Transcript Highlights:

• And we wanted to make sure that people were safely practicing here, meeting all the standards.
• They would have had to practice for more than two years in the other country.
• And it says it’s a geographic area or practice location in which it has been determined by DOH.
• And it says it's a geographic area or practice location in which it has been determined by DOH.
• Is this person, you know, up to snuff in terms of knowing standard practice, standard practices here?

Bills: HB99 , HB38 , HB165 , HB127 , HB72 , HB151 , SB40 , SB104 , SB136 , SB164

Committee: House House Judiciary

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• I practice judicial and health care acquisitions.
• After more than 25 years of practicing gynecology, I know this to be true.
• As a practicing ...address what happens in menopause, not just menopause.
• And in my consultative practice, so many patients come in saying the same thing.
• And I know that they're practicing primary care physicians.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a hearing during a snowstorm, with members participating both in person and via Teams, and the chairs said testimony would be kept open for an additional week. The first bill heard was H.4796, an act relative to organ transplant vehicles. NORA New England testified in support, arguing that dedicated organ transport vehicles need authority to use lights and sirens so time-sensitive organs can be moved more quickly and safely without relying on EMS systems already stretched by 9-1-1 calls. No opposition was heard and the bill was then set aside as the committee moved to the next item. The bulk of the hearing focused on H.4838, an act expanding access to perimenopause and menopause care. Chair Decker, who filed the bill, said it was the product of a year of meetings with dozens of individuals and organizations and was intended as a starting point to identify gaps in care, training, access, and coverage. Testimony overwhelmingly supported the bill and described widespread misdiagnosis, dismissal of symptoms, limited clinician training, insurance barriers, medication access problems, and workplace impacts. Speakers included patients, clinicians, advocates, the Massachusetts Health and Hospital Association, Blue Cross Blue Shield, the Massachusetts Commission on the Status of Women, and out-of-state and international experts, many of whom urged better education, public awareness, research, and workplace accommodations. Several witnesses emphasized that menopause affects whole-body health, including cardiovascular, bone, mental health, and work outcomes, and that Black women and other marginalized groups face greater barriers and worse outcomes. Some speakers noted the bill is important but largely a framework that will need further work to address coverage and access more directly. Blue Cross Blue Shield said it supports the bill and already covers menopause-related care and training, though the chair used the exchange to criticize broader insurer and state decisions on GLP-1 coverage for obesity. The committee took no vote during the hearing, and the chairs closed by thanking witnesses and stating that additional written testimony would be accepted.

Transcript Highlights:

• Shortly after beginning my clinical practice in Sacramento, I joined the Sacramento Urban Search and
• We're just adding one medication to a scope of practice, for example. That may be a quick one.
• It's making advisement on policies and practices. So it's...
• You know, advisement on policies and practices. So it's both. And then how do you measure that?
• And does that mean the practical outcome is you consider... What's occurring?

Committee: Senate Rules

Summary: The Senate Committee on Rules established quorum and approved several routine items on the agenda, including governor’s appointments not required to appear: Courtney Welsh to the California Housing Partnership Corporation Board, Janessa Goldbeck to the California Veterans Board, and Tom Huntington to the State Parks and Recreation Commission, each by 3-0 vote. The committee also approved reference of bills to committees, the 2026 committee chair/member assignments, the 2026 session schedule, the 2026 holiday schedule, and floor acknowledgments, all by unanimous votes. The committee noted that some 2026 committee changes would take effect February 1, 2026, and that new committees would depend on adoption of a Senate resolution. The committee then heard from Dr. Hernando Garson, nominated as chief medical officer of the Emergency Medical Services Authority. He described his background in emergency medicine, disaster response, and EMS leadership, and members questioned him about EMSA’s strategic plan, data integration, statewide standards versus local flexibility, ambulance patient offload time regulations, stakeholder engagement, and emergency response coordination. Dr. Garson emphasized data-driven decision-making, technical assistance to local agencies, collaboration with hospitals and EMS stakeholders, and the need for safer alternatives to routine ambulance transport such as community paramedicine, telehealth, and nurse triage. He also discussed disaster preparedness for vulnerable and rural communities and the use of regional and state assets, including ambulance strike teams, during fires and floods. The committee approved his appointment 4-0. The final item was Stephanie Weldon’s nomination as Deputy Director of the Office of Health Equity at the Department of Public Health. Weldon, who identified as Yurok-Tolowa and Karuk, spoke about her tribal, county, nonprofit, and state experience, her role as the first Native American woman in the position, and her commitment to health equity, rural communities, and culturally responsive public health work. Senators asked about how the office sets priorities, measures outcomes, addresses behavioral health, tribal consultation, youth mental health, and how it responds to political pressure around DEI language; Weldon said the office focuses on community-driven, data-informed work and transparency. Public commenters strongly supported her confirmation, citing her leadership on the California Reducing Disparities Project and related equity efforts. The committee approved her appointment 4-0, sending it to the full Senate for confirmation.

