Transcript Highlights:

• Hypoglycemia can stand up my blood sugar drops because the pilot program helped me make healthier choices
• exemption shows that the original intent was to exclude these events, these smaller events, from the drug testing

Keywords: 988, house, all

Transcript Highlights:

• being amended, I respectfully ask the committee to consider one narrow but important issue related to blood
• On page one, line 20 of the bill, blood glucose monitoring is tied specifically to students with diabetes
• On page one, line 20 of the bill, blood glucose monitoring is tied specifically to students with diabetes
• I respectfully ask the committee to consider amending the language on line 20 to allow blood glucose

Summary: The House Health and Welfare Committee met with a quorum and first considered RS 33-166, a code cleanup bill to repeal the final remaining section of the county medical indigent program, which had already been repealed in 2022. One member raised concern about removing the section entirely in case the program ever needed to be reinstated, but the sponsor said the bill was simply final cleanup requested by counties. The committee voted to introduce the bill. The committee then took up RS 33-186, which would require hospitals that accept Medicaid to add a self-reporting immigration-status question to admission forms and to submit quarterly data to the Department of Health and Welfare on admissions, emergency visits, and uncompensated care by immigration category. Members questioned administrative burden, redundancy, and whether the information would be reliable, but the sponsor said the purpose was transparency and data collection on hospital utilization and costs. The committee voted to introduce the bill. House Bill 494 was presented next as a measure to move existing background-check rules into statute, with the sponsor saying it would not add new checks or costs but would help preserve FBI cooperation and provide clearer legislative oversight. Department staff said background checks cost $70 per person and confirmed sex-offender registry checks would remain part of the process. The committee voted to send the bill to the floor with a due-pass recommendation. House Bill 531 updated Idaho law to allow schools to administer epinephrine through modern delivery systems, including nasal spray, rather than only EpiPens. Testimony from a parent, a school nurse, and an Idaho PTA representative supported the update, while one parent asked that the bill be broadened so blood glucose monitoring could be provided when prescribed for conditions other than diabetes. The sponsor said he was open to working on that issue in a separate bill, and the committee then voted to send HB 531 to the floor with a due-pass recommendation. At the end of the meeting, a member invited the committee to a Medicaid listening session later that day, and the committee adjourned.

Transcript Highlights:

• But many agencies can't afford this testing.
• , how many tested over the legal THC limit... ...the weight of substances tested, how many tested over
• the legal THC limit, the types of substances tested, the average cost per test, any resulting cases,
• They go through psychological testing, physical testing, academic farms, and investigation.
• Policing is in my blood. It's in my nature. That's why I serve this small community.

Bills: HB1455, HB1777, HB2101, HB2136, HB2609, HB3142, HB3552, HB3846, HB4155, HB4514, HB4879, HB4995, HB5014, HB5139, HB5228, HB5436, HCR40

Keywords: mental health, jail diversion, law enforcement, reporting requirements, criminal justice, data collection, criminal justice reform, intellectual disability, mental illness, data reporting, public safety, reporting, substance abuse, sex offender, driver's license, identification, gunshot detection, unreported gunshots, municipal police, crime investigation

Summary: The committee met with a quorum and heard several bills, generally leaving them pending after testimony. HB 4995 would create a training/certification program allowing licensed physicians and certain EMS personnel assigned to tactical units to carry firearms during high-risk deployments, with supporters saying it would protect tactical medical staff and improve emergency care; the committee substitute was withdrawn and the bill left pending. HB 2609 would repeal the OmniBase/failure-to-appear-or-pay license hold program; the author and supporters argued it unfairly compounds debt and traps drivers in noncompliance, while judges and municipal court representatives said it is an effective, voluntary tool that prompts court appearances and reduces warrants. HB 4879 would create a grant program to help local law enforcement pay for lab testing of suspected hemp/THC substances, and HB 5436 would allow licensed auto recyclers to purchase certain untitled vehicles for scrap or parts to curb illegal sales, VIN cloning, and chop shop activity; both bills drew supportive testimony and were left pending. The committee also heard HB 1777, which would place a discrete sex-offender designation on driver’s licenses and state IDs for registrants under Chapter 62. The author said the marker would help law enforcement and businesses quickly identify potentially dangerous offenders and cited other states and research in support, while opponents argued it would function as a scarlet letter, increase harassment, and punish people who are already complying with the law. HB 4155 would create a Family Violence Criminal Homicide Prevention Task Force in the Governor’s Office to study risk factors, coordinate agencies, and recommend policy changes; the author, HHSC, TCFV, and a survivor testified in support, emphasizing the number of family violence homicides and the need for coordinated, data-driven prevention, and the bill was left pending. Finally, HB 4514 would authorize DPS to use facial image verification, with consent and confidentiality protections, to help businesses verify identities and combat fraud. Supporters from the lumber and identity-verification industries said it would reduce losses from fake IDs and organized theft, while the author stressed privacy safeguards and limited, consent-based use. The committee substitute was withdrawn and the bill was left pending.

