Transcript Highlights:

• That it maintains any election data for 22 months.
• Was there anyone there who actually worked in an election?
• Madam Chair and members, SB 1020, Special Plate Arizona Space Commission, establishes a new special license
• Madam Chair and members, Senate Bill 1687, now entitled Voter Access Elections Primary Date.
• It moves the primary date to May starting in elections in 2028. I'm happy to answer questions.

Summary: The caucus reviewed a long list of Senate bills spanning elections, transportation, health care, criminal justice, housing, water, and local government. Early discussion focused on SB 1037, which would tighten security and custody requirements for electronic voting systems, and SB 1568, which would require testing of election equipment timekeeping functions. Members also discussed several election-related measures, including SB 1687 moving the primary date to May starting in 2028 and SB 1825 changing the process and deadline for filling precinct committeeman vacancies. Some members raised concerns about whether election-related bills had testimony from people who actually work elections. Several transportation, land use, and local-government bills were summarized, including SB 1024 on roadable aircraft, SB 1205 on motor vehicle booting, SB 1473 on assisted living occupancy limits, SB 1566 on penalties for malicious permit delays, SB 1787 on exactions and appeals, and SB 1419 on solar installation and roof integrity requirements. Members flagged SB 1624, which caps photo-enforcement civil penalties at $75 and bars points and insurance impacts, as well as SB 1478, a liquor omnibus bill with cider-related changes. There was also discussion of water and land issues, including SB 1200 on commingling effluent in water systems, SB 1447 extending a Pinal County groundwater fee diversion, SB 1560 increasing the Water Supply Development Revolving Fund loan cap, SB 1075 creating a foreign entity review commission for land conveyances, and SB 1280 prohibiting transport of Mexican gray wolf pups into Arizona. Health and human services bills included SB 1095 and SB 1094, both related to gender transition care for minors, which drew strong opposition from members who called them harmful and unnecessary; both were pulled from consent for further discussion. Other health-related measures included SB 1165 on breast cancer screening cost-sharing, SB 1253 allowing newborn surrender at hospitals, SB 1446 reducing dialysis documentation requirements, SB 1561 on assisted living notices and vulnerable adult study work, SB 1162 and SB 1164 on health care institution licensing and ownership-change claims processing, and SB 1178 expanding naturopathic IV drug administration authority, which was noted as having mixed votes and was pulled for closed caucus discussion. The caucus also reviewed criminal justice and public safety bills such as SB 1092 on probation for dangerous crimes against children, SB 1239 on sex-offender registration prosecutions, SB 1240 on probation success incentive payments, SB 1493 on reinstatement costs for law enforcement officers, SB 1502 on unlawful flight and reckless endangerment, SB 1512 on vulnerable adult theft definitions, SB 1520 on immigration data sharing, SB 1540 on motor fuel theft, SB 1635 on warning someone about an imminent arrest, and SB 1669 on rape-shield evidence rules. Several bills were pulled from consent, some were noted as split votes or controversial, and the meeting ended with plans to move into closed caucus for further discussion.

Transcript Highlights:

• Medicine and Primary Care in Silver Medicine and Primary Care in Silver Spring,<00:08:21.360><c> but<
• care to them in Silver Spring primary care to them in Silver Spring and<00:08:28.560><c> Montgomery<
• Senate Bill 237, Senator Kagan, Election Law, Presidential Electors Selection and Voting.
• Senate Bill 443, Senator Carozza, Local Board of Elections Board Council Qualifications.
• I just like to special order it into the appropriate time on Tuesday.

