Transcript Highlights:

• the country, with 50 health care organizations and 360 health centers serving over half a million patients
• At the end of the 25-26 fiscal year, DSH projects a total patient census of 8,527 patients, an increase
• of over 204 patients from what is projected at the end of the current year.
• The patient-driven operating expenses and equipment we're requesting $21.7 million in fiscal year 25-
• 26 and ongoing, tied to increased patient service costs and census.

Transcript Highlights:

• And the patient must be related to his or her family caregiver.
• Because these trainings are patient-specific, child-specific to their needs.
• They have to go find another patient to work for.
• However, the Family Home Health Aid is not included in the patient...
• I'd prefer actually if you just went straight to the experience.

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• Would you prefer us to be involved, or do you think you, as ABOR, can handle the decisions about how
• If hospitals are less able to help patients who are eligible to apply for health care coverage, that
• patient will almost definitely not be able to pay out-of-pocket costs for that health care.
• word, when the patient is ill and seeking care, if that patient does not follow through and provide
• Thank you for caring for all your patients. Appreciate it. Thank you, Chairman.

Summary: The joint appropriations committee met on April 28 to review the FY 2027 budget package, including the general appropriations feed bills (HB 4138 and SB 1831) and related budget reconciliation measures. Staff described the budget as including about $17.96 billion in general fund appropriations, a one-time transfer of state monies to increase revenues, a 5% lump-sum reduction to most agencies’ discretionary general fund budgets, and several one-time restorations or continuations for items such as school facilities, child care, child safety, corrections stipends, and public safety operating costs. Members spent much of the meeting debating how the across-the-board cuts would be implemented, which programs might be affected, and how fund sweeps from prior-year appropriations and special funds would work, including questions about universities, public safety, rural hospitals, transportation grants, the Corporation Commission, and health insurance costs for state employees and troopers. A major point of discussion was the impact on universities and higher education. Arizona Board of Regents representatives said the proposed reductions and fund sweeps would affect already obligated dollars, research, staffing, and student aid programs, and could force difficult decisions about programs such as the Promise Program, Teachers Academy, and other pass-through funds. Committee members also raised concerns about whether the cuts could lead to tuition increases or reductions in services, while majority members emphasized that agencies and the executive branch should decide how to absorb the reductions. Another major topic was health care and the state employee health plan: staff explained that the budget includes a $228 million general fund infusion to stabilize the plan, while a separate reconciliation bill would raise employee premiums over three years. Members also discussed whether the budget’s changes to AHCCCS/Access and hospital eligibility rules could increase costs for hospitals and reduce coverage. Public testimony largely opposed the budget. Speakers from Opportunity Arizona, the Arizona Board of Regents, and local governments argued that the proposal would shift costs onto working families, reduce support for education, housing, SNAP, health care, and rural infrastructure, and protect tax benefits for data centers and higher-income taxpayers. A mayor from Globe asked for state help after severe flooding damaged roads, water lines, and homes, while a motorcycle safety advocate asked the committee to review a DPS motorcycle safety fund appropriation. Committee members and staff repeatedly clarified that some items discussed were one-time appropriations not continued into FY 2027, that some fund sweeps were from unspent or unencumbered balances, and that the committee planned to take a mass roll-call vote on the budget bills at the end of the meeting.

Transcript Highlights:

• HAB would prefer to participate in the proposed committees or community input to make recommendations
• So we did not testify, but we prefer SB 2667. >> I was going to add what is engine brake, but then I
• </c> we we prefer SP2667. Thank you. we we prefer SP2667. Thank you.
• We support this bill, but we prefer the language that's in HP 2120.
• Patiently sitting down through today.