Transcript Highlights:

• So they would be tested wellness clinic.
• Three years ago, I started taking Eliquis as a blood thinner to reduce my chances of heart attack.
• </c><02:25:54.640><c> pressure,</c> heart failure, high blood pressure, heart failure, high blood pressure
• It does not stop AIPAC's blood money from manipulating our so-called democracy.
• It does not stop AIPAC's blood money from manipulating our so-called democracy.

Keywords: 1189, house, all

Transcript Highlights:

• And the reason that it’s so large is because we have to go in and actually do some destructive testing
• And the reason that it’s so large is because we have to go in and actually do some destructive testing
• The doctor will tell you, I have to see you a couple of more times, run some tests, then I can make the
• The doctor will tell you, I have to see you a couple of more times, run some tests, then I can make the
• </c> wouldn't be tracked regulated or tested wouldn't be tracked regulated or tested until<01:00:59.400

Keywords: 910, house, all

Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.

Transcript Highlights:

• They represent a flesh and blood person.
• They represent a flesh and blood person.
• They represent a flesh and blood person.
• They represent a flesh and blood person.
• </c><00:21:21.520><c> person</c> they represent a flesh and blood person they represent a flesh and blood

Keywords: 958, all

Summary: The House Judiciary Committee met for its first meeting, established a quorum, welcomed new members and guests, and announced that committee rules would be sent out later. The committee then took up House Bill 38, sponsored by Representative Tipton, which would increase the penalty for repeated violations of an order of protection. Under the committee substitute, a third violation of the same protective order could be charged as a Class D felony instead of a Class A misdemeanor. The substitute was adopted by voice vote. Representative Tipton said the bill was prompted by a constituent’s experience with repeated abuse and violations of protective orders, and he argued the change was needed to better protect the public. Maryanne Pratt testified in support of the bill, describing a long history of domestic violence, repeated violations of protective orders, stalking through calls and social media, and her fear for her safety. Several members expressed support and praised her courage. Questions focused on whether the bill would cover social media contact and on the committee substitute’s language requiring the same victim and same order. Representative Burke raised concern that the same-victim language could allow an abuser to victimize multiple partners without triggering the felony provision. Tipton said the original bill was broader, that the change was added because of concerns about reverse protective orders, and that the issue might be revisited in the Senate. Scott West, speaking for the Kentucky Association of Criminal Defense Lawyers, said the bill addressed some concerns but warned that the third-offense trigger could be based on technical contempt findings rather than violent conduct, and he noted that stalking already can be charged as a felony in some cases. The discussion continued on those concerns, but no final action on the bill beyond adoption of the committee substitute was taken in the portion provided.

Transcript Highlights:

• No test, no ultrasound, nothing.
• I went to test after test. I asked for help, and over and over again, I was told nothing was wrong.
• I went to test after test. I asked for help, and over and over again, I was told nothing was wrong.
• , actually this week, due to food poisoning, after which I was billed $6,000 by the hospital for a blood

Bills: SB5985, SB6019, SB6161, SB6183, SB6210, SB6194, SB6102, SB6103

Keywords: endometriosis, healthcare, reproductive health, patient education, awareness campaign, home care, home care services, home care agency, home care worker, caregiver, direct care, consumer directed employer, consumer-directed care, Medicaid, long-term care, aging services, disability services, personal care, respite care, vendor rate