Transcript Highlights:

• Performance measurement is a best practice that can signal whether or not you're achieving the desired
• Our practice since 2013 has been to prepare fiscal notes when requested for bills that include a tax
• National Highway Safety organizations recommend this law as a best practice.
• that do not meet best practices.
• Best practices are for the fee design to mitigate risk of uncertainty.

Summary: The Joint Legislative Audit and Review Committee met on January 7, 2026, approved the December minutes, and adopted an amended work plan. Staff proposed moving the drug take-back program sunset review up to 2026 and delaying the thermal energy network pilot review to 2028, which would free capacity for new studies. Members also discussed active bills that would eliminate two recurring JLARC reports, including one on lodging tax revenue data collection, and the committee adopted the work plan without objection. JLARC staff then outlined new performance measures for the committee itself, covering effectiveness, efficiency, and quality. The measures include member and legislative satisfaction surveys, presentations to other committees, recommendation follow-up, staff retention, on-time report delivery, peer review results, and national recognition. Members praised the effort and did not take formal action, treating the measures as an ongoing process. The committee also heard a proposal to improve JLARC’s review of tax preference performance statements by adding a standard rubric in fiscal notes to assess whether a metric matches the policy objective, is measurable, uses reliable data, and allows enough time for evaluation. Members supported the pilot approach. Staff also described planned changes to public records reporting guidance, including opt-outs for low-volume metrics, better validation, targeted outreach to nonreporting agencies, and a survey of records officers. Two preliminary reports were presented. On ignition interlock devices, JLARC found that only 41% of drivers with a requirement had installed a device, with installation rates rising sharply with income; financial assistance reaches only about 11% of users, and JLARC recommended clearer program goals and stronger coordination between the Department of Licensing and State Patrol. On the drug take-back program, JLARC found that the fee structure tied to operator expenditures limits the Department of Health’s ability to recover oversight costs and recommended public reporting of oversight spending and a statutory change to better align fees with actual costs. Agency representatives generally agreed with the findings, described current coordination and administrative changes, and said they would consider the recommendations. No formal votes were taken on the reports, which will return in final form later in the year.

Transcript Highlights:

• Best practices suggest the agency should assess whether language access barriers exist and limit the
• However, agencies would like more guidance and access to best practices.
• However, agencies would like more guidance and access to best practices specific to this exemption.
• And we will be comparing what DCYF is doing to other states and best practices for questions two and
• We intend to look at all sorts of different practices related to the security of the facilities.

Summary: At the May 14, 2025 JLARC meeting, members approved the January 9 minutes and adopted the 2025–27 biennial work plan with a minor typo correction. Staff reviewed two new work plan studies: a drug takeback program fee-setting and expenditures review due in December 2025, and a state energy performance standard compliance review due in June 2027. Staff also summarized recent JLARC session activity, noting six committee presentations and five bills enacted related to JLARC work or recommendations. The committee then heard a preliminary cannabis market study. JLARC staff reported that Washington businesses likely produced two to three times more cannabis than retailers sold in 2023, but that incomplete and unreliable Liquor and Cannabis Board data limits regulation, tax verification, and diversion tracking. Staff recommended that LCB submit a plan by the end of 2025 describing what resources and funding would be needed to collect accurate data by the end of 2026. Members and agency representatives discussed the 2031 timeline for a new tracking system, data quality problems, and the social equity program; LCB said it is evaluating vendor options and will provide more information on its plan. JLARC also presented a preliminary report on Department of Health oversight of hospital data reporting, inspections, and complaints. Staff concluded DOH is late on many hospital inspections, does not verify third-party inspection standards, does not review adverse health event correction plans, and could make hospital data more accessible. The report included five recommendations to DOH and one to the Legislature. DOH said it would work with JLARC on a strategic management plan and acknowledged the need for improvements. The committee next reviewed a preliminary report on the public records survivor exemption, concluding the exemption is being used but needs clearer guidance. JLARC recommended keeping the exemption and having the Attorney General provide additional implementation guidance. Members then approved a proposed final report on Developmental Disabilities Administration processes and staffing; DDA concurred with the recommendations and described steps it has already taken on metrics, data quality, and workforce planning. Finally, JLARC introduced proposed study questions for its upcoming review of DCYF juvenile rehabilitation programs, focusing on safety and security, access to services, staffing, education, and comparisons to best practices. No votes were taken on the preliminary reports, and the meeting adjourned after the study question presentation.

