Transcript Highlights:

• And then lastly, they are going around and training physicians on how to do comprehensive screening so
• This is physician services at the Southeast Arkansas Human Development Center.
• This is physician services at the Southeast Arkansas Human Development Center.

Keywords: 1204, all

Transcript Highlights:

• She's a board-certified internal medicine physician based in Blanchard, Oklahoma.
• She currently serves as a hospitalist physician at the VA Medical Center, providing comprehensive care
• Supervising resident physicians.

Bills: HR1038, HB3263, HB3127, HB2997, HB3115, HB2123, HB3587, HB3028, HB2035, HB3369, HB3620, HB3621, HB3622, HB3624, HB3175, HB3173, HB3178, HB1979, HB4476

Keywords: Oklahoma Youth Expo, OYE, 4-H, FFA, agriculture, agricultural education, youth expo, livestock show, junior livestock, scholarships, youth leadership, Oklahoma City, rural communities, ag mechanics, engineering contest, farm youth, student recognition, ceremonial resolution, house resolution, livestock competition

Transcript Highlights:

• Members, I once again this year have the honor of welcoming the most Interesting physician to the legislature
• He's been an actor, a stuntman, and an elk Hunter and a combat sports ringside physician for physicians

Bills: SB1238, SB1277, SB1304, SB1378, SB1423, SB1484, SB1501, SR32, SB1502, SB1721, SB1735, SB1832, SB1847, SB1859, SB1876, SB2170, SB2182

Keywords: domestic abuse, domestic violence, assault and battery, strangulation, intimate partner violence, family or household member, repeat offender, felony enhancement, Class B5 felony, stalking, batterers intervention program, court-ordered treatment, protective order, presence of a child, pregnant victim, great bodily injury, animal cruelty, cockfighting, dogfighting, sex offender registration

Transcript Highlights:

• based on the recommendations of the American Academy of Pediatrics, the American Academy of Family Physicians
• RECOMMENDATIONS BASED ON THE The American Academy of Pediatrics, the American Academy of Family Physicians
• , the American College of Obstetricians and Gynecologists, the American College of Physicians, and the

Keywords: 993, senate, all

Summary: The Senate opened with the Pledge of Allegiance, a moment of silent reflection, approval of the prior journal, and several ceremonial introductions. Senator Mayer welcomed students and alumni from the New York Alliance for Early College Pathways, highlighting early college opportunities for high school students. Senator Zellner introduced members of the Buffalo Professional Firefighters Union Local 282 and honored fallen Buffalo firefighter Jayson Arno, with remarks praising firefighters’ service and sacrifice. The chamber then took up Senate Resolution 1489, commemorating the 182nd anniversary of Dominican Republic independence. Senator Sepúlveda presented the resolution and spoke about Dominican history, sovereignty, the Dominican diaspora in New York, and the role of Consul General Jesús Vásquez Martínez. Senators Jackson, Weber, Bailey, and others spoke in support, emphasizing the contributions of Dominican New Yorkers. The resolution was adopted and opened for co-sponsorship. The Senate next moved through the calendar, passing a series of bills on insurance, public health, education, social services, tax, penal law, and workers’ compensation. Several bills were approved by wide margins, including measures related to vaccination policy and education law; Senator Weik opposed the public health/vaccination bill, while Senator Mayer defended it as science-based. Senator Fernandez explained and secured passage of a workers’ compensation bill that would raise a pre-authorization threshold, clarify medical treatment guidelines, and restore access to out-of-network providers for injured workers. The only contentious item was Calendar 117, a bill amending the Executive Law related to climate resilience and the Office of Resilience. Senator Walczyk offered an amendment to repeal the statewide cap-and-invest program, but the chair ruled it nongermane; the Senate upheld that ruling on a 21-aye vote. Senators Harckham, Borrello, Krueger, Lanza, Martins, and Gianaris spoke at length on climate policy, energy costs, and the bill’s merits. The bill ultimately passed 51-9. The Senate then adjourned until Thursday, March 5 at 11:00 a.m.

Transcript Highlights:

• Members, I'd like to introduce our Physician of the Day and my constituent, Dr.
• Sartor is a member of the Texas Academy of Medicine. physicians and was honored as a member of the month
• Members please welcome our physician of the day Dr. Zachary Sarger. Dr. Sarger. Dr. Sarger. Dr.

