Transcript Highlights:

• different therapeutic classes and brand-name drugs.
• ’t show the net spending after the drug rebates.
• show the net spending after the drug rebates.
• It's also our understanding that the The drug rebates.
• We strongly oppose the scheduled cut for these rates. Thank you, Madam Chair, members.

Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.

Transcript Highlights:

• And as you all know, we've been very busy with that drug.
• McGee: And I think the main point is just regulating the drug.
• I to Schedule III.
• It's a step backward in the failed logic of the war on drugs.
• While other states have hurt their population by caving to drug users, drug dealers, unscrupulous store

Bills: SB 5 , SB 11 , SB 12

Committee: Senate State Affairs

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, human trafficking, trafficking victim, compelling prostitution, affirmative defense, criminal defense, coercion, force fraud or coercion, sexual exploitation, victim protection, Penal Code, Texas criminal law, prosecution, party liability, affirmative defense statute, survivor rights

Summary: The Senate Committee on State Affairs took up Senate Bill 5, which Senator Perry described as a ban on intoxicating THC consumer products while preserving legal CBD, CBG, hemp seed, hemp seed protein powder, and hemp seed oil products. Perry argued that most retail THC products are already illegal under federal law, that the industry has used loopholes and misleading labeling to sell high-potency products, and that regulation would be ineffective because chemists can quickly alter formulations. He also said the bill would steer people with medical needs toward the Texas Compassionate Use Program (T-Cup), which he and other supporters described as the proper physician-guided alternative. Committee members and witnesses repeatedly discussed the distinction between legal hemp-derived products and intoxicating THC products, and Perry said the bill would not touch non-consumable hemp uses such as fiber and clothing. Invited testimony came from law enforcement and medical witnesses who supported the bill. Texas Police Chiefs Association representative Steve Dye, Kaufman County District Attorney Early Wiley, and Chambers County Sheriff Brian Hawthorne all said regulation would be too costly, too complex, and ultimately unenforceable, while a ban would be clearer and easier to enforce. They cited overloaded DPS labs, the need for expensive private testing, limited police and prosecutor resources, and the difficulty of keeping up with constantly changing cannabinoids and out-of-state products. Hawthorne and Wiley described raids and investigations involving warehouses, retail stores, cash seizures, and products they said were marketed to young people and often mislabeled or imported from other states. They also said the bill would help law enforcement by creating a clearer legal line and protecting legitimate CBD/CBG businesses. Dr. Lindy McGee, speaking for the Texas Medical Association and Texas Pediatric Society, testified that retail THC products pose serious risks to children and adolescents, including addiction, impaired brain development, psychosis, suicide attempts, self-harm, accidental toddler ingestions, and possible long-term cognitive effects. She said there is no effective medication treatment for THC addiction comparable to nicotine cessation tools, and she supported restrictions such as child-resistant packaging, no marketing to minors, and age limits, while opposing criminal penalties for possession by minors. Senators asked follow-up questions about brain development, memory, dementia risk, pregnancy, and cardiovascular effects. No vote was taken during the portion provided, and the committee continued with invited testimony and questions.

Transcript Highlights:

• Prescription drug price transparency. Prescription drug price transparency.
• It is a report developed from submissions from drug pricing data that comes from people.
• It gives us some insights into drug prices, aggregate drug utilization, and aggregate costs.
• The Prescription Drug Affordability Board's work is really an extension of some of the prescription drug
• if a drug is considered unaffordable and can set upper payment limits on drugs.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• </c><00:33:56.720><c> expenses</c> about your prescription drug expenses about your prescription drug
• It sounds to me like your prescription drug line might be inflated.
• Let's talk drugs. So I would expect you to have a very high drug bill.
• I don't think that's been scheduled yet.
• </c><02:51:29.560><c> the</c> yes I did ask Janet to uh schedule the yes I did ask Janet to uh schedule

Keywords: 928, house, all

Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.

Transcript Highlights:

• If you were to say, have you, if you have been convicted or pled guilty to trafficking drugs to minors
• , marijuana, whatever, if you've, if you've been selling drugs to minors.
• But there are also bad actors in that, the ones that are acting like street drug dealers, the ones that
• But there are also bad actors in that, the ones that are acting like street drug dealers, the ones that
• We've got this room scheduled. Sarah's got this room scheduled between 8 and 10.