Transcript Highlights:

• You must accept them into your practice as a patient.
• You must accept them into your practice as a patient.
• Yes, this is to make sure that solely based solely on immunization, not business practice or any other
• It is an extremely complicated thing to do and creates a huge burden on medical practices, especially
• small medical practices.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• And then again, our licensed practical nurses, we're seeing the opposite over time and that supply is
• That wasn't projected a few years ago and the opposite for the licensed practical nurses.
• Gives us that practical nursing pathway and are in is the pathway for the registered nurses.
• They are like a real living, breathing patient and it gives our students the opportunity to practice
• out their best practices that could be adopted for sure.

Transcript Highlights:

• It's practical.
• Right now, I think you have a good, practical bill, and that's come out from the conversation.
• But here, TCEQ is being assigned to come up by rule with what those best management practices should
• TCEQ recently issued a draft of recommended best practices, and unfortunately, it's pretty weak.
• I share TRAM's concern about best management practices; negotiated rulemaking probably doesn't make the

Bills: SB2037 , SB1757 , SB1758 , SB1759 , HB29

Committee: Senate Natural Resources

Transcript Highlights:

• </c><00:45:46.640><c> that</c> other evidence-based practices that other evidence-based practices that
• </c><00:46:20.720><c> implement</c> might look like to practically implement might look like to practically
• Additionally, part of our practices.
• We are providing you a continuum of care within trauma-informed practices.
• </c> believe in trauma-informed practices believe in trauma-informed practices have<01:39:35.280><c>

Transcript Highlights:

• Professionally, I am a clinical director locally here at a family medicine practice, and I wanted to
• So in practicality, you know, when I hear that it is allowed and not a problem, practicality here in
• Charlotte Cooperwasser presented to ASIP, the Advisory Committee for Immunization Practices, regarding
• I am a credentialed advanced practice provider in hospitals in two Idaho counties.
• I grew up in Middleton, currently live in Caldwell, and now own a midwifery practice in Nampa.

Committee: House Health and Welfare

Transcript Highlights:

• provide differentiated core instruction for kids that have difficulty, how to use evidence-based practices
• provide differentiated core instruction for kids that have difficulty, how to use evidence-based practices
• Furthermore, we must prioritize safe, human-centered instructional practices.
• Furthermore, we must prioritize safe, human-centered instructional practices.
• , governor, and secretaries of public and higher education traveled the country looking for best practices

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• provide differentiated core instruction for kids that have difficulty, how to use evidence-based practices
• provide differentiated core instruction for kids that have difficulty, how to use evidence-based practices
• Furthermore, we must prioritize safe, human-centered instructional practices.
• Furthermore, we must prioritize safe, human-centered instructional practices.
• , governor, and secretaries of public and higher education traveled the country looking for best practices