Transcript Highlights:

• And then we've started testing out new innovative models of integrating the dental benefit into managed
• They’re required to test for, analyze, and give data information to the state on 26 constituents.
• carcinogen or something that will be impacted in the area that we want a constituent we want you to test
• community from these constituents that don't exist at this facility that the facility is required to test
• There's nothing more real-world than measuring the level of chemicals in humans, in their blood, in their

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:

• And then we've started testing out new innovative models of integrating the dental benefit into managed
• They're required to test for, analyze, and give data information to the state on 26 constituents.
• carcinogen or something that will be impacted in the area that we want a constituent we want you to test
• community from these constituents that don't exist at this facility that the facility is required to test
• There's nothing more real world than measuring the level of chemicals in humans, in their blood, in their

Keywords: 987, senate, all

Summary: The Senate Rules Committee opened with quorum and approved several routine items on a 5-0 vote, including three governor’s 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. The committee also approved references of bills to committees and floor acknowledgements, each by 5-0 vote. The committee then heard testimony on Tyler Sadwith’s appointment as Chief Deputy Director for 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 focused on hospital financial distress, rural access, Medi-Cal redeterminations and work requirements, provider reimbursement, fraud oversight, dental access, labor and delivery closures, and CalAIM’s effectiveness. Public commenters from county, hospital, and provider groups supported the nomination. The committee voted 5-0 to send the appointment to the full Senate. Next, the committee considered Chris Thayer’s appointment as director of the Office of Environmental Health Hazard Assessment. Thayer emphasized OEHHA’s role in providing transparent, rigorous science to inform regulation, and senators questioned the agency’s use of models versus real-world data, CalEnviroScreen, Prop 65, risk communication, and research gaps such as PFAS. Public testimony from environmental and health advocates supported the nomination and highlighted OEHHA’s biomonitoring and other science-based programs. The committee approved the appointment 3-1, with Senator Grove voting no, and sent it to the full Senate for confirmation.

Transcript Highlights:

• . >> The answer that for my old for my old job, they're actually 3 that don't require standardized tests
• They have to have a standardized admission test from my understanding that what would be a standardized
• tests for a trade school. >> Thank you, Mister Chairman.
• to take the test at all for one of the 3 part United States Medical licensing exam, which is the most
• I've seen the blood on the ground. I've seen the the homes that have been destroyed by people.

Keywords: 999, senate, all

Transcript Highlights:

• while driving and causes the death of two or more persons, because of that and the defendant has a blood
• alcohol content of 0.15... ...by saying if you have a blood alcohol content of 0.15 or higher on your
• There are some states that have an all-offender law that says no matter what your blood alcohol content
• doesn't go that far, but it does capture a lot of the highest offenders that have some of the highest blood
• But it does capture a lot of the highest offenders that have some of the highest blood alcohol contents

Keywords: 959, house, all

Transcript Highlights:

• Similarly, for R&D, when designing prototypes and testing, access to tissue is paramount as it mimics
• You can't do any of the proper testing that you would want them to do or need to do.
• So rapidly that one test in time in a physician's career was insufficient to prove to patients and to
• The loss of pressure on a physician was significant; it was a pass-fail test.
• I'm fundamentally opposed to standardized tests, so I would never sit for a board... Certification.

Bills: SB2024, SB227, SB268, SB1467, SB1580, HB5537, SB1313, SB1677, SB918, SB331, SB2207, SB2721

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• that three of my<00:35:48.599><c> grandparents</c><00:35:49.119><c> are</c><00:35:49.760><c> full-blooded
• </c> my grandparents are full-blooded my grandparents are full-blooded Hawaiian<00:35:51.880><c> okay
• Or, yeah, we're, I guess, testing the lines to see what the conditions are.
• Or, yeah, we're, I guess, testing the lines to see what the conditions are.
• like to make amendments to here to make sure that we are applying to all Hawaiians, regardless of blood