Committee: House Joint Committee on Administrative Rules

Keywords: 959, house, all

Transcript Highlights:

• Welcome to our final regularly scheduled Senate Health and Long-Term Care Committee of this 2026 legislative
• It requires that veterinary prescription drugs may only be used by or on order of a licensed veterinarian
• And as we conclude this final regularly scheduled committee meeting, know that we're going to be turning
• And as we conclude this final regularly scheduled committee meeting, know that we're going to be turning

Summary: The Senate Health and Long-Term Care Committee held its final regularly scheduled meeting of the 2026 session and moved into executive session to consider 11 bills. The bills covered a range of health care and licensing topics, including the dietician licensure compact (SHB 2088), ambulance transport staffing for inter-facility specialty care (E2SHB 2110), substance use disorder monitoring for nursing assistants (HB 2340), hospital inspections (SHB 2577), temporary licensure exemptions for music therapy applicants (SHB 2363), nursing regulation (SHB 2339), EMT recertification (HB 2540), supervision of radiologic and MRI technologists (HB 2113), continuing care retirement community oversight (2SHB 2384), and veterinarian-client-patient relationships (ESHB 2247). The committee also considered ESHB 1187, which protects patients involved in motor vehicle accidents from delayed ambulance bills, though it was not part of the initial briefing list read aloud in full. Several bills had amendments adopted. On E2SHB 2110, the committee adopted Senator Harris’s amendment changing hospital coordination with ambulance providers from a recommendation to a requirement. SHB 1187 received a striking amendment, and 2SHB 2384 and ESHB 2247 also had striking amendments adopted; the veterinary bill’s amendment clarified that the commercial breeding provisions apply to livestock, added a definition of livestock, and tightened prescription drug language. The committee also discussed the 2SHB 2384 amendment as making technical corrections and clarifying life care contract language. After each bill was moved, the committee voted to give it a do pass recommendation and send it to the Rules Committee. All bills considered in executive session passed the committee, subject to signatures. The chair then thanked staff and members for their work during the session, noted the committee would turn to interim work in a few weeks, and moved to adjourn.

Transcript Highlights:

• These changes in schedule and location classically introduce risk for various reasons.
• I wanted a real cure, not a lifetime of drugs and their side effects.
• Can it be called prevention if it requires drugs or surgery?
• I wanted a real cure, not a lifetime of drugs and their side effects.
• Can it be called prevention if it requires drugs or surgery?

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

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:

• That helps to prosecute federal drug offenders in the North Idaho region.
• to the 160 to the 80-hour schedule.
• to the, from the 160 to the 80-hour schedule.
• The agency request is that the contract with the medical services provider is scheduled to expire in
• The agency request is that the contract with the medical services provider is scheduled to expire in

Keywords: 989, all

Summary: The committee met jointly with Senate Finance and House Appropriations to review the Idaho Department of Correction budget, beginning with an agency overview from Legislative Services analyst Noah Peterson and then testimony from Director Bree Derrick. Discussion focused on the department’s overall funding mix, declining balances in dedicated funds such as inmate labor and probation/parole receipts, vacancy management, and the impact of the governor’s holdback exemption. Members also asked about software and technology costs, the Hepatitis C Fund, replacement items, and why some positions remain vacant or are held open as a budget strategy. A substantial portion of the meeting covered the department’s major divisions and cost drivers. In state prisons, county/out-of-state placement, community corrections, community-based substance use disorder treatment, and medical services, the analyst and director explained enhancement requests, supplemental needs, and rising operating costs tied to inflation, population growth, and contract rates. Members questioned the inmate labor fund’s decline, the loss of work contracts, the cost and effectiveness of recidivism and transparency software, the Pocatello reentry center, body-worn cameras, RFID and drone detection technology, and the medical contract with Centurion. The department said some cuts were made or planned in response to budget pressure, including reduced spending on Recidivis and other contracts, while body-worn cameras and some public-safety tools were retained. The committee also discussed prison population pressures, county jail and out-of-state placement costs, mandatory minimum sentences, and the use of county jails as overflow. Director Derrick said the department is seeing more admissions than releases and that Idaho’s incarceration rate remains high relative to neighboring states. She also said the department is working to expand county and out-of-state options and to pursue more inmate labor contracts. Several members asked for follow-up information on staffing, contract counts, program impacts, and fund balances. The meeting then moved to the Commission of Pardons and Parole budget, where Director Christine Starr testified that commissioners are part-time but effectively work full-time, are not paid for training or all preparation time, and that turnover remains a concern. No votes were taken; the committee adjourned to resume the next day after work groups.