Summary: The committee met with a quorum and heard three measures: H.J.R. 5 on legislative compensation, Senate Bill 29 as amended on math instruction, and Senate Bill 37 on literacy instruction. H.J.R. 5 was presented as a constitutional amendment to create a paid legislature tied to New Mexico’s median household income, with supporters arguing it would broaden access to public service, reduce conflicts of interest, and better reflect the realities of modern legislative work. Public testimony was overwhelmingly in support, including from advocacy groups, civic organizations, faith groups, and veterans; one member raised concerns about fairness, attendance, and whether outside employment would still be allowed. The committee adopted an amendment to move the ballot question from 2028 to 2026, then approved H.J.R. 5 on a 5-1 vote. Senate Bill 29, endorsed by the Legislative Education Study Committee, would strengthen math instruction by improving teacher preparation, requiring PED to set up statewide math supports, and creating early screening and family engagement for students. Supporters, including educators, business groups, and education nonprofits, said New Mexico’s math outcomes are too low and that early intervention and better teacher preparation are needed. Members asked about teacher licensure requirements, parent support, standardized testing concerns, and district implementation. The committee heard that the bill’s screenings are intended to be developmental rather than high-stakes tests, and that parents would be supported through school-based guidance. The bill passed unanimously. Senate Bill 37 would codify a science-of-reading framework, require high-quality instructional materials, add literacy coaches and assessments, and expand support for bilingual and dual-language instruction. Supporters said the bill builds on recent gains in reading proficiency and strengthens teacher preparation and early intervention. Opponents, including tribal leaders, bilingual education scholars, and advocacy groups, argued the bill was too English-dominant, could conflict with existing bilingual and tribal language laws, and did not go far enough to protect indigenous languages and community-based approaches. Sponsors said amendments were being developed to clarify biliteracy, culturally responsive instruction, and protections for native language learning, and the committee advanced the bill on a vote with several members noting their support was contingent on those promised amendments.

Transcript Highlights:

• So this practice is kind of waning, and it's a lot less common than it used to be, but it's a practice
• So this practice is kind of waning, and it's a lot less common than it used to be, but it's a practice
• This bill is a practical step toward addressing the supply gap.
• It's very practical when you get right down to it. It makes for clearer zoning.
• It's very practical when you get right down to it.

Bills: SB6018 , SB6026 , SB6027 , SB6028 , SB5937 , SB5938

Committee: Senate Housing

Keywords: housing, finance, commission, state funding, affordable housing, residential development, zoning reform, mixed-use zoning, commercial zones, Growth Management Act, GMA, state preemption, local land use, development regulations, ground-floor retail, ground-floor commercial, permit waiver, waiver process, density, urban growth area

Transcript Highlights:

• Under their current legal scope of practice for services they already provide.
• </c> provide within their scope of practice. provide within their scope of practice.
• for services they already practice for services they already provide.<00:01:57.520><c> And</c><00:01
• Just a swab could happen in a community pharmacy already authorized under our scope of practice.
• </c> come to real community practice come to real community practice medicine,<00:26:12.559><c> exactly

Summary: The committee first considered Senate Bill 38, sponsored by Sen. Richardson, which would require Medicaid to reimburse pharmacists for services already within their legal scope of practice. Richardson and Taylor Williams of the Kentucky Pharmacists Association argued the bill would improve access to care, especially in rural areas, reduce emergency room use, and lower Medicaid costs by using pharmacists as lower-cost providers. Members asked whether the bill’s language simply aligned Medicaid with an earlier commercial parity law, and Richardson confirmed that it did. He also cited prior study work, research articles, and examples such as strep/flu testing and medication therapy management as covered services. The bill passed unanimously, and several members commented in support, including concerns about pharmacy access and the need for pharmacists to remain available to patients. The committee then took up a concurrent resolution sponsored by Sen. Meredith calling for a feasibility study of a proposed new Medicaid delivery model. Meredith argued that Kentucky’s Medicaid spending is growing unsustainably and that current managed care arrangements are not improving outcomes enough. He proposed an accountable community health care organization, described as a locally owned, not-for-profit public-private partnership combining elements of accountable care models, with the goal of reducing bureaucracy, improving outcomes, and lowering costs. He said the study would examine a five-year program and ultimately test the model in five regions, with initial focus on the Lincoln Trail, Green River, and Barren River area development districts. Members asked about the study timeline, vendor costs, rural versus urban impacts, and provider recruitment; Meredith said the resolution would be studied by November and that no fiscal note had been prepared. The resolution passed unanimously.

Transcript Highlights:

• One is currently for non-residents with no established place of business in Washington who practice no
• more than 30 days under a temporary practice permit.
• for more than 30 days. ...in Washington or people who have recently moved to Washington practicing for
• is an unfair, deceptive act. ...is when the legislature declares that an act or practice is an unfair
• I'm a partner at Benesch Law's retail and e-commerce practice group.