Bills: HB2392 , HB2462 , HB2423 , HB1771 , HB2081 , HB2334 , HB2336 , HB1666 , HB2375 , HB2415 , HB2451 , HB2373 , HB1641 , HB1694 , HB1695 , HB1986 , HB1797 , HB1879 , HB2034

Committee: Senate Transportation

Summary: The committees heard testimony on several transportation-related measures. SB 2356, relating to parking, drew support from the Office of Planning, the Climate Change Mitigation and Adaptation Commission, Appleseed Center, Realtors, and the Hawaii Bicycling League. Members discussed the bill in the context of the planned stadium-area mixed-use development, with questions about whether parking would be built in structures rather than as large surface lots. Senators expressed support and noted the measure’s broader housing and parking-reduction goals, but no vote was taken during the hearing. The bulk of the hearing focused on SB 2699, which would create a fare-free youth transit program, a special fund, annual evaluations, and appropriations tied to the environmental, energy, and food security tax. The Attorney General’s office raised technical concerns about whether the special fund met statutory requirements. The Department of Education and Department of Health supported the bill, as did the City and County of Honolulu DOT, Appleseed Center, Hawaii Youth Transportation Council, Public Health Institute, Hawaii Children’s Action Network, Hawaii Bicycling League, Our Children’s Trust, and numerous youth testifiers. Supporters emphasized reduced family transportation costs, better school attendance, improved health and mobility, and environmental benefits. One senator raised emergency-planning concerns about how children using free transit would be handled during events like tsunamis; DOT and DOE responded that emergency procedures are being developed. The chair said the committee would work on language changes, including a delayed effective date to July 2027, and defer decision-making until the 12th. The final measure discussed was SB 2470, which would require leading pedestrian intervals, accessible pedestrian signals, and other safety improvements at state-controlled intersections, and create a process for community requests for accessible pedestrian signals. Appleseed Center, the Hawaii Association of the Blind, and the Disability Rights Center supported the bill, citing pedestrian safety, reduced collisions, and the need for audible cues for blind and low-vision pedestrians. Testifiers urged a phased-in approach that prioritizes high-traffic intersections. The hearing ended with the bill still under consideration and no final vote announced.

Transcript Highlights:

• So these are the ones that I think you guys can get on board with, quite frankly, and I would prefer
• It also prohibits establishing a preference that benefits households with rental assistance.
• So AB 282 will allow housing providers to establish a preference for voucher households by explicitly
• Providing this preference would also help HACLA and other PHAs more efficiently administer their program
• Very patient. Yes. Thank you for your patience, whenever you're ready.

Summary: The committee heard several bills, beginning with AB 2, which would create enhanced civil penalties for large social media companies when negligence proven in court causes harm to children and teens. The author and supporters argued the bill is needed to address addictive algorithms and harmful content, while opponents warned it was vague, could chill speech, and might be preempted by federal law. Members largely focused on whether the bill changed the standard of care or burden of proof; the bill passed out of committee on a roll call vote, with some members noting concerns but supporting it to continue the discussion. AB 282, dealing with housing vouchers and source-of-income discrimination, would clarify that housing providers may prioritize applicants who qualify for rental assistance without violating fair housing law. Supporters from housing authorities, local governments, and advocacy groups said it would help voucher holders find units and improve use of housing funds. There was no opposition, and the bill passed to Appropriations on a roll call vote, with two no votes. The committee also considered AB 882 on court reporter availability and electronic recording in certain cases when a court reporter is unavailable. Supporters said the bill is a temporary, narrowly tailored response to a shortage of reporters and would preserve access to accurate records, while opponents argued it was too narrow, raised access-to-justice concerns, and should be broadened. Members from both sides emphasized the importance of court reporters and electronic recording as a backup; the bill passed with an urgency clause and was sent to Appropriations. The committee then heard AB 325 on algorithmic price fixing, AB 935 on civil rights data clarity, AB 1414 on tenant choice of internet service provider, and AB 67 on Attorney General enforcement of the Reproductive Privacy Act; each drew support from sponsors and advocacy groups, opposition centered on overbreadth or policy concerns, and each advanced on committee votes, with several members requesting further amendments or clarification.