Summary: The Maryland Senate convened with a quorum, heard an invocation from Pastor Delman Coates, and received several guest introductions, including the doctor of the day, student visitors, homeschool advocates, community leaders, and the Braver Angels group. The chamber also journalized remarks welcoming Dr. Coates and recognized a prayer breakfast, with members offering brief thanks and acknowledgments before moving to legislative business. The Senate handled several messages and nominations, including withdrawal of an appointment, Johns Hopkins Police Accountability Board nominations, and Prince George’s County Board of License Commissioners nominations, all referred to Executive Nominations. The chamber also received House Bill 156 and an Executive Nominations Committee report recommending confirmation of a slate of appointments, which was special ordered for later consideration. A motion to return Senate Bill 463 to second reader and special order it for Tuesday was adopted without objection, and Senate Bill 473 was also special ordered for Tuesday. On third reading, the Senate passed a large number of bills, including measures on ignition interlock participation, school construction, port hearing notice, veteran status notation for educators, correctional officer scholarships, benefits exploitation, veterans trust fund applications, presidential electors, advance enrollment for children of active service members, retired law enforcement handgun permits, high-risk pregnancy discharge communication, charitable organization audit thresholds, child care criminal history checks, water pollution discharge permits, blockchain task force creation, franchise registration reform, licensing portability for foreign service members and spouses, Medicaid collaborative care cost-sharing, gift card fraud, school for the deaf board membership, vehicle dealer hearings, massage therapy advertising, protective body armor reporting, lithium-ion battery safety, pharmacy prescriber agreements for opioid use disorder treatment, human relevant research fund contributions, state and higher education email requirements, and auto insurance producer commissions. Most passed unanimously or by wide margins; Senate Bill 348 and Senate Bill 585 passed with 30 and 32 votes in favor, respectively. Senate Bill 140, concerning benefits exploitation, drew extended debate over constitutionality and pending litigation, with one senator citing an Attorney General opinion and another citing a Supreme Court case on neutral principles in church property disputes; the bill ultimately passed with 40 votes. Members later changed several votes on the floor, including on Senate Bills 172, 376, 428, and 48. The session ended while the clerk was beginning to read Senate Bill 629, with the remaining calendar not completed in the transcript.

Transcript Highlights:

• Primary opposition, would you please come forward if there be any? I'm the primary opposition.
• Any primary opposition? You want to invite you to come and join us at the table.
• Seeing none, do we have any primary witnesses in opposition? Okay.
• Primary witness in opposition to this measure of AB 2403, do please come forward.
• Any primary opposition to this measure, AB 2673? Seeing none.

Summary: The Assembly Committee on Revenue and Taxation heard several bills, most of them referred to the suspense file because of their fiscal impact. AB 2465 and AB 1675 would deny state grants, loans, tax credits, or other benefits to companies doing business with ICE or related immigration-enforcement agencies; both drew strong support from immigrant-rights, labor, and community groups, and opposition from CalChamber and industry groups that argued the bills were overly broad and could affect unrelated federal contracts. AB 1633 would impose a 50% gross receipts tax on for-profit private immigration detention facilities, with supporters saying it would hold companies accountable for dangerous conditions and opponents warning it was punitive and could disrupt detention operations. The committee also heard AB 2089, which would streamline the welfare property tax exemption process for affordable housing, and AB 2250, a cleanup bill to clarify hemp enforcement laws; both were supported by affected industry and advocacy groups, while county assessors and tax collectors opposed AB 2089 unless amended over workload and implementation concerns. AB 2172, which would allow counties to use a single-member assessment appeals commissioner for complex property tax appeals, was the only bill taken up for a vote during the meeting. Supporters, including Los Angeles County Assessor Jeffrey Prang, said the change would reduce a large backlog and speed resolution of appeals; the committee adopted amendments and passed the bill 4-0 to the Assembly Committee on Appropriations. The committee also heard AB 2319, creating a proposed post-production tax credit to keep film and television post-production work in California, with support from labor and industry representatives who said jobs and spending were leaving the state; the author said the bill still needed work on labor standards and the annual credit cap. Finally, AB 2403 was presented to create a commercial production tax credit to keep commercial shoots in California. The author and supporters said commercial production has declined sharply in the state and that other states are winning work through targeted incentives, while labor-backed witnesses argued the bill would protect middle-class jobs and local spending. The transcript ends during the presentation of AB 2403, before any vote or final action on that measure.

Transcript Highlights:

• Twenty-five percent of students receive special education services.
• Your primary responsibility is to the people of Washington who elected you into office. Thank you.
• The bill has three primary components.
• HCA's fiscal note identifies three primary cost buckets.
• HCA's fiscal note identifies three primary cost buckets.

