Transcript Highlights:

• the fee-for-service side, where we make payments directly, anytime a hospital reaches out or we're aware
• of a distress hospital, we see what pending claims are sitting with us. aware of a distress hospital
• I was aware of the $50 billion over five years and that California was awarded $223 million.
• after the five-year period ends, ...due to CMS 18 months after the five-year period ends.
• So I want to thank you for being aware of that and your role in communicating with us.

Committee: Senate Rules

Summary: The committee first handled several routine items, approving three gubernatorial appointees not required to appear: Hampus Eitsiter to the Boating and Waterways Commission, Peter Stern to the California Horse Racing Board, and Dean White to the State Mining and Geology Board. It also approved referral of bills to committees and floor acknowledgements, all by 5-0 votes. The committee then heard Tyler Sadwith’s appointment as Chief Deputy Director of Healthcare Programs at the Department of Health Care Services. Sadwith said his priorities would be protecting Medi-Cal access amid federal changes and continuing CalAIM and behavioral health reforms. Senators questioned him extensively about rural and financially distressed hospitals, Medi-Cal reimbursement, eligibility redeterminations, work requirements, fraud controls, dental access, labor and delivery closures, and CalAIM’s evaluation. He said DHCS is working on expedited payments, hospital monitoring, county technical assistance, targeted audits, and community supports such as medically tailored meals. Public commenters from county, hospital, and care organizations supported his confirmation, and the committee voted 5-0 to send the appointment to the full Senate. The committee also heard from Dr. Chris Thayer, nominated to lead the Office of Environmental Health Hazard Assessment. Thayer described OEHHA’s role as providing transparent, scientifically rigorous health assessments and risk communication to inform other agencies and policymakers. Senators focused on the agency’s use of models versus real-world data, CalEnviroScreen, Prop 65, PFAS, wildfire health impacts, and how OEHHA communicates risk to the public. Thayer said the office relies on a mix of data sources where direct evidence is limited, is updating CalEnviroScreen, and is working to reduce Prop 65 over-warning through guidance and outreach. The discussion did not reach a final vote on his appointment in the portion provided.

Transcript Highlights:

• We know that we'll have to keep reviewing that as each month goes by, as each year goes by.
• </c> more intakes in the past seven months more intakes in the past seven months than<00:24:21.960><c
• </c><00:38:00.319><c> raised</c><00:38:00.640><c> to</c> greater awareness raised to greater awareness
• and labor on the even-numbered months.
• The only coordination is once a month.

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• It's 50 a month. As little as they wish.
• The come back next month. Month type stuff.
• It's letting this next month.
• About a month ago in July.
• So that bridge has been out of service for a few months. We are going to repair it here this month.

Transcript Highlights:

• and the next Friday or four times in a month.
• Three years and two months.
• you were put off at bay for 38 months.
• Right. 38 months.
• That's another month of lost instruction. We need to stop doing that.

Bills: HB4 , HB20

Committee: Senate Education K-16

Keywords: district composition, congressional election, Texas, legislature, voting districts, fraudulent solicitation, disaster relief, nonprofit organizations, criminal penalties, consumer protection, fraud prevention, charitable donations

Summary: The committee first took up House Bill 2853, which would allow the UT System Board of Regents to adjust the University of Texas at El Paso student union fee above the current statutory cap, subject to student approval, to help fund a new student union building. Senator Blanco explained the bill and the committee substitute, there were no questions or witnesses, public testimony was closed, and the committee adopted the substitute and left the bill pending subject to the call of the chair. The committee then heard House Bill 610, which would limit severance payments for terminated independent school district superintendents to six months’ salary and benefits. Senator Paxton described large severance payouts and said the bill had passed the House overwhelmingly. There were no witnesses, public testimony was closed, and the bill was left pending. A lengthy hearing followed on House Bill 4623, which would waive school district immunity in certain cases involving negligent hiring, supervision, or employment of professional school employees who commit abuse or related misconduct against students. Senator Paxton and several witnesses, including survivors and parents, argued the bill was needed to address cover-ups, delayed reporting, and repeated failures to remove dangerous employees; some members raised concerns about liability caps, litigation, and how the bill would interact with the Tort Claims Act. The committee also heard from TEA staff and employee-group witnesses who discussed possible injunctions and stronger no-hire protections. Public testimony was then closed and the bill was left pending. Finally, the committee heard House Bill 4, an accountability and assessment bill that would restore A-F ratings, change the state testing system, and replace STAAR with shorter, more instructionally useful assessments. Senator Bettencourt explained the committee substitute, including annual ratings, limits on taxpayer-funded lawsuits, and a phased-in testing redesign with beginning, middle, and end-of-year assessments. Testimony was generally supportive from education and business groups, though some witnesses favored norm-referenced testing while others emphasized criterion-referenced, TEKS-aligned assessments; one witness noted social studies assessments were restored in the bill. The hearing concluded with additional invited testimony and no final vote reported in the transcript.