Bills: SJR36, SJR2, SB4, SR45, SR47, SR63, SR66, SR70, SR85, SCR14, SB10, SB11, SB10, SB11

Keywords: SJR 2, Senate Joint Resolution 2, constitutional amendment, homestead exemption, property tax relief, school property tax, ad valorem tax, residence homestead, school district taxes, Texas Constitution Article VIII, public school finance, homeowner exemption, elderly exemption, senior tax relief, disabled exemption, tax year 2025, voter approval, November 2025 ballot, local government, Ways & Means

Transcript Highlights:

• I'm a pediatric emergency medicine physician at Children's Minnesota.
• who treated some of the kids physician who treated some of the kids injured<01:11:38.000> in<
• So, while we determine whether we have any further physician testimony, let's just ask the room here.
• ,<03:38:37.359> as<03:38:37.520> a<03:38:37.680> clinical a physician, as a
• clinical a physician, as a clinical epidemiologist,<03:38:38.800> and<03:38:38.880> as<

Keywords: 1187, senate, all

Transcript Highlights:

• It eliminates non-compete agreements for physician...
• It eliminates non-compete agreements for physician...
• By eliminating these non-competes for PAs, they will join physicians, nurse practitioners, and most,
• As a physician section that he wrote.
• <01:06:24.319> and hard to try to educate um physicians and hard to try to educate um physicians

Keywords: 1191, senate, all

Transcript Highlights:

• We know a lot about what works, and so quickly I'm just going to flag that physician education we've
• If you'll turn the page, you'll see that there's a graph from the Physicians Educational Loan Repayment
• See that there's a graph from the Physicians Educational Loan Repayment Program, which deals with medical
• And so I hope that thinking about the research, and I'm a relatively privileged physician, our center
• But I do think there's been a recognition that if all care is limited to the physician, you're going

Keywords: 1184, house, all

Transcript Highlights:

• Physicians, physician assistants, nurses, dentists, vets, yes, but also sonographers, respiratory care
• leads to a wide array of health care leads to a wide array of health care careers.<00:50:46.880> Physicians
• ,<00:50:47.720> physician careers.
• Physicians, physician careers.
• Physicians, physician assistants,<00:50:48.960> nurses,<00:50:49.600> dentists,<00:50:50.160

Keywords: 1187, senate, all

Transcript Highlights:

• committee meeting, but I think that, um, it is unconscionable and kind of hard to imagine that a physician
• /c><00:04:13.240> that of hard to imagine that of hard to imagine that a<00:04:14.959> physician
• would<00:04:15.600> graduate<00:04:16.079> from<00:04:16.200> medical a physician
• would graduate from medical a physician would graduate from medical school<00:04:16.760> or<00
• , never been to a been to a physician, never been to a dentist.<00:19:28.120> Turns<00:19:28.440

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the July 15 minutes, and heard a presentation from Dr. Matthew Holder and Dr. Henry Hood of the Lee Specialty Clinic in Louisville. The clinic serves people with complex intellectual and developmental disabilities through a transdisciplinary model that combines medical, dental, behavioral, psychiatric, therapy, and other services under one roof. The presenters argued that this population is large-cost but small in number, often receives little provider training, and is vulnerable to diagnostic overshadowing, overmedication, and missed medical or dental problems. The clinic reported that in Tennessee, payer data showed average costs of about $5,200 per member per month before clinic involvement, with a 44% reduction in overall health care spending after patients were seen, including lower emergency room use, inpatient admissions, and prescription use. They said those savings were measured by the payer, not the clinic, and that the savings accrued to Medicaid or managed care payers rather than the clinic itself. They also shared a case example of a patient who had been placed on hospice but improved after diagnosis and treatment at the clinic. Patient and parent satisfaction were described as very high, generally above 95%. The clinic asked for roughly $5 million to expand into Northern Kentucky, estimating 500 to 700 patients would use the new site and projecting annual savings of about $13 million to $19 million once mature. Members asked about the budget, startup and operating costs, where the savings go, and whether the clinic had considered taking full risk or another value-based model. Senator Meredith and others encouraged the clinic to explore an accountable care or risk-based arrangement, while the presenters said they were open to that discussion but had not pursued it yet. The exchange ended with follow-up questions about the clinic’s overall budget structure and public-private funding mix.