Summary: The Ways and Means Committee met on February 6, 2026, and first voted to suspend the five-day notice rule for all bills on the agenda. Senators Braun and Gildon objected, arguing the bill needed more public review and that the fiscal note had only just been released, but a roll call vote passed 15-9 and the committee proceeded to Senate Bill 6346. Staff briefed SB 6346 as a proposal to create a 9.9% income tax on Washington taxable income above a $1 million per-household standard deduction, with a $50,000 charitable deduction, apportionment rules for nonresidents and certain professions, quarterly estimated payments, and credits for capital gains tax and certain business taxes. Staff said the tax would begin in 2029 and eventually raise about $3.5 billion annually from roughly 30,000 taxpayers. The bill also would expand the Working Families Tax Credit, create a sales tax exemption for grooming and hygiene products, increase the small business B&O tax credit and filing threshold, and end the B&O surcharge on high-grossing businesses one year early. Members questioned the bill’s constitutionality, its exemption from referendum, treatment of student athletes, natural-resource industries, and whether real estate gains would be captured. Public testimony was sharply divided. Supporters, including labor groups, educators, health care advocates, counties, child care workers, and some business owners and high-income individuals, said the bill would make the tax code more progressive and provide stable funding for health care, education, child care, public defense, and other services, while expanding the Working Families Tax Credit. Opponents, including many small business, construction, housing, and taxpayer advocates, argued the measure would function as a tax on pass-through businesses and retained earnings, harm housing production and investment, encourage wealthy residents and businesses to leave the state, and violate the state constitution or the will of voters. No final action on SB 6346 was taken during the hearing.

Transcript Highlights:

• Senate Bill 126 relates to elections, primary elections, when filings are to be made, extension for incumbents
• Senate Bill 126 provides that if an incumbent fails to qualify for the ballot for a primary for their
• SB 176 relates to elections, conduct of election, ranked choice voting, locally elected offices report
• Senate Bill 347 relates to local regulation of solar facilities, special exceptions.
• Senate Bill 582 relates to elections, absentee and provisional ballots process and timing for rejected

Transcript Highlights:

• And they created the election police.
• , elected officials...
• , elected officials, provision is in there is because this past election, elected officials, and state
• 67 supervisors of elections.
• The Office of Elections, Crimes, and Security will be so inundated with election-related... ...will be

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and a series of introductions recognizing interns, pages, and retiring Senate staff, including Pastor Gary Austin. Leaders also noted ongoing budget talks with the House and said senators would not need to plan on being in Tallahassee the following week. The chamber then moved to third reading and returned messages from the House later in the day. The main floor debate centered on Committee Substitute for House Bill 12.5, the citizen initiative/constitutional amendment bill. Sponsors said the measure was intended to address fraud in the petition process, citing investigations, arrests, pleas, and open cases involving paid circulators and invalid petitions. Opponents argued the bill would make citizen-led amendments far more difficult, expensive, and risky, warning it would chill grassroots participation, burden supervisors of elections, and effectively favor wealthy or corporate-backed efforts. Supporters responded that the bill preserved grassroots petitioning, placed reasonable guardrails on paid circulators and sponsors, and included a provision barring public funds from being used to advocate for or against ballot initiatives. The bill passed 28-10. The Senate also passed several education measures unanimously, including bills tied to Bright Futures, dual enrollment, educator preparation, and broader education policy. Later, the chamber concurred in House amendments on several bills: stem cell therapy legislation clarifying permitted therapies and penalties for improper use of fetal or embryonic tissue; an EKG requirement bill for student athletes with exemptions and partnership options for districts; and a cardiac emergency response bill that renamed the school emergency plan and removed a bill title honoring Rafe McCrone. These measures passed by wide margins, generally 37-0 or 38-0.

Transcript Highlights:

• We do this through three primary lines of effort: optimize, cultivate, and equip.
• THAT SPECIAL THAT'S E 3 WAS ABLE TO DO TO HELP RESOLVE THAT PROBLEM? YEAH, ABSOLUTELY.
• Painful things, elected officials chose to invest $391 million.
• Beginning, you all elected officials today. I don't care...
• SPECIAL CARILION. IT'S AND FORCES WAIAU AND MILITARY REGION TOO.