Transcript Highlights:

• The last fiscal year, we would get a note from you and we'd have an up month, down month.
• The three-month average, which I typically try to look at because of the anomalies in one month sometimes
• Comptroller: ...obviously this month, we're waiting until the end of the month to say what it is.
• That's $1,000 per month per judge to attend what is now four conferences per month in person in Austin
• Filling vacancies can take months.

Bills: SB 1

Committee: Senate Finance

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• the fund that month.
• out over the eight months.
• So the month of February was larger than the previous months because it is one of the months throughout
• for the next four months.
• Or has some months? High month of charges?

Committee: All ALC-PEER

Keywords: 1204, all

Transcript Highlights:

• So, I'm not aware that there was a concern, at least not in my time. In Mr.
• There has been a heightened Awareness. There has been a heightened interest, as Mr.
• Here comes the next one in a month. Let's get ready for that next.
• We also don't have a federal funding update for you this month.
• So, I don't have the list, but we will follow up for you next month.

Transcript Highlights:

• As I said, it was found in a two-month-old calf.
• It has traveled 750 miles in seven months.
• So at that rate, they will be here in three and a half months.
• Look at the population you have in the valley, and what's the awareness?
• We started talking about this seven months ago, you know?

Committee: House Agriculture & Livestock

Keywords: 1184, house, all

Transcript Highlights:

• That's down from the current year at $210 a month.
• </c><00:26:47.039><c> beginning</c> um it uh will be $200 a month beginning um it uh will be $200 a month
• I think that's around $54 a month<00:49:13.119><c> right</c><00:49:13.280><c> now,</c> month right now
• </c> going to retire at the end of the month. going to retire at the end of the month.
• So the cost can go um can have aware of.

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:20:33, 958, all

Summary: The Public Pension Oversight Board received updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. Chris Biddle reported that deferred compensation assets had grown to about $4.787 billion with roughly 88,000 participants, crediting auto-enrollment, targeted marketing around pay raises, and retiree-focused services. He said the board’s self-directed brokerage account, authorized by last year’s legislation, is being designed around a $40,000 account-balance threshold with up to 25% transferable into the brokerage window, tentatively for July 1 of the coming year. He also described the free financial planning program, which has been used by about 3,300 to 3,500 participants with an 87% return rate, and noted that the plan is currently in a fee holiday; members asked about the fee structure and whether the CFP service is provided through Nationwide, which Biddle confirmed. Board members praised the deferred compensation program’s growth and asked for the legislation referenced by Biddle. He said the plan’s annual fees are capped, with a $1 monthly fee plus other charges up to a $225 cap, for a maximum of $237 per year absent a managed account. He also said the program is seeking unified payroll access to expand participation, especially among teachers, and that prior lineup changes saved about $6 million annually in participant fees. Bo Barnes of TRS then addressed retired teachers’ health insurance, first clarifying a prior question about declining federal contributions to the retirement annuity trust. He explained that federally funded school positions generated contributions that rose from $72 million in 2019 to $109 million in 2022, then fell to $85 million this year, with a projection of $80 million over the next three years; if those dollars do not come from federal sources, they would have to be replaced through the SEEK formula. Barnes then reviewed TRS health coverage, explaining that the statutory contract guarantees access to group coverage but not fixed premium levels, and that TRS administers two retiree plans: KEHP for retirees under 65 or otherwise not Medicare-eligible, and MEHP for retirees 65 and older or Medicare-eligible. Barnes said TRS completed RFPs for the 2026 plan year, retaining Express Scripts for prescription drugs and switching the Medicare Advantage medical provider from UnitedHealthcare to Humana, while keeping plan design, provider access, out-of-pocket costs, and benefits materially unchanged. He noted a modest hearing-aid improvement of $500 per ear beginning in 2026. He also reported that the TRS Board approved the maximum state contribution for KEHP at $1,044.96, up from $930.76, an 18% increase that he said would require about $15 million to $16 million more annually, while the MEHP premium would drop from $210 to $200 per month because of the new contract. Using the 2024 valuation, he said the KEHP increase would slightly reduce the health trust funded ratio from 80.4% to 80.1% and raise unfunded liability from $4.036 billion to $4.051 billion. Barnes closed by reviewing the 2010 shared-responsibility reforms that shifted retiree health costs away from a pay-as-you-go model, including phased employee and district contributions and Commonwealth stabilization funding. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• I spent months and months on this bill. Spoke with superintendents.
• I spent months and months some concerns.
• I spent months and months on<00:03:59.440><c> this</c><00:03:59.600><c> bill.
• And can you clarify for me the 12-month suspension, when is that automatic that it's 12 months?
• And can you clarify for me the 12-month suspension, when is that automatic that it's 12 months?