Transcript Highlights:

• But one of the most important parts of being a physician, or at least being a good physician, is listening
• It's also been suggested that maybe physicians like myself have an interest in seeing a lot of trans
• But if you're having a, you know, if you're telling physicians like you can't talk about gender, you
• But if you're having a, you know, if you're telling physicians like you can't talk about gender, you
• I did not have the care or trust in my physicians that they would not try to convince me I was making

Keywords: 959, house, all

Transcript Highlights:

• told, what the interactions may be with medication, and even potentially with his current treating physician
• told, what the interactions may be with medication, and even potentially with his current treating physician
• told, what the interactions may be with medication, and even potentially with his current treating physician
• told, what the interactions may be with medication, and even potentially with his current treating physician
• told, what the interactions may be with medication, and even potentially with his current treating physician

Keywords: 958, all

Summary: The Kentucky Legislative Ethics Commission met on November 18, 2025, approved the October 14 minutes, and then took up five motions in ethics matters 24LEC3 and 24LEC6. Those motions included a renewed motion to dismiss and motion to quash by Representative Daniel Gberg, a renewed motion to compel/sanctions and continuance request by Mr. Jenkins, and competing motions in limine concerning evidence and redaction of deposition transcripts. Vice Chair Mike Schaw was appointed hearing officer for the motion practice, and the commission agreed to hear the motions one at a time in open session. Representative Chris Lily joined later by Zoom. Counsel for Representative Gberg argued the remaining allegations were minor, that the commission lacked key exculpatory materials such as an alleged LRC report, policies, procedures, and training materials, and that the record did not support the ethics charges. She also argued the case had been broadened by extraneous allegations and that the respondent had been unfairly prejudiced. Enforcement counsel responded that he had produced all materials in his possession, that any LRC materials were not in the commission’s custody, and that the commission’s probable-cause findings were based on sworn testimony and affidavits already in the record. He argued the motions to dismiss and for summary judgment should be denied because genuine issues of material fact remained and the commission had already found probable cause on three ethics violations. Commission members questioned both sides about the alleged LRC report and whether it was part of the commission’s record. The chair stated the commission had not relied on any LRC report and had not withheld anything, while another member emphasized that the proceeding concerned alleged violations of the ethics code, not LRC sexual-harassment policy. A commissioner also noted the unusual structure of the proceeding and questioned whether the complaints, taken as true, stated a basis for dismissal. The transcript ends during continued discussion of the standard for dismissal and summary judgment, with no final ruling on the motions captured in the excerpt.

Transcript Highlights:

• I speak not only as a physician, but as someone who has watched the integrity of medical science erode
• I'm a physician here in Massachusetts with an active license. Thank you. I'm Dr. Susan Milliken.
• I'm a physician here in Massachusetts with an active license. I come in to support S. 539.
• Third, numerous health organizations, physicians, and international governments have called for a moratorium

Keywords: 995, all

Summary: The Joint Committee on Emergency Preparedness and Management held a hearing on several emergency management bills, with most of the testimony focused on Senate Bill 539, which would prohibit COVID-19 mRNA vaccination or gene-altering procedures as a condition of entry, employment, school attendance, or access to public venues. Senator Durant and many public witnesses supported the bill, arguing that COVID-era mandates were coercive, ineffective, and harmful, and that the state should not require proof of vaccination in future emergencies. One witness, Joanne Tuller, testified in opposition, saying the government should retain authority to impose public health measures in emergencies and warning against permanently limiting that power based on the COVID experience. The committee also heard testimony on Senate Bill 540, concerning the prevention of radioactive material discharge, with a Sierra Club representative and local residents opposing Holtec’s disposal of wastewater from the Pilgrim Nuclear Power Plant and citing health, environmental, and economic concerns in Plymouth and nearby communities. Senator Driscoll testified in support of Senate Bills 537 and 538, describing them as measures to strengthen the Commonwealth’s strategic preparedness stockpile and to create a framework for emergency response during surges in hospitalizations, including temporary waivers of prior authorization when hospitals are over capacity. In addition, Dr. Jennifer Carlson testified in support of H.885, a resolve creating a special commission on the field of emergency management, arguing that the profession should be more fully professionalized and staffed by dedicated experts rather than part-time “second hat” officials. Several other bills on the docket, including H.883 and H.84, had no sign-ups. The chair closed each bill’s testimony section as the list was exhausted, and the hearing was adjourned without any votes taken during the session.