Keywords: 910, house, all

Summary: The committee heard testimony on House Bill 410, the Office of Hawaiian Affairs’ biennium operating budget. OHA asked for a modest increase over its base budget, including $1.2 million to fund 13 new full-time positions for a strategy and implementation team tied to its long-term plan, with emphasis on housing, education, health, and economic resilience. OHA also described a broader effort to work directly with executive branch departments to improve outcomes for Native Hawaiians. Testimony was largely supportive, with several individuals speaking in favor and one testifier expressing strong frustration about Native Hawaiian rights and access to resources. The chair noted there were 38 additional written/supporting testimonies and three in opposition. Members asked about OHA’s funding sources and public land trust revenues; OHA said it is not receiving the full 20 percent share, described a public land trust working group and system issues, and said a related bill would seek funding to begin an inventory. No vote was taken in the portion provided. The committee then considered House Bill 304, which would make the Hawaiian version of a law binding when the law was originally drafted in Hawaiian and later translated into English. The Judiciary supported the bill, saying it reinforces Hawaiian as an official language and looks to the original language for legislative intent. The Attorney General supported the intent but recommended narrowing the bill with a proviso to avoid ambiguities, limiting it to laws originally drafted in Hawaiian that were not later amended, codified, recodified, or reenacted in English. Public testimony was generally supportive, though one speaker raised broader sovereignty concerns. Members questioned how many laws would be affected and whether the proposed amendment would undercut the bill; the Attorney General said the amendment was meant to address uncertainty in interpretation. No final action was reported. Finally, the committee heard House Bill 603, which would direct OHA to administer a Native Hawaiian business marketing program to promote Native Hawaiian-owned businesses through marketing and technical assistance. OHA supported the concept, saying a label or branding program could help consumers identify and support Native Hawaiian-owned businesses, but requested that funding be redirected to a working group to study program design, implementation, enforcement, and long-term viability. The chair noted four supportive testimonies had been received, and a member asked OHA to confirm that its programs serve all Hawaiians, not only those eligible for homelands; OHA said it serves all Hawaiians in the state. The transcript ends before any vote or further action on HB 603.

Transcript Highlights:

• </c> yes we are passing out some written test yes we are passing out some written test testimony<01:35
• I've got a blood disorder, so my blood's thick. I don't know how to describe it in medical terms."
• My son was in a hospital for two weeks with blood clots everywhere during COVID.
• test, and I wouldn't have known I had this blood disorder, but because I went through a kidney transplant
• I had to have this blood work done, and that's where they found it.

Keywords: 928, house, all

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

Transcript Highlights:

• cities, towns, and municipalities shall not mandate that occupants of housing units be related by blood
• The response is that it likely does, as long as they are not discriminating based on blood or marriage
• as they're not discriminating<00:16:48.839><c> based</c><00:16:49.040><c> on</c><00:16:49.160><c> blood
• </c><00:16:49.360><c> or</c> discriminating based on blood or discriminating based on blood or marriage

Keywords: 1189, house, all

Transcript Highlights:

• The ground that was won through marches and blood, court cases and passed laws, sacrificed and courage
• This reconciliation bill fails every one of those tests.
• </c><02:47:55.840><c> I</c><02:47:56.160><c> urge</c> fails every one of those tests.
• I urge fails every one of those tests.
• police practices that left two American citizens, Renee Good and Alex Prey, dead, lying in their own blood

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, June 9, 2026, 1012, house, all

Transcript Highlights:

• You might want to test it a little bit.
• Testing. Mic check.
• The one-blood-drop law.
• It is one with the blood of martyrs. But beyond that...
• To blood moons in the sky and solar eclipses.

Bills: HB4

Keywords: district composition, congressional election, Texas, legislature, voting districts, 997, house, all

Transcript Highlights:

• HG 4690 by GERD is relating the motor fuel measuring quality and testing standards are for the Committee
• HP 4702 by Lilani relating the requiring the consideration of standardized test scores as a factor of
• AG 47. 4714 by HOPA ruling the testing of evidence of Controlled Substances by the Department of Public
• HB 4975 by Olcott relating to the autologus and direct blood donations refer to the Committee on Public
• HB 4985 by Curtis relating to the procedures and the public test of logic and accuracy for the voting

Transcript Highlights:

• We have genetic tests; we're going to know where we are.
• Native American caucus and inviting so many others to be part of that, even if our Native American blood
• ... ...so many others to be part of that, even if our Native American blood was just a little bit, you
• It will do what it is proposing to do, allow us to see if it's working and to test it.