Transcript Highlights:

• The safety of our hospital workers and patients is of utmost importance to us, but in order for us to
• The safety of our hospital workers and patients is of utmost importance to us, but in order for us to
• And I do know that another concern was around the safety of patients as well.
• The privacy of those patients as they access reproductive health care here in California.
• There's a patient care tool that gave worse care recommendations to Black patients because it used health

Summary: The committee first heard AB 56, which would require social media platforms to display a warning label about potential mental health harms from prolonged use, with amendments shortening the initial warning and allowing immediate access to the platform. The author and supporters, including a parent who lost a daughter to suicide and a therapist, argued that social media contributes to teen anxiety, self-harm, and other harms and that families need clearer public health information. Opponents from tech and civil liberties groups argued the bill would be ineffective, burdensome, and likely unconstitutional, saying it would create warning fatigue and should be replaced by more targeted tools and digital literacy measures. Several members discussed emergency access concerns, language access, and whether the warning should be more actionable; the bill was moved on a 9-0 vote to the Judiciary Committee. The committee then took up AB 358, which would amend CalECPA to allow law enforcement, with the victim’s consent, to inspect certain abandoned tracking or surveillance devices found in a victim’s home, vehicle, or personal property without first obtaining a warrant. The author and a San Diego prosecutor said the bill is narrowly tailored to devices used solely for spying and is intended to help stalking and domestic violence survivors act quickly before evidence is lost. Opponents from EFF and the ACLU warned the bill would weaken warrant protections, create a loophole around CalECPA, and reduce transparency and accountability. Members debated Fourth Amendment issues, abandonment, and the practical need for rapid access; the bill passed the committee on a 9-0 vote to Appropriations. The committee also heard AB 1137, which builds on last year’s CSAM reporting law by allowing any user to report child sexual abuse material, requiring clearer reporting mechanisms, adding human review in some cases, and mandating third-party audits and public reporting. Supporters, including survivor advocates and a parent of a child victim, said the bill would reduce the burden on survivors and improve removal of abusive content. Tech industry opponents said they support the goal but objected to the human-review mandate, public audit disclosures, and enforcement provisions, arguing they could create security risks and compliance burdens. Members generally supported the bill’s intent but raised questions about audit frequency and human review; the bill was moved on call with seven votes at the time of the transcript.

Transcript Highlights:

• You can do either, but roll call is probably preferred. But okay? Okay. All right.
• Thank you all who are here to testify for your patients.
• As background, current law grants a certain degree of preference to veterans seeking state employment
• As background, current law grants a certain degree of preference to veterans seeking state employment
• Veterans may claim an exam score criteria or other veterans' civil service preference after they have

Summary: The committee first met in executive session on several bills. On Second Substitute Senate Bill 6035, dealing with voting services for military, overseas, Native American, and disabled voters, members considered amendments affecting tribal meeting requirements and an electronic ballot portal; one amendment to study the portal rather than authorize it was adopted, while the tribal-meeting amendment was not. The bill was then reported out with a due pass as amended recommendation. Substitute Senate Bill 6081, concerning nondisclosure of sex designation records, saw an amendment adopted to limit the privacy protections to survivors of domestic violence or sexual assault, but the amendment was later rejected on final passage and the bill was reported out due pass. Substitute Senate Bill 6034, codifying the Governor’s Office of Indian Affairs, was amended to require Senate confirmation of the executive director and was reported out due pass as amended. Senate Bill 6084 on repeat voting was reported out due pass without amendment. Second Substitute Senate Bill 5968, implementing Executive Order 25-03 on agency credentials, had one amendment adopted on annual ORIA reporting and another rejected; it was reported out due pass as amended. Senate Bill 6137 on sports wagering was amended to restrict certain prop bets and to make threats tied to wagers a gross misdemeanor, then reported out due pass as amended. The committee then opened public hearings on a number of bills. The most extensive testimony was on Gross Substitute Senate Joint Memorial 8014, which calls for a U.S. investigation into the death of Aishanur Ezgi Eygi; family members, University of Washington students and staff, advocates, and others testified in support, emphasizing accountability and the need for an independent investigation, while one speaker opposed the memorial as a misuse of legislative time. The committee also heard testimony on Substitute Senate Bill 5840, which would change campaign finance reporting schedules and participation rules; Public Disclosure Commission staff supported the bill as a transparency and consistency measure, while campaign treasurers and compliance officers opposed it, arguing the added reporting would be burdensome and costly. Substitute Senate Bill 6049, expanding Public Records Act exemptions for certain survivors, anonymized demographic data, and Healthy Youth Survey responses, drew support from OFM and opposition from a public-records advocate who warned against adding more exemptions. Substitute Senate Bill 6160, reducing or changing the frequency of numerous agency reports, was supported by OFM as a way to right-size reporting requirements. The committee also heard brief testimony on Senate Bill 5000 designating “The Evergreen State” as the official state nickname, Senate Bill 5325 designating the state cactus, Senate Bill 6044 recognizing Diwali and Bandi Chhor Divas as a legislatively recognized day, Senate Bill 6313 creating a Capital Centennial Stewardship Account, and Substitute Senate Bill 5827 expanding veterans’ preference documentation to include pre-discharge certification. No votes were taken during the public hearing portion, and the meeting adjourned after closing testimony on the final bills.