Transcript Highlights:

• Californians, a former public health director for the city and county of San Francisco, and longtime physician
• . ...a former public health director for the city and county of San Francisco and longtime physician
• As a physician, I have seen firsthand how inequalities in our health care system impact outcomes.
• will reduce the time frame from 30 days to 21 days for a consumer to receive a refund from their physician

Keywords: 987, senate, all

Summary: The Senate opened with a quorum call, prayer, Pledge of Allegiance, guest recognitions, and approval of the Senate journals. Members then considered several gubernatorial appointments to the Department of Corrections and Rehabilitation. Despite protest from Senator Grove over the lack of action on a separate rehabilitation appointment, the Senate confirmed Kathleen Ratliff and Joseph Tuggle, Jason Johnson, Madeline McLean, Brian Bishop, and Sarah Larson, with each confirmation passing overwhelmingly or unanimously. The chamber next adopted Senate Resolution 86 recognizing Cinco de Mayo Week and the 2026 Latino Spirit Award honorees. Senators from multiple caucuses spoke in support, emphasizing Mexican history, Latino civic engagement, and solidarity across communities. The Latino Caucus then introduced the honorees, including leaders in higher education, philanthropy, labor, health, advocacy, environmental justice, journalism, culinary arts, and the legacy band Los Tigres del Norte. The Senate also adopted SCR 146 declaring May Cystic Fibrosis Awareness Month, and SCR 154 establishing Green Star Veterans and Families Day to honor veterans who died by service-related suicide and their families. Later, the Senate adopted SCR 123 for California Peace Officers Memorial Day after emotional remarks naming officers killed in the line of duty and honoring their families, and SCR 164 recognizing Black Health Equity Advocacy Week, with speakers citing racial disparities in health outcomes and maternal mortality. The body also adopted SCR 103 on Tardive Dyskinesia Awareness Week, with a guest recognition for a behavioral health advocate. In third reading, the Senate passed SB 1159 on artificial intelligence and public participation, SB 1416 shortening refund timelines for duplicate medical/dental payments, SB 1273 and SB 1195 on alcoholic beverage tied-house exemptions, SB 941 limiting commissary markups in private detention facilities, SB 1099 clarifying local authority to provide public benefits, and SB 990 allowing a highway information sign near Ridgecrest. The session concluded with adjournments in memory of labor leader Kent Wong and Navy veteran and artist Victor Valar.

Transcript Highlights:

• This bill expands the list of acceptable professionals to include physicians, certain counselors and
• social workers, advanced nurse practitioners with psychiatric certifications, and physician assistants
• The illness must be attested to by a physician, and under current law, such treatments are available
• The illness must be attested to by a physician, and under current law, such treatments are available

Keywords: 994, senate, all

Summary: The committee met with a quorum, approved the prior minutes, and then considered a series of House bills, with several administrative reminders about floor session and the need to keep testimony focused. House Bill 4169, which expands the list of professionals who may provide the verified mental health certificate needed to petition to regain firearm possession rights, was reported to the full Senate without amendment. House Bill 4364, establishing concurrent jurisdiction with the federal government over certain military lands and related juvenile matters, was amended with technical/title changes and then reported as amended. House Bill 4366, allowing military protective orders to be used as evidence in protective-order proceedings and requiring notice to issuing agencies after arrests, was also amended and reported as amended. The committee then took up House Bill 4415, a strike-and-insert measure increasing penalties for bringing telecommunications devices and other contraband into correctional facilities, expanding the definition of telecommunications device, and adding federal correctional facilities; the strike-and-insert and title amendment were adopted, and the bill was reported as amended. House Bill 4606, which revises bail factors and adds language stating a magistrate may not release a felony defendant on personal recognizance, drew extensive debate and testimony from the House Judiciary chair, court system officials, and advocates. Concerns centered on whether the bill conflicted with existing code, whether magistrates should be barred from PR bonds in felony cases, and the impact on poor defendants and jail populations; an amendment to strike the felony PR-bond prohibition failed, and the bill was reported on a divided vote. House Bill 4610, expanding the Right to Try Act to include patients with life-threatening or severely debilitating illnesses and additional treatment types such as biosimilars and individualized gene therapies, was reported without amendment. House Bill 4552, clarifying that correctional officers are law enforcement officers for purposes of federal concealed-carry protections, received a technical amendment and was reported as amended. House Bill 4625, relating to the real estate transfer tax, was amended to change the valuation calculation and add/clarify exemptions, then reported as amended. House Bill 4755, adding certain offenses to the list of crimes triggering enhanced sentencing for repeat offenders, was reported with a title amendment. House Bill 4842, clarifying that civil remedies for unauthorized disclosure of intimate images apply to sexual extortion and aggravated sexual extortion and establishing joint and several liability, was amended and reported as amended. Finally, House Bill 4850, requiring the State Bar to post free online educational materials about executors and administrators of estates, was amended and reported as amended after discussion about scope, disclaimers, and existing county resources; the committee then recessed for floor session, with two remaining bills postponed.