Summary: The Consumer Protection and Business Committee held public hearings on three bills. House Bill 2229 would update the professional engineers registration act by removing the U.S. citizenship requirement for board members, increasing pro tem board positions, giving the board more discretion over experience and continuing education requirements, removing some registration exclusions, and making various technical updates. The bill sponsor and the board described it as a cleanup and modernization measure, and a board representative said one naming change in the draft was unintended and would be corrected. No public testimony was taken before the hearing was suspended and later closed. House Bill 2274 would revise the Washington Commercial Electronic Mail Act after a Washington Supreme Court decision led to a wave of lawsuits over email subject lines. The bill would require a sender to have a “reliable basis” to know an email is held by a Washington resident, narrow when a subject line is actionable, require recipients to show they reviewed and relied on the email to recover damages, and repeal the act’s per se Consumer Protection Act violation while keeping statutory damages. Retailers, small business owners, hospitality groups, and e-commerce representatives supported the bill, saying the current interpretation is producing costly, technical lawsuits over ordinary promotional language and creating settlement pressure even without consumer harm. Consumer advocates opposed the bill, arguing it would weaken protections against deceptive subject lines and that the current law already targets false or misleading claims. The committee took no final action on the bill. House Bill 2294 would prohibit future negative use restrictions on real property that block grocery stores or pharmacies, with exceptions for existing restrictions, relocations, and certain retail centers. The sponsor said the measure is intended to improve food and pharmacy access, especially after grocery closures such as the one in Lake City, and noted similar local ordinances already exist. Food industry and grocery association witnesses generally supported the bill as a way to reduce barriers to food access and help independent grocers, while also asking for clearer guardrails to avoid unintended effects on legitimate business arrangements. The sponsor said she was open to working on enforcement and other details. The committee then moved to executive session and passed House Bill 1269, which would adjust pawn broker loan terms, interest, document preparation fees, storage fees, and allow online payment for renewals. Members described it as a modest increase after 11 years without changes, and the bill was reported out of committee with a due pass recommendation by voice vote, with 15 members voting in the affirmative.

Transcript Highlights:

• By fostering this collaborative approach, CDT ensures that these remediation efforts are practical and
• And our employees get to really get best practices and really get one-of-a-kind training.
• So restrictive software licensing practices create unnecessary cybersecurity vulnerabilities by limiting
• These aren’t just business practices. They are serious security concerns.”
• “So restrictive licensing practices prioritize vendor control at the expense of cybersecurity best practices

Summary: The Assembly Select Committee on Cybersecurity and the Assembly Committee on Emergency Management held a joint informational hearing focused on maximizing the value of state cybersecurity investments, especially by fully using security features already included in existing vendor contracts. The first panel included representatives from Microsoft, Zscaler, and Palo Alto Networks, who described the products and services they provide to California and generally agreed that agencies often have strong adoption in some areas but still face challenges from tool overlap, limited staff, lack of awareness of available features, and the need for ongoing training and configuration support. They also discussed major threats such as ransomware, data loss, attack-surface exposure, IoT/OT vulnerabilities, and the growing role of AI in both attacks and defenses. Members pressed the vendors on whether state departments underuse purchased cybersecurity tools, how to improve utilization, and how to address the cybersecurity workforce shortage. The vendors said utilization is often constrained by staffing, procurement complexity, and the need to align tools with agency missions and maturity levels, but emphasized that training, leadership buy-in, and regular vendor-agency collaboration can improve results. They also discussed how AI can help with phishing triage, data-loss prevention, and security operations, while warning that agencies must manage AI safely and with human oversight. The second panel featured officials from the Department of Technology, Cal OES/CalSIC, and the California Military Department. They described statewide oversight efforts including audits, independent security assessments, continuous monitoring, advisory services, vulnerability disclosure programs, and workforce development initiatives such as the Information Security Leadership Academy and Cybersecurity Education Summit. Officials said some underutilization is real, but it is often tied to differing agency maturity, overlapping tools, and deliberate feature restrictions to reduce attack surface and complexity; they emphasized a balanced approach using people, process, and technology, with plans of action and milestones to hold departments accountable. They also noted federal uncertainty around MS-ISAC and the state and local cybersecurity grant program, saying California is advocating through federal partners and monitoring the impact. The hearing ended after public comment and adjournment.