Committee: House Primary and Secondary Education

Keywords: 958, all

Transcript Highlights:

• THIS NUMBER CONTINUES TO GROW AS THE AWARENESS OF THE PROGRAM GETS OUT THERE AND WE MAKE MORE PEOPLE
• AWARE OF IT.
• IT IS A GRANT PROGRAM FOR THOSE NOT AWARE PROVIDE FINANCIAL ASSISTANCE TO HOMEOWNERS TO HARDEN THEIR
• DURING THE MONTH OF JUNE THEY REPLIED TO THAT SURVEY WITH THEIR AGE AND THEIR INCOME INFORMATION.
• YOU PUT THE EAST SECURITY ENTRANCE WILL BE DONE IN FEBRUARY 2025 WHICH IS THIS MONTH.

Keywords: 999, senate, all

Transcript Highlights:

• </c><01:08:14.039><c> we</c> Dental benefit you're probably aware we Dental benefit you're probably aware
• This month, at the end of the month, from the Department of Health, Help Me Connect will transfer to
• at the end Management as well this month at the end of<01:24:47.600><c> the</c><01:24:47.719><c> month
• </c> we are putting in place six-month we are putting in place six-month budgeting<01:42:26.040><c> streamlining
• </c><01:47:32.239><c> of</c> it's seamless and that we are aware of it's seamless and that we are aware

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• So that's where the kind of imbalance comes from, and that fluctuates from month to month.
• And when we get to the graph, you'll be able to see. ...fluctuates from month to month, and when we get
• So, yeah, for the folks who were not here last month, we were requested to provide an in-depth Last month
• Lay out at least like three months of an agenda.
• Allow self-attestation to start and then run that for, I don't know, three months, six months, and then

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• I was visiting a business a couple months ago and said, 'Hey, when do you plan to open?'
• I'm not aware of that bill. What's the bill number, do you know?" "It's House Bill 703."
• When I joined the lottery about 15 or 16 months ago, we had five deputy directors.
• It hasn't happened in the last 15 months.
• It hasn't happened in the last 15 months.

Keywords: 989, all

Summary: The committee first heard a report from the Joint Millennium Fund co-chairs on recommended uses of Millennium Fund dollars. The recommendations included one-time funding for juvenile safety assessment centers and child advocacy centers, ongoing funding for the Upper River Youth Leadership Council Recovery Center, $5 million for a statewide drug awareness media campaign, and $25 million one-time for Medicaid claim payments to reduce the general fund impact in fiscal year 2027. Members asked about the Medicaid recommendation because the fund had previously been directed away from Medicaid; the co-chairs said the request was made in light of a revenue downturn and was intended as one-time funding, with any unused balance returned. The report was accepted by unanimous consent. The committee then reviewed the Division of Occupational and Professional Licenses. Legislative staff summarized the division’s consolidation of licensing boards, staffing, fee-balance management requirements, and the governor’s and committee’s budget recommendations, including vehicle replacement and IT hardware requests. Administrator Russ Barron said the division has reduced overall expenditures since consolidation, improved licensing and inspection timeliness, and used fee changes, fee holidays, and board mergers to keep board balances within the target range. Members questioned rising personnel costs, the use of opioid settlement funds for prescriber DEA fees, the continued need for a 10% transfer exemption, vehicle replacement timing, and how complaints and discipline are handled; Barron said complaints drive investigations, boards set fees subject to legislative approval, and a universal discipline bill could improve consistency. Finally, the committee heard the state lottery budget. Staff described lottery revenues, prize payouts, dividend distributions to schools and state buildings, and a small one-time request for replacement computers. Director Andrew Arulenandum said the lottery has reduced management layers, renegotiated major contracts for significant future savings, and is trying to improve performance without relying heavily on paid advertising. Members asked about the role of lottery detectives, the return on advertising spending, and the need for MacBooks and iMacs; he said detectives investigate theft and other lottery-related crimes, advertising results are hard to isolate from jackpot size, and the Apple equipment is needed for in-house design work. The committee concluded its business and adjourned, with a reminder about upcoming budget-setting work sessions.