Summary: The Minnesota Senate Subcommittee on Veterans heard a Department of Military Affairs presentation on bonding, tuition benefits, and cyber response. The department requested $3.5 million in design funding for a new hangar at the 148th Fighter Wing in Duluth, citing safety problems with the aging 1950s-era hangars and the need to improve the wing’s competitiveness for future federal military construction funding. It also sought $2.5 million for asset preservation at Army facilities statewide, emphasizing that state dollars are often matched by federal funds. A National Guard lieutenant also testified about the State Tuition Reimbursement Program, describing how it helped pay for her undergraduate and doctoral education and reduce student debt. The committee also received an update on Minnesota National Guard cyber operations, including the response to the July 2025 ransomware attack on the City of Saint Paul. Testimony described the cyber coordination cell’s role in planning, interagency coordination, and support during the incident, including helping re-image about 500 computers and assisting with network recovery. Members heard that the Guard’s cyber teams conduct extensive partner engagement and are prepared to support state and local entities when civil resources are exhausted and the incident exceeds local capacity. Three bills were then heard and advanced. Senate File 4075, as amended, would implement recommendations from the task force on Special Guerrilla Unit and regular forces veterans from the Secret War in Laos, including eligibility and benefit changes; the committee adopted an amendment and passed the bill to the full committee. Senate File 3956, as amended, would clarify that the Department of Veterans Affairs may partner with veteran-serving organizations using nonmonetary resources to address food insecurity, homelessness, and suicide prevention; it was also referred onward. Senate File 4056, as amended, would add veteran or military status as a protected class under the Minnesota Human Rights Act; testimony supported the change, including concerns about service members losing educational opportunities while on state active duty, and the bill was passed to the full committee.

Transcript Highlights:

• With the pay for election commissioners, we've gone back and looked at the fact that election commissioners
• them to sufficiently run elections.
• There's technology changes, closed-party primary.
• We moved the election date from March to October.
• When was that election? She was elected in October, so it's been a very long time.

Summary: The Senate and Governmental Affairs Committee met on May 6, 2026, approved the April 28 minutes, and heard several bills before moving into confirmation hearings. HB 205, by Rep. Bacala, would allow local governing authorities to supplement election commissioners’ pay by up to $100 per day; supporters from clerks of court and the Secretary of State’s office said the increase is needed to recruit and retain qualified commissioners amid longer days, training demands, and election security changes. The committee also reported HB 210, a cleanup bill clarifying retroactive application of a prior ethics law, and HB 228, which recreates the Department of State Civil Service and related entities through 2033. It likewise reported SR 86, which bars eyeglasses with audio/video recording capability in the Senate chamber without the Senate President’s permission, and HB 1177, which protects the identities of lottery hunt winners until after the drawing. HB 1045, limited to Pointe Coupee Parish, raises an audit threshold for certain water districts from $500,000 to $600,000 to reduce audit costs, and HB 813 would move Orleans Parish sheriff terms so the sheriff takes office in January instead of waiting until May; all were reported favorably. Senator Miller also announced that SB 491 would not be taken up that day. The committee then questioned nominees to the Southeast Louisiana Flood Protection Authority East. The first group, including Peter Vicari and Ronald Schumann, was asked extensively about recent personnel actions, an internal investigation, and the authority’s handling of a report that members said would likely be released after a board vote. Senators focused on the firing of the chief of police/operations personnel, allegations of payroll fraud, and whether the authority had improperly combined the chief of police role with compliance duties in a way that may conflict with statute and Civil Service guidance. Committee members also raised concerns about the chief’s contract, whether it had board approval, and whether the authority’s bylaws and salary practices complied with law. The nominees and counsel said some matters were still under review and that a separate compliance position was being considered. The committee later heard from additional nominees, including David Martin, Gregory Marsiglia, and Elton Jude Myers, who described backgrounds in engineering, law, procurement, and governmental contracts. Senators again pressed them on the need to separate compliance/auditing duties from the chief of police role, and the nominees generally agreed that those functions should be distinct and that the authority should have qualified auditing expertise. The meeting ended with no public comment and adjournment after the confirmation discussion.

Transcript Highlights:

• The Senate cannot keep stalling on this common-sense election reform.
• people and their elected representatives.
• He was elected to the He was elected to the city council in '98.
• representatives" their elected representatives after a half century of death."
• Vice Chairman Blake Moore, for organizing this special order. And I yield back.

Transcript Highlights:

• In addition to this committee, I also staff the State Government Finance Committee and the Elections
• and they hold a special place in my<00:03:41.239><c> heart</c><00:03:41.480><c> so</c><00:03:41.640>
• government operations elections and government operations committee<00:04:17.519><c> good</c><00:04:
• I've been the primary organizer for seven years.
• I've been the primary organizer for seven years.