Transcript Highlights:

• to the payer to determine which kind of pharmacist can practice in which setting.
• to the payer to determine which kind of pharmacist can practice in which setting.
• Payment bills specifically, those are listed within a scope of practice.
• as a pharmacist and many of us practice as a pharmacist and many of us go<00:26:48.000><c> on</c><00
• I mean, is that practical? We don't disagree that yes, it is extra effort.

Committee: House Consumer Protection & Commerce

Summary: The committee heard several measures, beginning with SB 1046 SD1 on condominiums. Testimony on that bill focused on reserve funding and enforcement of reserve study requirements. The Community Associations Institute opposed the bill, saying it would create hardship, confusion, and be difficult to administer, while also urging stronger penalties for boards that fail to comply with reserve study rules. The Real Estate Commission offered comments, and one testifier spoke in support. No vote was taken during the portion provided. The committee then heard SB 532 SD2 HD1 relating to the Department of Education, which would improve access to pre-approved medications for students with health conditions at school and during off-campus activities. The Department of Health, University of Hawaiʻi nursing and medical programs, and the Department of Education all supported the measure, with DOH suggesting amendments to better identify the correct student and improve medication safety. Members had no questions, and the bill moved on. Next was SB 1245 SD2 HD1 relating to pharmacists, a bill to allow reimbursement for clinical services pharmacists are already trained and licensed to provide. The University of Hawaiʻi, Board of Pharmacy, Walgreens, Mikai Drugs, and the Hawaiʻi Pharmacists Association supported the bill, emphasizing improved access to care, recruitment and retention of pharmacists, and better chronic disease management. The Hawaiʻi Pharmacists Association also discussed proposed amendments to prevent plans from denying coverage or network participation when pharmacists meet credentialing requirements. Members questioned whether insurers would actually use pharmacists and how the bill would affect pay and contracting; no vote was taken in the excerpt. The committee also heard SB 1279 SD2 HD1, another pharmacists bill focused on telepharmacy and 340B-related issues. The Department of Corrections and Rehabilitation supported it, saying telehealth could reduce costs and avoid travel for audits, while the Board of Pharmacy opposed it. Lānaʻi representatives opposed the bill and asked for an exemption, arguing the island already has close in-person access to a resident pharmacist and clinics. The Hawaiʻi Primary Care Association supported the measure, citing large patient savings from 340B pricing, while Mikai Drugs opposed it, arguing that mail-order and telepharmacy are not necessary on some islands and can create delivery and medication-safety problems. Members asked questions about insurer participation, scope of practice, and whether the bill would meaningfully change reimbursement; the transcript ends before any final action or vote.

Transcript Highlights:

• This is a common practice. It's called loss estimate alteration.
• While these practices already violate California law, the lack of automatic financial consequences has
• allowed them to persist as a routine business practice.
• Taking proactive steps to improve their practices and avoid future violations that harm policyholders
• There are many remaining issues, both practical and technical, that still need to be addressed.

Committee: House Insurance

Transcript Highlights:

• AB 1760 makes important technical and substantive updates to California's Dental Practice Act, as were
• AB 1760 improves the board's ability to administer and enforce the Dental Practice Act efficiently and
• I'm Melissa Aguirre, a board-certified pediatrician who's been practicing for 25 years.
• I manage obstetric emergencies in my daily practice.
• California was the first to codify advanced practice abortion care in 2013.