Transcript Highlights:

• is required to issue a citation to the employer with reasonable promptness, but no more than six months
• We will also continue to notify the owners so that they may also be aware that we've been on site.
• As this committee is aware, a worker is generally eligible to receive unemployment insurance benefits
• As this committee is aware, a worker is generally eligible to receive unemployment insurance benefits
• We do spend time making sure our attending providers are aware of their responsibilities.

Summary: The Labor and Workplace Standards Committee held its first meeting of the session and heard four bills. HB 2107 would make permanent and slightly narrow a temporary L&I requirement that, after an on-site safety inspection at a building construction site, the agency make a good-faith effort to notify the owner or employer within 10 working days if an immediately identified hazard could injure a worker. Construction industry groups and L&I supported the bill and said the pilot had worked well, with L&I reporting it had been able to notify owners almost 96% of the time during about 1,400 inspections. HB 2137 would remove the population threshold for binding interest arbitration for correctional employees in city and county jails. Teamsters representatives said the change would give corrections officers in smaller jurisdictions the same bargaining rights as other uniformed personnel and help address safety, staffing, and wage inequities. County representatives opposed the bill, saying it would increase bargaining and compensation costs for many counties, and asked for amendments requiring arbitrators to consider county finances and making awards nonbinding on county legislative authorities. HB 2264 would clarify unemployment insurance eligibility for workers who opt into an employer-initiated layoff or reduction-in-force plan, even if they can rescind their decision, so long as the termination results from the employer’s plan. Supporters said current court rulings create confusing and unfair denials of benefits for workers who leave in good faith during layoffs; NFIB raised questions about severance, retirement, and UI solvency. HB 2243 would allow physical therapists and occupational therapists to serve as attending providers in the workers’ compensation system. Physical therapy and occupational therapy advocates said this would speed care and return workers to work sooner, while retailers, food industry representatives, NFIB, the Washington State Medical Association, and L&I raised concerns about diagnosis, scope of practice, added costs, and the possibility that all PTs and OTs would have to join the provider network. No votes were taken; the committee heard testimony and then adjourned.

Transcript Highlights:

• Friday of one month and then next Friday or four times in a month.
• Three years and two months. 38 months, you and your daughter fought for justice to expose this, to bring
• it to reality, and you were put off at bay for 38 months.
• Right. 38 months. The only, the only sort of...
• Being aware of that, help your fellow classmates.

Committee: Senate Education

Keywords: 1185, senate, all

Transcript Highlights:

• That keeps that tree greening-free until it outgrows that bag, which is generally 18 to 24 months.
• A UF study has shown that awareness and promotion lead to attributed movement of juice, and consumers
• A UF study has shown that awareness and promotion lead to attributed movement of juice and consumers
• Our goal is to retain consumer awareness efficiently so that we are not paying 5 to 25 percent to get
• Our goal is to retain consumer awareness efficiently so that we are not paying 5 to 25 percent to get

Committee: Senate Agriculture

Summary: The Senate Committee on Agriculture heard an update on the Florida citrus industry from Matt Joyner of Florida Citrus Mutual and Shannon Shepp of the Department of Citrus. Both described the industry’s steep decline over the past two decades due to citrus greening (HLB), hurricanes, freezes, and aging groves, but emphasized ongoing recovery efforts through research, replanting, and new therapies. They highlighted promising tools such as plant growth regulators, protective screens and covers, direct oxytetracycline application, CRISPR-based breeding, and the CRAFT program, which has expanded to more than 10,000 acres of solid-set plantings and over 20,000 acres including resets. Members discussed disaster relief, property tax pressures, grower participation, and the need for assessment relief and other state support. No votes were taken on the citrus presentation. Shepp also outlined the Department of Citrus’s marketing and research role, noting strong consumer demand for Florida orange juice, global advertising efforts, and clinical research tied to health messaging. She said the industry remains a major economic contributor, with thousands of jobs and billions in economic impact, and that the department is working to maintain demand while growers replant and reset groves. Senators asked about the CRAFT program, new grower participation, and how advertising and state policy could help sustain the industry. The committee then received a performance review of the Opa-locka Soil and Water Conservation Districts from David Jahossky of Malden and Jenkins. The review found wide variation among the 49 districts studied, with many lacking recurring revenue, staffing, proper meeting notices, records retention, formal performance goals, and timely financial reports. The report identified nearly 400 recommendations and noted that some districts had already dissolved or were considering dissolution. Senators questioned whether the districts were duplicative of other agencies and whether they still served a useful purpose; the presenter said there was overlap and collaboration but no duplication. A public commenter from Jefferson County argued that local boards still provide trusted, community-based support for producers and help connect them to cost-share and best management practice programs. The chair indicated the review would inform possible legislation to improve or restructure the districts, and the committee adjourned without taking a vote.