Transcript Highlights:

• the purposes of the state's workers' compensation law limits dispensing of prescription drugs by physician
• appointment of a commissioner. dispensing of prescription drugs by dispensing of prescription drugs by physician
• :41.560> 30<00:15:41.839> days<00:15:42.240> after<00:15:42.480> the physician
• to 30 days after the physician to 30 days after the investment investment investment and<00:15:43.839

Bills: SB888, SB2479, SB2489, SB2519, SB2521, SB2527, SB2575, SB2591, SB2611, SB2665, SB2667, SB2695, SB2697, SB2713, SB2730, SB2751, SB2765, SB2795, SB2797, SB2806, SB2812, SB2818, SB2835, SB2849, SB2851, SB2896, SB2922, SB2970, SB2972, SB2973

Keywords: SB888, Hawaii, consumer protection, smart home security, smart household security device, home security camera, video doorbell, Ring, Nest, connected devices, internet of things, IoT, privacy, data privacy, law enforcement access, police requests, search warrant, judicial warrant, subpoena, emergency disclosure

Summary: The Judiciary Committee met in decision-making only session and took up a long list of Senate bills, mostly advancing them with either no amendments or committee amendments. Early measures included SB 888, which bars smart household security device operators from sharing user data with law enforcement without consent or a warrant, and SB 2479, which allows certain defendants to seek reduced sentences based on family violence, dating violence, or child abuse history; both were adopted, with SB 2479 amended for technical and procedural changes. The committee also adopted SB 2489 on invasive species provisions in Department of Agriculture and Biosecurity leases, SB 2519 on Law Enforcement Standards Board deadlines, SB 2521 and SB 2527 on CDL-related exemptions and training/policies for emergency personnel, and SB 2575 on firearm-related mandatory minimum penalties, which was amended to clarify scope and set a far-future effective date. Several transportation and public safety bills were also approved. SB 2591 created a Waikiki refuse-collection pilot program; SB 2611 expanded criminal trespass rules for school premises to weekends and holidays, though one member raised concerns about use of school property as a park; SB 2665 required driver-license renewal applicants with recent citations to complete a road-safety course, later narrowed to moving violations only; SB 2667 restricted towing vehicles from far-left lanes; SB 2695 clarified crosswalk duties; SB 2697 prohibited driving on shoulders except in limited cases; and SB 2812 required driver testing on dangers posed by larger vehicles, with court-ordered timing for re-examination. Most of these measures passed unanimously or with one or more members recording no votes or reservations, but they were still adopted. The committee also advanced SB 2713 on restricting certain pesticide use near elderly care facilities, SB 2730 on warrantless arrest and detention factors for petty misdemeanors and violations, SB 2765 on condominium foreclosure rental income, SB 2795 on flag display rights in housing associations with health and safety carve-outs, SB 2797 on gift card fraud, SB 2806 on real estate listing restrictions, SB 2818 on boating and ocean recreation penalties, SB 2835 on liquor licensing and education funding, SB 2849 on public meeting notice requirements, SB 2851 on a deafness designation for vehicle registration, SB 2896 lowering the commercial driving age to 18, SB 2922 on cooperative association definitions, SB 2970 on state contracting conflicts involving relatives, SB 2972 on temporary Oahu spearing restrictions for certain fish, and SB 2973 on banning jug-line fishing. A few bills drew objections over breadth or penalties, especially the boating and fishing measures, but the committee still adopted the recommendations. SB 2751 on workers’ compensation prescription drug rules was deferred indefinitely, and the meeting ended with the chair noting upcoming joint and committee meetings for the next day.