Transcript Highlights:

• But you drug heads. Okay. It's not good.
• </c> comparable scheduling. comparable scheduling.
• Moving it to Schedule 3 doesn't change that.
• But cannabis moving to Schedule 3 doesn't make it a prescription drug.
• Moving to Schedule 3 creates the potential that a cannabis drug could go through Schedule 3, but they're

Committee: House Criminal Justice and Public Safety

Keywords: 1189, house, all

Transcript Highlights:

• acquisition cost or wholesale acquisition cost, which is the cost to the pharmacy to acquire that drug
• In this part of our forecast, we also capture any of those drug rebates, meaning that's going to come
• We can go up to $8, and that is our plan for those drugs that are not on the preferred drug list.
• The only time that we do approve drugs that are not on our preferred drug list would be in instances
• where someone has a reason to need that drug and the prescriber is insistent upon that, for example,

Committee: Senate Health and Welfare

Keywords: 989, all

Transcript Highlights:

• I drug.
• And if, for those of you who don't know what a Schedule I drug is, there is no therapeutic value to the
• A Schedule I drug.
• And if for those of schedule one drug.
• A<00:08:35.599><c> schedule</c><00:08:36.000><c> one</c><00:08:36.680><c> drug.

Keywords: 1183, house

Transcript Highlights:

• membership, powers and duties, drug pricing information, established price and minimum price information
• membership, powers and duties, drug pricing information, established price and minimum price information
• So if you have a House bill, one of the first, I'd say, 20 to 25 on the list that are scheduled to be
• Often they seek out persons who are unhoused, often in areas where there’s high drug use.
• I don't agree because if you're not taking random drug tests and you're not taking CPR and you're not

Bills: HR179 , HR180 , HR181 , HR182 , HR183 , HR184 , HR185 , HR186 , HR187 , HCR75 , HCR76 , HCR77 , HCR78 , HCR79 , HR165 , HR166 , HR168 , HR169 , HR170 , HR171 , HR172 , HR173 , HR174 , HR175 , HR176 , HR177 , HR178 , HCR65 , HCR66 , HCR67 , HCR68 , HCR69 , HCR70 , HCR71 , HCR72 , HCR73 , HCR74 , SCR34 , SB34 , SB43 , SB52 , SB56 , SB165 , SB173 , SB189 , SB190 , SB260 , SB322 , SB345 , SB374 , SB387 , SB401 , SB448 , SB449 , SB455 , SB487 , SB496 , SB502 , SB505 , HB362 , HB893 , HB990 , HB1007 , HB1153 , HB1243 , HR1 , HR17 , HCR5 , HCR4 , HCR47 , HB55 , HB385 , HB394 , HB396 , HB406 , HB608 , HB622 , HB676 , HB772 , HB897 , HB1030 , HB1035 , HB1038 , HB1045 , HB1049 , HB1056 , HB1058 , HB1059 , HB1092 , HB1100 , HB1117 , HB1160 , HB1161 , HB1162 , HB1177 , HB1180 , HB1189 , HB1216 , HB1239 , HB1240 , HB59 , HB74 , HB159 , HB330 , HB364 , HB414 , HB458 , HB525 , HB568 , HB786 , HB1008 , HB1033 , HB1034 , HB1041 , HB1062 , HB1070 , HB1079 , HB1112 , HB1118 , HB1139 , HB1151 , HB1176 , HB1182 , HB1196 , HB1214 , HB1241 , HB87 , HB115 , HB162 , HB368 , HB433 , HB441 , HB447 , HB466 , HB481 , HB741 , HB1242 , SB162 , SB349 , SB350 , SB382 , SB383 , SB127 , SB244 , HB977 , HB181 , HB31 , HB664 , HB9 , HB192 , HB225 , HB306 , HB310 , HB366 , HB635 , HB911 , HB1230 , HB1236 , HB615 , HB864 , HB1103 , HB1175 , HB901 , HR20 , HR74 , HB284 , HB393 , HB459 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB773 , HB996 , HB1003 , HB1082 , HB1113 , HB1234