Transcript Highlights:

• So technically, it's probably just a matter of several months.
• So the department is aware of 362 kratom-related overdose deaths in California... ...is aware of 362
• CDPH is also aware of 15 drug-related overdose... ...7-OH.
• People are more aware of public health, which we celebrate.
• I am aware of other states that it has been happening already.

Summary: The committee held an informational hearing on kratom and 7-hydroxymitragynine (7-OH), focusing on public health risks, overdose deaths, and regulatory gaps in California. The chair opened by noting that FDA and CDPH consider kratom and 7-OH products unlawful, yet they remain widely sold in smoke shops, vape stores, gas stations, and convenience stores. Members referenced AB 1088, which would be considered later, and said the hearing was intended to clarify the science, medical perspective, and whether stronger safeguards are needed. The first panel featured a toxicology expert, state and local public health officials, an emergency/addiction physician, a medical examiner, and county health representatives. Witnesses from CDPH and Los Angeles County described rising deaths and enforcement actions, including statewide advisories, retailer letters, and product removals from manufacturers, wholesalers, and retailers. Medical testimony emphasized that 7-OH acts much more like an opioid than traditional kratom leaf, can cause dependence, withdrawal, and respiratory depression, and may require naloxone, buprenorphine, or methadone in overdose or withdrawal cases. Local officials said enforcement is difficult because packaging is inconsistent, testing capacity is limited, and counties lack resources and statewide infrastructure; they generally favored a centralized state framework if regulation is pursued. Committee members asked about testing, age restrictions, scheduling, and whether a distinction between kratom and 7-OH could be enforced. Witnesses said forensic labs can potentially test for 7-OH but validated assays are not routine, emergency departments cannot readily distinguish exposures, and local health departments do not have the lab capacity to verify product labels. Several officials warned that a ban or abrupt scheduling could push products into the black market and discourage research, while others argued that current prohibition and enforcement are the most protective approach because legalization or age-limited regulation could create confusion about legality and safety. The second panel included kratom and 7-OH advocates and industry representatives, who argued that natural kratom leaf and concentrated or synthetic 7-OH are different products and should be regulated differently. They supported age-gating, labeling, testing, and packaging rules for kratom leaf while opposing a ban on the botanical. They said 7-OH is used by many adults for pain relief or harm reduction, and that prohibition would drive consumers to illicit markets and worsen harm. Committee members pressed them on whether 7-OH is more potent than kratom, the availability of testing, and whether any safe dose is known. The hearing ended without a vote or formal action, with the chair noting the issue will continue to be considered in future legislation.

Transcript Highlights:

• political committees, and incidental committees to file an expenditure report on the 10th of each month
• to participate in the primary or general election to file an expenditure report on the 25th of each month
• political committees, and incidental committees to file an expenditure report on the 10th of each month
• to participate in the primary or general election to file an expenditure report on the 25th of each month
• Our members don't have the luxury of waiting in months in limbo.

Bills: SCR8406 , SB5825 , SB5842 , SB5863 , SB5840 , SB5827 , SB5968

Committee: Senate State Government, Tribal Affairs & Elections

Keywords: civic health, community engagement, committee reestablishment, public participation, governance, Washington State Leadership Board, WSLB, gift acceptance, grants, endowments, private funding, public funding, fundraising, state board, youth leadership, civic engagement, leadership development, Washington World Fellows, sports mentoring, Boundless Washington

Transcript Highlights:

• Well, on a Class A violation, it's $20,000 a month.
• On a Class B violation, it's $15,000 a month, and everything else is $5,000 a month.
• What used to be $20 a month is now nearly $100 a month to continue to leak their sewer on my property
• When you charge $20 a month or $60 a month, there comes a time when the system is not maintained because
• My average sewer bill is $60 to $70 a month.

Committee: House Health and Welfare

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.