Transcript Highlights:

• I have a feeling that folks may prefer that if this flexibility for the city.
• I have a feeling that folks may prefer that if this bill were to pass, that that kind of stay focused
• And exempted from a tax preference statement, JLARC review, and the 10-year expiration is included.
• So this is a great bill that brings tax preferences for nonprofit housing providers in alignment with
• tax preferences for other nonprofits.

Summary: House Finance heard testimony on several tax and local government bills. HB 2278 would remove the July 1, 2027 expiration on the additional $3-per-room-night tourism promotion area lodging charge; supporters from destination marketing organizations said the revenue has produced strong returns for tourism and events, while questions were raised about how the local ordinances would continue. HB 2583 would lower the population threshold for cities to impose a higher lodging tax and expand authority for public facilities districts; the sponsor and Vancouver supporters said it would help fund a proposed performing arts center and other tourism investments, while hospitality, short-term rental, and some local advocates raised concerns about stakeholder input, equity, and whether the bill was too broad. HB 2224 would change how a city forming a single-city fire protection district handles levy reductions and would exempt part of one levy from the local tax limit; city and firefighter groups supported it as a needed tool for fire and EMS funding, while hospital districts and tax opponents warned about prorationing, governance, and higher taxes. HB 2325 would create a statewide tourism self-supported assessment program funded by participating tourism businesses; supporters from tourism, hospitality, wine, and brewing groups said it would provide a competitive, industry-driven statewide marketing program, while members questioned impacts on specific communities and the need for broader local benefits. HB 2431 would expand from 15 to 50 days the amount of fundraising activity allowed in nonprofit public assembly halls and meeting places, and the Grange supported it as a practical way to keep community halls open. After public testimony, the committee moved into executive session and advanced three bills. HB 2584, a sales and use tax exemption for qualifying farm equipment sold to eligible farmers, passed 14-0 with one excused. HB 2610, which modifies the property tax exemption for nonprofit homeownership development, also passed 14-0 with one excused. HB 2615, which codifies the voluntary disclosure tax program and authorizes temporary tax amnesty, likewise passed 14-0 with one excused. The chair also announced a deadline for amendments on items to be acted on the following day.

Transcript Highlights:

• The bill is exempt from tax preference review and automatic expiration.
• By way of brief background, veteran civil service preference scoring criteria status must be added to
• Preference. I'm performance. Preference, yes.
• technical assistance, and coordinate training to agencies to help them apply this new veteran's preference
• Alan Acosta, you've been waiting very patiently. Please come forward and testify.

Bills: SB6256 , SB6275 , SB5868 , SB5954

Committee: Senate Ways & Means

Keywords: tax exemptions, affordable housing, nonprofit, unoccupied property, housing policy, community reinvestment, economic development, local investment, financial assistance, SB 5868, superior court, judge, judgeship, judicial vacancy, court administration, Skagit County, Yakima County, RCW 2.08.061, Washington courts, county judges

Transcript Highlights:

• Collectively, we serve over 150,000 patients statewide, including Medicaid and Medicare patients.
• When a patient has to move out of Massachusetts or when higher-risk patients...
• , it is a real burden for patients.
• Patients can't get access to care.
• Patients can't get access to care.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• cover the same service for all patient populations who need that care.
• Thank you, other Assembly Members, for waiting patiently. File item number 27, AB 1697.
• Thank you, other assembly members, for waiting patiently.
• Thank you, other assembly members, for waiting patiently. File item number 27, AB 1697.
• That's money flowing to Wall Street and not patients. SB 623 stops that.