Committee: House Veterans and Military Affairs Division

Transcript Highlights:

• And so then they are, but their primary employer is actually that health system.
• Athletic trainers are trained in primary care medicine.
• Yeah, I do provide primary care to the skin, but I certainly wouldn't be providing primary care the way
• Okay, well, I think, again, I would say probably not primary care in my mind.
• Medications covered by these copay accumulator programs are not elective.

Committee: House Health and Mental Health

Transcript Highlights:

• in time for the November 4th statewide special election.
• Interference in our elections in time for the November 4th statewide special election.
• As you know, during that special election, the United States Department of Justice sent election monitors
• election and beyond.
• This could include certifying election results, testing election equipment, and overseeing campaign finance

Committee: Senate Elections and Constitutional Amendments

Summary: The committee heard three bills. SB 73, by Senator Cervantes, would bar county registrars from allowing federal agents to inspect voting machines and was presented as a response to alleged federal interference in California elections. Supporters said it would help local governments defend election systems, while Senator Choi opposed it as unnecessary and beyond state authority, arguing federal law already governs access to voting equipment. The bill passed on a 4-1 vote to Appropriations after the call was lifted. SB 401, by Senator Hurtado and presented by Senator Allen, would authorize the Fair Political Practices Commission to extend Form 700 and other economic-interest filing deadlines during declared emergencies. Testimony and committee discussion focused on whether the bill gave the FPPC too much open-ended discretion, with members asking for clearer limits on how long extensions could last and when they would apply. The author and FPPC counsel said they would work on clarifying the language, and the bill passed 5-0 to Labor, Public Employment and Retirement. SB 46, by Senator Umberg, would give the Secretary of State authority to remove constitutionally ineligible presidential or vice presidential candidates from the California ballot, aimed at preventing a third presidential term. Supporters from CREW and a constitutional law professor argued the measure was constitutional and necessary to enforce the 22nd Amendment, while the Secretary of State’s office raised concerns about creating an investigative role and suggested alternative language or use of an independent special counsel. Members debated whether ballot eligibility determinations should be made at the state or federal level, and the bill passed 4-1 to Appropriations. The chair then thanked committee staff and adjourned the hearing.

Transcript Highlights:

• in time for the November 4th statewide special election.
• Interference in our elections in time for the November 4th statewide special election.
• As you know, during that special election, the United States Department of Justice sent election monitors
• election and beyond.
• This could include certifying election results, testing election equipment, and overseeing campaign finance

Summary: The committee heard three bills. SB 73 by Senator Cervantes would bar county registrars from allowing federal agents to inspect voting machines, framed by the author as a response to federal interference in California elections. The Secretary of State supported the concept and asked for amendments to clarify procedures for inspection requests. Senator Choi opposed it as unnecessary and beyond state authority, arguing federal subpoena rules already govern such inspections. The bill passed on a 4-1 vote to Appropriations after the call was lifted. SB 401 by Senator Hurtado, presented by Senator Allen, would authorize the FPPC to extend filing deadlines for statements of economic interest during declared emergencies. Testimony from the FPPC said the commission had no formal position but could administer the extensions, while members raised concerns that the bill was too open-ended and lacked a defined extension period. The author and committee members agreed to work on narrowing the language, and the bill passed 5-0 to Labor, Public Employment and Retirement. SB 46 by Senator Umberg would give the Secretary of State authority to remove constitutionally ineligible presidential or vice presidential candidates from the California ballot, with the author focusing on preventing a third presidential term. Supporters argued the Secretary of State already has a role in enforcing ballot qualifications and that the bill is constitutional. The Secretary of State’s office raised concerns about turning the office into an investigatory body and suggested alternative language limiting the measure to the 22nd Amendment or using an independent special counsel. Members debated whether the state should make such determinations, and the bill passed 4-1 to Appropriations. The chair also used the end of the hearing to thank staff and note it was her final hearing as committee chair.

Transcript Highlights:

• They're highly specialized. Again, and kudos to everyone for the level of commitment. specialized.
• I'm also an optometrist and elected member of my school board.
• I'm also an optometrist and elected member of my school board, elected in 2022, so I want to thank you
• It's called something special.
• Patients see the optometrist much more than their primary care physicians.