Transcript Highlights:

• It also removes the emergency medicine physician and the acute care nurse from the controlled substance
• It also removes the emergency<00:03:22.239> medicine<00:03:22.720> physician<00:03:23.120
• > and<00:03:23.280> the emergency medicine physician and the emergency medicine physician

Keywords: 00:00 Call to Order 00:05 Roll Call 1:00 HB 357 Discussion 4:53 HB 357 Vote 6:40 HB 45 Discussion 8:00 HB 45 Vote 9:29 HB 48 Discussion 15:00 HB 48 Vote 16:25 HB 212 Discussion 20:17 HB 212 Vote 21:50 HB 49 Discussion 25:55 HB 49 Vote 27:16 Adjournment, 958, all

Summary: The Licensing, Occupations, and Administrative Regulations Committee met with a quorum and took up several bills, beginning with House Bill 387. The bill was presented as a measure to ensure veterinarians are not subject to controlled-substance reporting requirements through regulation or other means, while also revising the controlled substance council to remove an emergency medicine physician and an acute care nurse and add two veterinarians. Supporters said the change was needed because veterinary reporting would be overly complicated, especially in rural Kentucky and for large-animal practices. The committee adopted the committee substitute, approved a committee amendment, and passed the bill unanimously, including the title amendment and emergency clause. The committee then heard House Bill 45, which would modernize Kentucky CPA licensure. The sponsor and the State Board of Accountancy said the bill updates outdated rules, supports workforce mobility and remote practice, reduces barriers to interstate commerce, and adds a new licensing option to address time and cost concerns for candidates. The committee passed the bill unanimously. House Bill 48 followed, a long-updated physical therapy practice act revision. Testimony said it would clarify and streamline the statute, add definitions for physical therapist assistants, change certification language to licensure, allow expungement of minor non-patient-harm violations, clarify sexual misconduct language, adjust disciplinary and fee-setting provisions, and ease requirements for some internationally trained practitioners. The committee again passed the bill unanimously. House Bill 212 was next and would allow licensed veterinary technicians, under direct veterinarian supervision, to administer rabies vaccinations to dogs, cats, and ferrets. The sponsor and Kentucky Veterinary Medical Association said the change would help shelters, humane societies, and mass vaccination clinics, improve recordkeeping, and address rising rabies concerns in Kentucky. The committee approved the bill unanimously. Finally, House Bill 49 was presented by Representative Matt Cook and the Board of Licensure for Engineers and Surveyors as a scholarship program funded by $5 from each annual license renewal plus fines and penalties, aimed at encouraging Kentucky students to enter engineering and surveying and remain in the state for six years after graduation/licensure. Members asked about the service commitment and funding source; the sponsor said the program would use existing funds and not raise renewal rates. The committee passed the bill unanimously, with the chair noting it as a positive example of board modernization.

Transcript Highlights:

• You have your house physician that says, writes a recommendation to the... ...recommended.
• You have your house physician that says, writes a recommendation to the parole board that, hey, we can't
• And that needs kind of tuning up from a physician or making sure that the medications are still working
• . ...kind of tuning up from a physician or making sure that the medications are still working.

Keywords: 959, house, all

Transcript Highlights:

• It removes barriers to recruitment and retention of health care providers, physicians, and specialist
• physicians.
• This is one more issue that makes it increasingly difficult to recruit and retain physicians, specialists
• This is one step closer to ensuring that every New Mexican, no matter where they live, can see a physician

Transcript Highlights:

• Natalie Pita, on behalf of the California Academy of Family Physicians, we appreciate the planning around
• In recognition of the challenges facing emergency departments and emergency physicians, the Legislature
• has included funding for emergency physicians treating Medi-Cal enrollees in the last three budgets.
• As noted in the analysis, the emergency physicians are requesting continued funding be included in the
• As noted in the analysis, the emergency physicians are requesting continued funding be included in the

Keywords: 987, senate, all

Summary: The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight. The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities. After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.