Committee: Senate Judiciary

Transcript Highlights:

• And, you know, most of my patients are not going to be able to get to cooling centers.
• We've got a few people that have been patiently waiting in person.
• Well, maybe they're not that patient." "We will go ahead.
• We've got a few people that have been patiently waiting in person.
• Well, maybe they're not that patient, and maybe they left.

Summary: The Housing Committee heard public testimony on Senate Bill 5496, which would limit certain business and investment entities from buying additional single-family homes after reaching 100 holdings, with exemptions for banks, nonprofits making affordability-related improvements, and some development/foreclosure situations. Senator Alvarado said the bill is intended to curb speculation and help Washington families compete for homes, while opponents argued it would interfere with the market, reduce rental supply, and could affect REITs and retirement investments. Supporters, including Habitat for Humanity, said institutional buying has made homeownership harder and that the bill would create needed guardrails; opponents from the building and rental housing industries said the data did not justify the restriction and asked for clearer exemptions or data on impacts. The committee also heard Senate Bill 6200, which would prohibit landlords under the residential and manufactured/mobile home landlord-tenant laws from banning tenants from installing portable cooling devices, subject to safety, code, egress, insurance, and damage-related exceptions. Senator Slatter and supporters framed the bill as a public health response to deadly heat events, especially the 2021 heat dome, and said it would help renters, seniors, and people with disabilities stay safe during extreme heat. Landlord and property management representatives were generally neutral or cautiously supportive, but asked for changes on notice, lease language, insurance, and window-unit safety; one testifier raised concerns about evaporative coolers and potential moisture damage. In executive session, the committee acted on several bills. It adopted an amendment to Senate Bill 5156 on elevator standards in smaller apartment buildings and reported the bill out with a due pass recommendation. It rejected amendments to Senate Bill 5938 on the foreclosure prevention fee, adopted an amendment removing a study requirement, and then reported the bill out as amended with a due pass recommendation. It also adopted an amendment to Senate Bill 6054 on fire-hardened building materials and reported that bill out as amended with a due pass recommendation. Finally, the committee reported out Senate Bill 6237B on flood disclosure with a due pass recommendation. After those votes, the committee reopened public hearing on SB 6200 and SB 5496 to hear additional testimony, then adjourned for the day.

Transcript Highlights:

• More frequently, Medicaid patients who are food insecure have diet-related diseases.
• in lieu of service under Texas under Medicaid managed care while physicians can screen and count patients
• Artie's advanced nutritional status of patients and clients.
• And in your 20 year period of time, what is your success rate being with the number of patients that
• I don't have an exact number for my particular patients and success rate.

Bills: HB26 , HB140 , HB141 , HB142 , HB215 , HB26 , HB140 , HB141 , HB142 , HB215

Committee: House Human Services

Transcript Highlights:

• The same thing I tell my patients who drink too much or eat too much: cut back, cap, and then decrease
• The but-for argument says that is not true if this particular preference...
• If this particular preference is not passed, these jobs more than likely will be based somewhere else
• And finally, the tax preference expiration date performance statement requirements in the code do not
• House Bill 2367 removes the tax preferences related to the coal-fired electric generating plants.