Summary: The subcommittee met with a quorum present and took up five health-related bills. HB 1089, which would add Duchenne muscular dystrophy to Florida’s newborn screening panel, was presented as a way to enable earlier diagnosis and treatment; a pediatric neurologist from Nemours testified in support, noting existing FDA-approved therapies and ongoing clinical trials. After supportive debate, the bill passed 17-0 and was reported favorably. HB 1083 would standardize patient access to medical records by setting deadlines for providers to produce or allow inspection of records and requiring electronic delivery when available. Supporters said it would reduce delays in care and costs, while two industry groups appeared in opposition. Members from both parties spoke in favor, and the bill passed 17-0 and was reported favorably. HB 1297, which aligns Florida’s electronic prescribing rules more closely with federal law and removes some state exceptions, drew opposition from physicians who argued paper prescriptions are still needed for emergencies, shortages, and price shopping. The sponsor said the bill’s goals were patient safety, fraud prevention, and efficiency; despite concerns, it passed 18-0 and was reported favorably. The committee then considered PCS for HB 1421, the Emily Adkins Family Protection Act, which would create a statewide blood clot and pulmonary embolism registry, require hospital reporting and risk-assessment policies, and expand training requirements in hospitals, nursing homes, and assisted living facilities. The bill was presented with emotional testimony from Emily Adkins’ parents, who urged support and co-sponsorship in her memory. Members from both parties praised the family’s advocacy, and the PCS passed 18-0 and was reported favorably. Finally, HB 449 on optometry would expand optometrists’ authority to prescribe certain medications and perform specified laser and non-laser eye procedures after certification. The bill and amendment drew strong opposition from ophthalmologists and their association, who raised patient-safety, training, and delegation concerns, while optometrists argued the bill would improve access, especially in rural areas and counties without ophthalmologists. The amendment was adopted, and the bill as amended passed on a recorded vote and was reported favorably.

Transcript Highlights:

• We do conduct some special purpose or limited reviews, this time we conducted a special purpose review
• We have done special, Sunset has done special reviews of entities before.
• That seems very special.
• special education.
• Primary difference is ISD has an elected board and serves a particular geography, a charter has an appointed

Committee: House Delivery of Government Efficiency

Transcript Highlights:

• They may not be what the elected officials or the planning staff, Not be what the elected officials or
• Of course, county elected officials apply countywide, right?
• Today is part of our primary?
• We have primary seats and alternate seats for these constituent groups.
• And then into elected official.

Committee: House Local Government

Summary: The committee heard first from the City of Ferndale and FutureWise on city annexation planning. Ferndale officials argued that Washington’s Growth Management Act leaves too much of the annexation process open-ended, which they said allows counties to approve incremental development in urban growth areas without adequate infrastructure planning, impact fees, or coordination with cities. They described Ferndale’s “annexation blueprint” or phased annexation plan as a way to set conditions for annexation up front, align capital facilities and service extensions with annexation timing, and provide clearer expectations for residents, developers, schools, and fire districts. They also urged stronger county standards in UGAs, including larger minimum lot sizes, limits on land division, and application of city roadway and impact-fee standards. FutureWise supported phased annexation planning, suggested countywide planning policy changes and financial incentives to encourage annexation, and noted that interlocal revenue-sharing and pre-annexation agreements could help address county and special-district concerns. Committee members asked about fire district revenue loss, county incentives to develop before annexation, and how to improve coordination; no vote was taken. The committee then received a primer and update from the State Building Code Council. Staff explained the council’s membership, committees, technical advisory groups, and rulemaking process, including normal, expedited, and emergency rulemaking. They outlined the current code cycle, with Group 2 proposals moving to CR-102 in August, hearings planned for November, final adoption due by December 1, and publication and implementation dates in 2026. The council also updated members on Senate Bill 5491 and the related single-exit/multiplex housing work, describing the technical advisory group process, public proposal period, and target completion timeline. Members asked about the difference between prescriptive and performance-based code approaches, how the legislature can better communicate intent in future bills, and how the council handles regional differences, especially for energy code and EV charging requirements. Council members said they are advisory and technical, stressed the importance of clear legislative direction, and noted that the council is willing to engage earlier on bills to help avoid ambiguity and enforcement problems. No formal action or vote was taken.

Transcript Highlights:

• The Medi-Cal provider manual requires all gender-affirming services be rendered by providers specially
• Yeah, no, let me just say for, like, let's just say psychiatry, there is not a special designation for
• But I think we'd have to look at whether there is a special certification or licensing process for a
• That is our primary focus because, as my colleague said, that's the source of the intimidation.
• After the November 2024 election, we decided to percent. covered that care.