Keywords: neighborhood, crime prevention, security districts, law enforcement, community safety, funding, Counseling Day, mental health, Louisiana Counseling Association, community support, mental wellness, Louisiana State University, athletics, NAIA, sports achievements, recognition, success, competition, education, higher education

Summary: The House opened with a prayer, pledge, quorum call, and several personal privileges recognizing guests and special observances, including Junior League Day, Renewable Energy Day, Wholesalers Day, and Sin Law Day. Members also introduced and adopted a number of commemorative resolutions, including condolences, recognitions of schools and community figures, and resolutions related to LSU, ALS Awareness Month, and local festivals. Several Senate and House measures were referred or laid over, and the chamber announced upcoming scheduling changes for House and Senate bills. The most extensive debate centered on House Bill 385, which would require certain TOPS scholarship recipients to repay one semester of aid if they fail to meet academic requirements, subject to listed exemptions and an option to avoid repayment by entering certain high-demand career and technical programs. Opponents questioned the bill’s impact on students, its possible constitutional issues, administrative costs, lack of a fiscal note and implementation details, and whether it would worsen brain drain or convert a merit scholarship into a loan. The motion to recommit the bill to Appropriations failed 34-16, but after continued questioning and criticism, the author later moved to return the bill to the calendar, and that was agreed to. The House then passed House Bill 55, which restricts public disclosure of juror information, after adopting an amendment clarifying that juror interviews are still allowed if jurors choose to participate. The chamber also passed House Bill 394 extending the conditional parole programming period from nine months to 24 months, House Bill 396 making autopsy photographs admissible in criminal proceedings, House Bill 406 directing the Department of Education to study whether it should supervise interscholastic high school athletics, House Bill 622 aligning state criminal history record handling with federal requirements, and House Bill 676 creating the crime of fraudulent patient referrals, or body brokering, with amendments clarifying lawful marketing arrangements. House Bill 1030, concerning reimbursement for non-emergency medical transportation for certain mental health-related services, was taken up with amendments and then temporarily returned to the calendar.

Transcript Highlights:

• It is 50 years this July that he was assassinated while investigating fraud and the drug cartels.
• This bill is especially important to my community, my family, ...and the drug cartels.
• I was the drug court, commonly also known as Recovery Court, P.O.
• So it's strictly drug and alcohol that were pulled over, they were picked up.
• So it's strictly drug and alcohol that were pulled over, they were picked up.

Committee: House House Government Committee of Reference

Summary: The committee heard a series of bills and resolutions, many of them on property, local government, and memorial topics. HB 2079, authorizing a memorial for journalist Don Bolles at Wesley Bolin Plaza, passed unanimously after sponsor testimony about the 50th anniversary of his assassination and the memorial’s no-cost nature. HB 2080, as amended, advanced 7-0 on deed and title fraud prevention measures, including photo ID requirements, notarization and deed-filing safeguards, an assessor alert program, and a felony penalty for knowingly submitting false or forged real-property claims. HB 464, which moves the petition process for municipal improvement districts earlier in the process, passed 5-2 after testimony from Camp Verde, the Yavapai Apache Nation, developers, and the League of Arizona Cities and Towns; opponents argued it could force property owners into infrastructure they do not want, while supporters said it improves transparency and financing certainty. HB 2048, a proposed constitutional referral to withhold pay from state elected officials if the budget is not enacted by April 30, passed 4-3, with supporters saying it would create accountability and opponents saying broader process reforms are needed first. The committee also heard HB 2324, which would allow municipalities with their own fire codes to petition for county-owned buildings inside city limits to be exempt from separate state fire code inspections when conditions are met. County and state fire officials supported the concept, saying it would resolve conflicting statutes and formalize intergovernmental agreements, and the bill passed 7-0. HB 4087, authorizing a memorial plaque for former legislator Barbara Leff, also passed unanimously, with the sponsor noting her service in both chambers and her work on veterans and health care issues. HB 2239, creating a child care grant program and infrastructure fund for underserved and low-income communities, drew extensive testimony from rural parents, child care advocates, and early childhood experts describing child care deserts, workforce losses, and safety concerns with unregulated care. Supporters said the bill would fund the facilities and infrastructure needed to expand regulated child care, especially in rural Arizona; the committee approved it 5-1 with one member present and one not voting. Members also discussed HB 2375, a historic-preservation-related middle housing bill, but the transcript cuts off before final action is shown; testimony reflected a sharp divide between preservation advocates supporting exemptions for historic districts and housing advocates warning the bill could worsen exclusion and housing shortages.