Bills: HB1983 , HB1974 , HB2334 , HB2367 , HB2650 , HB2655

Committee: House Finance

Keywords: timberland, real estate, excise tax, governmental entities, property taxation, land bank, land banking authority, affordable housing, housing crisis, housing supply, public corporation, public housing authority, nonprofit housing, tax-foreclosed property, blight remediation, redevelopment, anti-displacement, equity, redlining, racial segregation

Transcript Highlights:

• </c> Records available via online patient portals, um, to define the medical record.
• How are they to know that the patient, the parent, now does have access?
• It may not just be through the patient portal, which is for the individual's medical use.
• </c> interfere with the physician patient interfere with the physician patient relationship<01:41:15.679
• </c><01:49:21.480><c> and</c> conservatively from a patient and conservatively from a patient and physician

Summary: The House Children and Family Law Committee opened with a brief prayer for Representative Grossman’s son, Oscar, who was reported to be in critical condition after a traumatic fall. The committee then took up House Bill 430, which would reduce DHHS retention of unfounded abuse and neglect reports from 10 years to 3 years. Prime sponsor Chairman James Spain argued that 10 years is excessive and burdens families with a long-lasting stigma, while emphasizing that founded reports and reports with reasonable concern would still be retained indefinitely. Committee members questioned whether longer retention helps identify malicious reporting or patterns of abuse, and whether parents understand the distinction between unfounded and unfounded with reasonable concern. The Office of the Child Advocate and DCF opposed the bill. Child Advocate Cassandra Sanchez said historical reports are important for identifying patterns, reviewing critical incidents, and understanding family dynamics, and that screened-out and unfounded reports can be essential context when later reports arise. She also noted that the records are highly confidential and not publicly accessible. DCF General Counsel Susan Larabe added that the bill could create inconsistencies by retaining screened-out reports longer than unfounded reports, and explained that unfounded reports can be used in court and in administrative reviews when there are multiple prior reports. The committee discussed how other states handle retention, with testimony that some keep records indefinitely and others for long periods. The hearing on HB 430 concluded, and the chair said the bill would not be executed until early March, leaving time for amendments. The committee then opened House Bill 187, concerning restraining orders sought by a parent on behalf of a minor child. Prime sponsor Representative Mike Belcher said the bill is intended to correct a gap in the law so children can access the same restraining-order protections adults can, through a parent or guardian, and framed it as an equal-protection issue. Members questioned why the proposal was placed in the child abuse and neglect statute rather than the civil restraining-order statutes, and whether it should instead be handled as a broader civil-law fix. Alanda Peterson, who said she created Jade’s Law, testified that the original wording was meant to protect all children, not just those harmed by family members, and supported expanding the language. The hearing continued with additional discussion of the bill’s scope and purpose.

Transcript Highlights:

• Pain is one of the most common reasons for patients to seek medical care, and every patient deserves
• ,</c> prescribes a nonopioid for a patient, prescribes a nonopioid for a patient, they<00:18:15.760><
• Do you have a preference?
• Do you have a preference?
• Do you have a preference?

Committee: Senate Commerce and Consumer Protection

Transcript Highlights:

• Shortages in the healthcare fields, patient care, manufacturing, technology, and construction are all
• </c> many high school students would prefer many high school students would prefer to<00:20:24.040><c
• Beyond the data, I hear a lot about how our students add vibrancy to a downtown full of patients and
• </c><00:54:15.800><c> and</c><00:54:15.920><c> health</c><00:54:16.120><c> care</c> full of patients
• and health care full of patients and health care professionals<00:54:17.600><c> by</c><00:54:17.800><

Committee: Senate Higher Education

Transcript Highlights:

• Um and I think this is patient.
• patient patient &gt;&gt; no<00:31:16.080><c> I</c><00:31:16.159><c> I</c><00:31:16.320><c> got</c><00
• So, a lot of times physicians, they want to do what their patients ask.
• centric it this is know p patient centric it this is No.
• And I would prefer to they have to do.