Summary: The committee heard AB 1159, which would expand and modernize student data privacy protections, extend similar protections to higher education students, and create limited enforcement mechanisms. The author and supporters argued that ed tech now collects far more sensitive information than students and families realize, including health, location, and identity-related data, and said the bill is needed to address AI, subpoenas, data theft, and misuse. Some higher education and bookstore interests raised concerns about definitions and preserving ordinary student communications, but committee members generally supported the bill and emphasized protecting sensitive information; the bill was moved on a due pass motion to the Senate Privacy, Digital Technologies and Consumer Protection Committee and placed on call. The committee also heard AB 1171, which would protect and stabilize the Part-Time Community College Faculty Health Insurance Program by keeping funds dedicated to that purpose and requiring districts to begin negotiations by 2030. The author and supporters said part-time faculty often lack employer-sponsored coverage despite teaching most community college courses, while opponents from the Community College League and administrators argued the measure was premature because participation is growing and the Legislature should retain budget flexibility. Several senators discussed the tension between budget discretion and honoring the state’s commitment to faculty health care; the bill was moved on a due pass motion to Senate Appropriations and placed on call. AB 1581 followed, proposing changes to improve identification and reporting of Native American students in CalPADS through tribal affiliation data. Supporters said current systems severely undercount Native students and that better data would improve resources and accountability, while members raised implementation questions about multi-tribal identities and consultation with tribes. The bill was moved to Appropriations and placed on call. The committee then heard AB 1665, requiring mental health training for school sports coaches. The author and a psychiatrist witness said coaches are trusted adults who already receive training on physical safety and should also be trained to recognize mental health warning signs and connect students to help. Support came from school, health, and sports organizations, with no opposition, and the bill was moved to Appropriations and placed on call. Finally, AB 1766 was heard, expanding human trafficking prevention education from grades 7-12 to K-12 and adding content on online exploitation, grooming, and digital abuse. The author, a survivor witness, and a foundation representative described the need for earlier, age-appropriate prevention education and stronger staff awareness; supporters included educators, school districts, and industry groups, with no opposition. Senators praised the testimony and the bill’s focus on prevention, and a motion was made to move it forward.

Transcript Highlights:

• In August 2024, based on blood tests and increasing anxiety about physical changes, we decided to start
• In August, 24, based on blood tests and increasing anxiety about physical changes, we decided to start

Summary: The joint hearing focused on access to gender-affirming care in California, with members of the Senate and Assembly budget subcommittees hearing first from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services. State officials described California’s legal protections against discrimination, privacy protections, shield laws, and Medi-Cal and commercial plan coverage requirements for medically necessary gender-affirming care. They also outlined ongoing litigation and advocacy against federal actions and proposed rules that could restrict care, including challenges to executive orders, HHS declarations, and federal reimbursement rules, as well as a temporary restraining order protecting care at Rady Children’s Hospital. Committee members pressed the agencies on why some hospitals that had stopped providing care had not been sued, how the state measures network adequacy and equitable access, whether the $15 million previously allocated for gender-affirming care had been used, and what additional statutory changes might be needed. DMHC and DHCS said they regulate health plans rather than providers directly, rely on complaints and independent medical review to address denials or delays, and do not track utilization or have a specific provider category for gender-affirming care. DOJ said it is focused on the federal government as the source of pressure on hospitals and providers, while members discussed possible shield-law expansions and, if federal rules are finalized, the possibility of state-only funding to preserve access. The second panel featured a physician, clinic leaders, parents, and a transgender teen describing how families navigate care and the effects of hospital closures and insurance barriers. Dr. Johanna Olson-Kennedy gave a history of transgender health care, described puberty blockers and hormones as established treatments, and said minors need parental consent for medical interventions. J.M. Jaffe of Lyon Martin Community Health Services said community clinics are absorbing patients after hospital programs closed and asked for $26 million in state funding to expand capacity. Parents and youth testified about delays, out-of-network referrals, lost coverage, and the emotional strain of uncertainty, while also urging the Legislature to stabilize access and protect continuity of care.