Transcript Highlights:

• For drugs, non-urgent cases are three days.
• In the urgent case of prescription drugs, that's 24 hours. I'm going to show a little bit of data.
• First, for prescription drugs, there are pretty high denial rates across insurers.
• Particularly high-cost services, let's say a really expensive drug, that you do have one process.
• Look at us, we're seven minutes ahead of schedule. I heard a week, yay! So Dr. Guzmano, are you on?

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Senator, yes, they're scheduled to go into effect.
• So it's not a question of something being scheduled.
• Well, drugs are a real emergency. tenths of one percent, you can then argue drugs, illegal drugs, come
• Oh, you're asking me about drug policy. So I agree with the president.
• Look, we can't sit around anymore, sir. drugs to tense 43 pounds of fentanyl.

Committee: Senate Finance Committee

Keywords: tariffs, Trump administration, economy, public testimony, trade policy, market access, export controls

Summary: The meeting focused on various significant topics concerning the recent tariff policies and their wide-ranging implications on the American economy. Members expressed their concerns regarding the negative impact of increased tariffs as proposed by the Trump administration, with specific emphasis on how families might suffer from higher costs and market access issues. The discussion was lively, with members questioning the clarity of the tariff plan and raising concerns about its potential effects on small businesses and American exports.

Transcript Highlights:

• We all know how prevalent these drugs are in our society.
• The seriousness and pervasiveness of these drugs is underreported due to the short amount of time that
• So I'm just wondering... ...because I checked, it's not scheduled by the federal government.
• It's just that because it would be listed as a Schedule I... ...intention to harm. Right?
• It's just that because it would be listed as a Schedule I.

Committee: House Emerging Issues and Professional Registration

Summary: The committee held public hearings on several bills, beginning with HB 2855, which would let the Department of Labor adjust workers’ compensation administrative taxes and the second injury fund surcharge in smaller 0.1% increments instead of 0.5%. The sponsor and the department said the change would better right-size collections and reduce the burden on employers; the Missouri Chamber also supported the bill as good governance. No opposition was presented, and the hearing on HB 2855 was closed. The committee then heard extensive testimony on HB 3142, a camp-safety bill prompted by the Camp Mystic flooding tragedy in Texas and a Missouri drowning case. The sponsor and multiple grieving parents urged mandatory emergency plans, staff training, background checks, licensing, weather warnings, and clearer oversight for summer camps. Supporters included the American Camp Association and some state and youth-safety advocates, while opponents—especially camp operators, the Missouri Afterschool Network, and park and recreation representatives—argued the bill was too broad, could burden day camps and church camps, and might worsen child-care shortages. Several witnesses suggested the bill should be narrowed to distinguish overnight residential camps from lower-risk day camps and possibly be housed under DSS rather than DESE. No vote was taken. Finally, the committee took testimony on HB 1893 and HB 2075, which would require sex-segregated multi-occupancy restrooms and locker rooms in private schools and public buildings, with enforcement tied to state funding in some cases. Sponsors said the bills were meant to create clear statewide standards and protect privacy and safety; opponents argued the measures would harm transgender and intersex people, be difficult or impossible to enforce, and create safety and discrimination problems. Supporters emphasized private-school autonomy and concerns about safety in shared facilities. The hearing concluded after extensive questioning, with no action or vote reported.

Transcript Highlights:

• And if a drug company pays for a Super Bowl ad, glad to, you know, to advertise a certain... you know
• Drugs and not vaccines, but if it were the vaccines with it, would it be cured if they rattle?
• We chose, she was on a delayed selective the schedule, my oldest was on the full schedule initially.
• a little bit earlier the there is there is a difference between the way vaccine manufacturers and drug
• Or they or they feel like their drug is safe. There are several facts there there were.