Summary: The committee first took up an insurance-related chronic pain bill and an amendment modeled on language from Massachusetts and Maine. The sponsor explained the amendment was developed after stakeholder meetings because the original bill would have created an unaffordable insurance mandate in New Hampshire. The amendment was intended to improve access to non-opioid therapies by limiting prior authorization and step-therapy barriers so they are not more restrictive than for other treatments, including opioid therapies. After questions, the committee took a straw vote and advanced the amendment. The next item was a department-sponsored bill involving the state’s all-payer claims database. Insurance Department officials explained that the bill would encourage self-funded employer plans to opt in voluntarily by giving them aggregated, deidentified claims information in return. They said self-funded plans cannot be required to report data because of federal law, but the bill would provide an incentive while protecting employee privacy. Members asked detailed questions about who would see the data, whether individual employees could be identified, and how privacy would be enforced; the department said access would be aggregated and deidentified, and employer privacy issues would be governed by ERISA and the U.S. Department of Labor. The committee also discussed a glucose-monitoring bill. Members debated whether the bill was aimed at type 1 diabetes coverage or broader access to continuous glucose monitors, and whether it would amount to an unnecessary insurance mandate that could raise premiums. Department testimony estimated the equipment cost and said the annual impact per member would be modest, but also noted that non-insulin therapies have not consistently shown clinically significant A1C reductions. The chair and some members emphasized that the bill should be considered on its own terms as a CGM coverage issue, not as a general diabetes mandate. The committee discussed the bill’s cost implications and asked the department for any prior cost analysis.

Transcript Highlights:

• Prefer to wait. Assembly Member Mikado? You're good? All right.
• Prefer to wait. Assembly Member Mikado? You're good? All right. We'll move to our first issue.
• nursing staff sees about triple the average patients per workday.
• Primary care providers at CCWF see approximately double the statewide average patients per workday and
• The average patients per workday so this proposal is right sizing those two areas to correct for that

Summary: The subcommittee heard May Revision presentations for the Office of Emergency Services, Judicial Branch, CDCR, and the Department of Justice, with the LAO offering comments and recommendations throughout. For Cal OES, the administration outlined funding for relocating the Red Mountain communications site, increased FEMA reimbursement authority, cybersecurity grants, next-generation 911 support, and a reduction to the Flexible Cash Assistance for Survivors of Crime program. Members raised concerns about VOCA backfill and disaster reimbursement, while the LAO recommended approving the 911 request with reporting, adding contingency planning for cybersecurity grants, clarifying the FEMA reimbursement language, and increasing reporting on emergency spending. For the Judicial Branch, the May Revision included funding for implementation of the Trial Nations Access to Justice Act, reductions tied to court facilities and employee benefits, and General Fund solutions such as a reduction to the pretrial release program, a reversion from the Trial Court Trust Fund, and elimination of the jury duty pilot program. The LAO cautioned that the pretrial reduction could affect detention and release decisions and recommended tighter legislative oversight over the trust fund transfer and reallocation language. Members questioned the impact of the pretrial cut, the lack of Prop. 36 court funding, and the rationale for the jury pilot elimination; the Judicial Branch said it was generally supportive of the budget as proposed. CDCR presented requests for roof repairs, fire alarm replacements, CalAIM-related costs, and trailer bill changes on incarcerated college students, mental health hiring, and tuberculosis testing, along with a planned prison closure by October 2026. The department also proposed reducing or delaying several items, including radio replacement, ADA improvements, COVID mitigation, and some facility upgrades, while adding a $125 million placeholder for consultant-driven operational savings. The LAO recommended rejecting or reducing several San Quentin-related proposals, questioned the staffing and contract medical requests, and urged more transparency on the consultant savings plan; members expressed concern about the realism of the savings targets and the potential legal or operational risks from delaying ADA and radio projects. For DOJ, the May Revision proposed ongoing funding and 44 positions to defend against federal actions, IT and accounting system upgrades, implementation funding for AB 1877, and a special fund loan. The LAO supported the KLETS connection but asked for a contingency plan if the new DMV link is delayed, noted that AB 1877 would not be fully implemented without additional funding, and recommended limiting and reporting on the federal accountability workload. Members questioned the size and permanence of the DOJ request, the use of the earlier $25 million special session appropriation, and the pace of federal litigation; DOJ said the new request would support ongoing litigation, expert assistance, and coordination across multiple cases and states.

Transcript Highlights:

• I will get there; you just got to be a little patient, okay?
• I would prefer to go last on our side. Thank you. Very well, the representative from St.
• You can't take a patient or a resident if you don't have staff to provide the care.
• And he was gracious enough to work with me, and you've been very patient with me.
• That would be the preference from me if I had the ability to draft a bill from a blank pad of paper.