholder membership, keeping the Attorney General involved, and adjusting the report deadline. Testimony in support also came from the Emoa Alliance, which emphasized the prevalence and harms of image-based abuse and the need for stronger protections. Members asked questions about current criminal and civil remedies, reporting barriers, and whether the commission could administer the effort without the Attorney General; no votes were taken on the resolutions during the excerpted discussion. The committee then heard HCR 113 and HR 106, supporting the Native Hawaiian Intellectual Property Working Group’s request for more resources and a timeline extension to fiscal year 2026-2027. The Office of Hawaiian Affairs testified in support, saying Native Hawaiian culture, traditional knowledge, and cultural expressions are increasingly being commercialized and exploited without adequate protection, and that the working group needs more time, resources, and community consultation to complete its work. The committee noted six supporters and no opposition or comments. The hearing also covered HCR 193 and HR 183, which would establish a court security and Department of Law Enforcement capacity working group to address staffing shortages and the use of private security at state courts. The Judiciary supported the intent, asked that the working group supplement rather than replace its budget request, and proposed allowing the chair to add members with relevant experience. In response to questions, Judiciary said it has requested $3.25 million for armed private security, which it said would cover about 18 contracted individuals, though with significant company overhead. The committee then moved through several bills: SB 2667, which restricts certain commercial vehicles and trailers from the far-left lane on multi-lane roads, received support from the Department of Transportation; SB 2851, which allows deaf vehicle owners to register a deafness designation for law enforcement access, drew testimony in support; SB 2521, which updates emergency vehicle rules and exempts EMS personnel from CDL requirements, received testimony from Honolulu Emergency Services; and SB 2466, which would make the Chief Elections Officer terminable only for cause, drew support from the League of Women Voters and opposition from Hawaiian Islands Republican Women, who argued the change could reduce accountability and create election disruptions if litigation over termination occurs.

Transcript Highlights:

• They're practicing without being licensed? There... The... When there's facilities.
• So are they practicing without our license? Sorry?
• Are they practicing without our license if they're slipping through the cracks?
• CDPH also collaborates with FDA to uphold federal standards and good manufacturing practices.
• It's more intentional around collaboration.

Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.

Transcript Highlights:

• </c><00:44:21.800><c> with</c> and also Foster collaboration with and also Foster collaboration with
• So for example, Haena, you know, our parking reservation, that's been in collaboration with community
• So for example, Haena, you know, our parking reservation, that's been in collaboration with community
• So for example, Haena, you know, our parking reservation, that's been in collaboration with community
• </c><03:49:46.479><c> of</c> match the definition under practice of match the definition under practice

Keywords: 910, house, all