Bills: HB 1181 , HB3704 , HB1363 , HB1610 , HB1615 , HB1620 , HB3223 , HB1317 , HB2884 , HB2176 , HB4027 , HB1664 , HB933 , HB2613 , HB3353 , HB2086 , HB4101 , HB3441 , HB4145 , HB3455

Committee: House Judiciary & Civil Jurisprudence

Keywords: judiciary, judges, justices, retired, legal assignments, judicial conduct, notary public, criminal offense, education requirements, official documents, record retention, implicit bias, bias training, judicial training, judge education, court personnel, continuing legal education, CLE, state bar, Texas Court of Criminal Appeals

Transcript Highlights:

• Every year we pass laws regulating alcohol or drug recovery and treatment.
• I started using drugs my junior year of high school.
• We are not mandating coverage of new drugs.
• We are not mandating coverage of new drugs.
• Many drugs used to treat serious mental illness... ...Many drugs used to treat serious mental illness

Committee: House Health

Keywords: 988, house, all

Transcript Highlights:

• For example, high-cost drugs.
• For<00:38:18.560><c> example,</c><00:38:18.960><c> high-cost</c><00:38:19.520><c> drugs.
• Uh we are For example, high-cost drugs.
• are are are behavioral health drugs are are are increasing<00:54:49.680><c> um</c><00:54:50.240><c>
• </c> take note that the next scheduled take note that the next scheduled meeting<01:08:00.319><c> is<

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• Sivani Nashara, on behalf of Drug Policy Alliance.
• Shavani Nashara, on behalf of Drug Policy Alliance, in opposition.
• Shavani Nishar on behalf of Drug Policy Alliance, in support.
• The problem is that's where they're stashing the drugs.
• My clients are not the Sinaloa drug cartel or the Russian mafia.

Committee: Senate Public Safety

Summary: The committee met without a quorum and operated as a subcommittee while hearing several bills on public safety, parole, criminal justice oversight, Proposition 36 implementation, behavioral health, gang database reform, cargo theft, and nonconsensual intimate images. The chair explained hearing procedures and noted that SB 906 was pulled from the agenda. Several measures were heard but not voted on because quorum was lacking. SB 1446, a committee bill, would expand discretion in en banc parole review, make en banc votes public record, and allow CDCR referrals for sexually violent predator evaluation of certain incarcerated people serving determinate or indeterminate terms. Support came from the California District Attorneys Association; opposition came from the Ella Baker Center, Uncommon Law, public defenders, and others who argued it would add confusion, litigation risk, and unnecessary duplication. The author said the bill was intended to clarify review standards and improve transparency. SB 1278 would exclude certain sex offenses and habitual/one-strike offenders from elderly parole eligibility. The San Diego District Attorney’s Office and California District Attorneys Association supported it, citing cases such as Gregory Vogelsang and David Funston; opponents from Uncommon Law, the Ella Baker Center, and others argued elderly parole is already highly restrictive, evidence-based, and cost-effective. Vice Chair Seyarto strongly supported SB 1278, emphasizing victim justice and public safety. SB 1354 would bar out-of-state military personnel not operating under Title 10 from entering California to perform military or law enforcement functions without the governor’s permission; a committee amendment removed a criminal penalty and left enforcement to the Attorney General. SB 926 would provide funding for Proposition 36 implementation, with committee amendments deleting a specific appropriation and shifting funding decisions to the budget process; supporters said counties need resources for treatment, probation, and administration, while opponents criticized the bill as fiscally reckless and duplicative. SB 874 would require background checks and clearer statewide standards for Medi-Cal behavioral health treatment services, especially ABA services for children; supporters said it would improve patient safety and program integrity. SB 1210 would extend CalGang-style oversight, notice, appeal, and DOJ regulation to all gang databases, not just shared ones; supporters described harms from inaccurate, unregulated local databases, while police chiefs opposed applying the CalGang framework to all local investigative files. The committee also heard SB 1019, which would create a DOJ cargo theft task force and add reporting requirements; supporters from BNSF, trucking, shipping, ports, and law enforcement said organized cargo theft is harming supply chains and worker safety, and no opposition was presented. Finally, SB 1217 would create a DOJ clearinghouse to help victims remove nonconsensual intimate images, including AI-generated deepfakes, from covered platforms; amendments narrowed the bill’s scope and clarified law enforcement’s role. The author and survivor witnesses described ongoing trauma from repeated reposting of exploitative images and argued the bill would provide a centralized removal process. The transcript ends during testimony on SB 1217, with no final votes taken on the measures heard.