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks from the subcommittee chairs emphasizing the importance of protecting transgender, gender-diverse, and intersex Californians and asking for decorum during public comment. The first panel from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services described existing state protections, including nondiscrimination rules, privacy protections, shield laws, and Medi-Cal and commercial coverage requirements for medically necessary gender-affirming care. State officials also outlined ongoing litigation against federal actions and against hospital decisions to end or restrict care, including the Rady Children’s case and challenges to federal proposed rules and declarations affecting Medicaid, Medicare, and provider participation. Members questioned state agencies about why some hospitals that had stopped providing care had not been sued, how network adequacy is measured, whether the state can track actual access to gender-affirming care, and what legislative changes might strengthen protections. DMHC said it monitors complaints and independent medical reviews but does not track gender-affirming care as a separate provider category or collect utilization data, while DHCS said Medi-Cal continues to cover medically necessary care and that the state is preparing for possible federal rule changes. Finance staff said the previously approved $15 million for gender-affirming care was still being implemented through Covered California. The second panel featured a physician, clinic leaders, a parent, and a transgender teen describing how care is delivered and the effects of hospital closures and federal pressure. Dr. Johanna Olson-Kennedy described the history and medical basis for gender-affirming care, said minors need parental consent for medical interventions, and argued that care should be individualized and supported by families. Providers and families testified that hospital closures and insurance barriers have disrupted continuity of care, forced patients to travel farther, and shifted demand to community clinics that lack sufficient funding and contracting support. Several witnesses asked the Legislature to provide new funding, strengthen insurance enforcement, and stabilize access to care for transgender youth and families.

Transcript Highlights:

• </c> is that a a completely optional election is that a a completely optional election or<01:01:18.039
• </c><01:08:30.600><c> so</c> deductible so you're the primary so deductible so you're the primary so
• Well, I think most primary care providers want to do the right thing.
• Well, I think most primary care providers want to do the right thing.
• </c> beneficiary primarily it's the primary beneficiary primarily it's the primary care<02:00:12.880>

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.

Transcript Highlights:

• However, unlike traditional foster homes, treatment foster parents receive specialized training to care
• Treatment foster homes receive specialized training to care for children with high behavioral needs and
• receive higher compensation due to this specialized training, increased availability requirements, and
• And so that's why this bill is so special and so well-crafted to suit the needs of those communities.
• And so that's why this bill is so special and so well-crafted to suit the needs of those communities.

Committee: Senate Fiscal Policy

Summary: The Committee on Fiscal Policy met and first considered CS/SB 7012 on child welfare, presented by Senator Graal. The bill addressed three areas: child welfare workforce shortages, higher-acuity children in out-of-home care, and services/data for commercially sexually exploited children. It would create a CPI and case manager recruitment program aimed at former public safety and service workers, convene a workforce work group, establish a four-year treatment foster care pilot in two judicial circuits identified by DCF based on removal and placement data, and require more detailed, extractable child-level data on commercially sexually exploited children along with a bed capacity study and service gap analysis. Two amendments were adopted: one clarified record retention for redacted assessments, and another attached the appropriation. The committee then heard CS/SB 110 on rural communities from Senator Simon. The bill proposed a broad rural development package, including a state office of rural prosperity, a Renaissance grant program for counties with declining populations, increased housing support, major rural road funding, school consortium funding, and additional health care resources for rural facilities and training. A delete-all amendment was adopted that expanded and refined several provisions, including local sales tax trust fund distributions, county connectivity projects, agritourism marketing support, disaster-impacted rural infrastructure eligibility, insurance and provider eligibility changes, and increased funding for critical access hospitals and rural medical education reimbursement. Both bills drew broad support from local government, education, health care, housing, and rural advocacy representatives. Supporters said the rural bill was especially comprehensive and would help small counties, schools, roads, housing, and health care, while one witness cautioned that road expansion should be balanced with protection of agricultural and natural lands. Senator Bradley and Senator Simon emphasized local control and the importance of strengthening rural Florida without imposing mandates. CS/SB 7012 and CS/SB 110 were both reported favorably, and the committee then adjourned.

Transcript Highlights:

• Our spend in primary care is very, very low.
• So a big effort at improving our primary care access.
• And just as a follow-up, when they are electing not...
• Primary care is essential for a functional health care system.
• “Primary care.

Committee: House Health