Summary: The committee met as a subcommittee until quorum was established, then took up a series of bills on business, professions, health, cannabis, and consumer protection. AB 72, creating an electric vehicle economic opportunity zone in Riverside County, drew questions about whether the state should target one region over others, but supporters argued it would help bring EV manufacturing and related jobs to the Inland Empire. The bill passed on a 8-1 vote to Senate Labor, Public Employment and Retirement. AB 685, which would create the Small Business Resiliency and Innovation Fund to support technical assistance and capital infusion programs, drew broad support from small business networks and chambers, but some groups raised concerns that the June amendments could affect eligibility and that the funding should be clearly supplemental rather than replacing existing support. The author said discussions were ongoing, and the bill passed 10-0 to Senate Appropriations. The committee also approved AB 173, a resolution, on a 7-0 vote, and AB 1760, a Dental Practice Act cleanup bill sponsored by the Dental Board, on a 10-0 vote. AB 1637, which would limit changes to physician-authored medical records and make unauthorized alterations a misdemeanor, was supported by physicians and labor groups who said it would protect patient safety and professional accountability; it passed 10-0 to Senate Appropriations. AB 1785, allowing online sales of pseudoephedrine products with existing age and quantity safeguards, passed 10-0. AB 1973, expanding the ability of advanced practice clinicians to perform procedural abortions within their training, drew strong support from reproductive health providers and strong opposition from anti-abortion witnesses who raised safety concerns; after questions about training and oversight, it passed 7-3 to Senate Appropriations. The committee then considered AB 2025, requiring disclosure when rental listings use digitally altered or AI-staged images. Supporters said it would prevent renters from being misled, while the California Apartment Association said it was working with the author on implementation; the bill passed 8-1 to Senate Privacy, Digital Technologies and Consumer Protection. AB 2697, allowing drive-through cannabis sales with local approval and security requirements, was supported by cannabis businesses and operators as a way to improve access and compete with the illicit market, while narcotics officers opposed it over ID verification and public safety concerns; it passed 7-3 to Senate Appropriations. Finally, AB 2249, responding to a state audit on cannabis packaging attractive to children by defining prohibited imagery and creating a public rubric and pre-review process, received support from the cannabis operators association and the state auditor’s office, while small independent farmers raised concerns that some categorical bans could sweep too broadly. The transcript cuts off during that bill’s opposition testimony, and no final action on AB 2249 is shown in the excerpt.

Transcript Highlights:

• private physician practices.
• The bill in its current form, though, applies to medical debt across all practice settings, including
• private physician practices.
• If this legislation makes that practice financially unsustainable, it will push patients to cash-only
• As such, I'm intimately familiar with the practical operation of these systems.

Summary: The committee heard several bills, with the most extensive discussion focused on civil investigative demands for the Attorney General (ESSB 5925), automated license plate readers (ESSB 6002/6702), medical debt interest limits (ESSB 5993), default judgments in consumer debt cases (SSB 5720), adult guardianship technical changes (ESSB 5837), and Court of Appeals bailiff authority (SB 6011). Sponsors and agency staff generally framed the bills as targeted tools or clarifications, while opponents raised concerns about privacy, due process, overreach, and unintended consequences. The AG’s office supported 5925 as a way to investigate civil rights, wage theft, and related laws more efficiently; opponents argued it gave too much pre-suit power and lacked sufficient judicial safeguards. The Court of Appeals bailiff bill was presented as a near-identical extension of authority already given to Supreme Court bailiffs, with no major controversy beyond questions about training. The ALPR bill drew the sharpest policy split. Supporters, including the prime sponsor and civil rights advocates, argued Washington lacks meaningful regulation of license plate readers and needs limits on retention, sharing, and vendor access to protect privacy and prevent misuse. Law enforcement, cities, and some parking-related users said the bill was necessary but too restrictive or technically flawed, warning it could effectively shut down the technology or prevent use in serious cases; they asked for broader crime coverage, clearer definitions, and longer retention. Privacy and civil liberties groups supported regulation but urged stronger protections, especially shorter retention periods and tighter limits on third-party access. On medical debt, the sponsor and supporters argued that capping interest at 1% would reduce financial harm to patients, especially those facing serious illness, and would still allow administrative costs to be covered. They cited bankruptcy risk, chronic illness, and the burden on families, while noting the bill was narrowed from an earlier version and made prospective. Hospitals, collectors, dentists, and physician groups opposed the bill, saying it would not solve broader affordability problems, could reduce repayment incentives, and might push providers toward cash-only models or credit cards, especially harming small and rural practices. The committee also heard support for the consumer debt default judgment bill as a negotiated compromise that improves notice and preserves existing debt-buyer protections, and for the guardianship bill as a technical cleanup of adult guardianship and supported decision-making provisions. No votes or final actions were taken in the hearing excerpts provided.