Transcript Highlights:

• It just means that we have a difference of opinion on policy, on how to treat people fairly, on how to
• 'Hey, I think government policies are off on how my church is treated and whether people respect our
• They are afforded their rights, and they should be treated with dignity, respect, and fairness.
• Hart began first as a student, then as a physician, an educator, and eventually as president of Loma
• So that we can treat this as well because we have early detection.

Summary: The Assembly met in session, established a quorum, and opened with a prayer and the Pledge of Allegiance. Members then handled a series of procedural motions, including re-referrals of several Senate bills, notices for committee hearings, and a successful motion to suspend rules so ACA 20 could be taken up later in the week. The chamber also recognized former Assembly Member Christina Garcia and later moved into a Pride Month observance. The main ceremonial item was House Resolution 115 recognizing June 2026 as LGBTQ+ Pride Month. Assembly Member Ward opened on the resolution, and multiple members from different caucuses spoke in support, highlighting Pride history, LGBTQ+ rights, and the contributions of LGBTQ Californians. Assembly Member DeMaio offered supportive remarks while noting policy differences, and the resolution was adopted by voice vote after 53 co-authors were added. The Assembly then held a Pride honoree ceremony recognizing 15 individuals and groups for contributions to the LGBTQ community. On the floor file, members also adopted several resolutions by voice vote after adding co-authors: ACR 187 on Men’s Mental Health Month, ACR 157 marking the 50th anniversary of the Surface Mining and Reclamation Act, ACR 222 declaring Alzheimer’s Disease and Brain Awareness Month, and ACR 224 recognizing Social Media Harms Victim Remembrance Day. Each drew personal testimony from members about the underlying issues, including suicide prevention, caregiving and dementia, mining reclamation, and harms to youth from social media. The Assembly also concurred in Senate amendments to AB 46 on mental health diversion by a 51-1 vote, and later adopted the consent calendar 66-0. The House adjourned until June 25, 2026, at 9 a.m.

Transcript Highlights:

• It just means that we have a difference of opinion on policy, on how to treat people fairly, on how to
• ensure that everyone is treated with dignity, respect, and fairness, and afforded their constitutional
• Hey, I think government policies are off on how my church is treated and whether people respect our First
• They are afforded their rights, and they should be treated with dignity, respect, and fairness.
• Hart began first as a student, then as a physician, an educator, and eventually as president of Loma

Transcript Highlights:

• for Evidence-Based Gender Medicine highlights that Denmark also has made a resolute shift in how to treat
• We must treat the threat of suicide effectively and prioritize the mental health condition driving the
• We must treat the threat of suicide effectively and prioritize the mental health condition driving the
• So what happened is when they take the shot, when they get older, suicide rate and treat 20%.
• the way you want to be treated; love one another, and ...the way you want to be treated.

Transcript Highlights:

• Over 550 family medicine physicians have been trained in our program since we began.
• Over 550 family medicine physicians have been trained in our program since we began.
• Over 550 family medicine physicians have been trained in our program since we began.
• Over 550 family medicine physicians have been trained in our program since we began.
• </c> year does a survey of uh Physicians year does a survey of uh Physicians practicing<01:23:16.360>

Committee: House Higher Education Finance and Policy

Transcript Highlights:

• You will hear from the opposition today that infertility can be cured by treating root causes instead
• cured by treating root causes instead<00:09:54.320><c> of</c><00:09:54.399><c> IVF.
• </c> As a physician, my responsibility is to provide patients with safe, evidence-based care.
• of not treating the underlying health<00:27:10.159><c> issues.
• As a physician, our job is to make sure that donor is safe.

Bills: HF1758 , HF4437 , HF4353

Committee: House Commerce Finance and Policy

Keywords: infertility, health insurance, fertility preservation, medical assistance, MinnesotaCare, prediction markets, sports betting, online wagering, event contracts, election betting, political betting, sportsbook, gambling regulation, lawful gambling license, Gambling Control Board, unauthorized gaming, esports betting, financial technology, payment processor, advertising restrictions

Transcript Highlights:

• The growth that we've had to do in the last 15 years is mainly in the staffing of physicians.
• who's sitting over there at the corner did 1100 all by himself so now we have the adequate physician
• we look at the challenges that are ahead it's funding essentially again we've grown from5 to18 physicians
• But we need to get back up to levels that we can so we can fund those physicians that we hired last year
• We are never aware of this until vital records informs us. a physician who does not want to sign a death

Committee: House Public Safety

Transcript Highlights:

• So if I was a practicing physician and I left work within 5 years, I could come back to work without
• is important on the physician side, more than ever.
• </c><00:21:06.960><c> is</c> going for with the physician is going for with the physician is important
• <00:21:07.440><c> on</c><00:21:07.600><c> the</c><00:21:07.760><c> physician</c><00:21:08.080><c> side
• on the physician side uh more than<00:21:09.440><c> ever.

Committee: Senate Veterans, Military Affairs, & Public Protection

Transcript Highlights:

• In order to strive for this control, I have relied on my relationship with my physician, and over time
• Does this bill address any of that, or my concern at the heart of my concern is are we treating them
• differently than we're treating your massive e-commerce stores?
• Does this bill address any of that, or my concern at the heart of my concern is are we treating them
• differently than we're treating your massive e-commerce stores?

Bills: HF1606 , HF3733 , HF743 , HF2627 , HF4071

Committee: House Commerce Finance and Policy

Transcript Highlights:

• Anna Yap, an emergency physician here in Sacramento, and I'm here on behalf of the California Medical
• In a documented case, a physician discovered that an AI-generated version of her...
• As an emergency physician, I can tell you that patients do present later and sicker after relying on
• As physicians, our recommendations carry weight.
• I appreciate that for purposes of the bill, narrowing it so that it's just the physicians whose image

Committee: Senate Privacy, Digital Technologies, and Consumer Protection

Transcript Highlights:

• Detention centers, by their very nature, treat undocumented individuals worse than actual criminals who
• Detention centers, by their very nature, treat undocumented individuals worse than actual criminals who
• And we already treat the punishment for crimes committed by juveniles differently than we do adults.
• And we already treat the punishment for crimes committed by juveniles differently than we do adults.
• One is that it requires physicians to be responsible for diagnosing an incarcerated individual's illness

Summary: The committee began with a work session from the State Investment Board, where staff described the board’s structure, $230 billion in assets under management, and its mandate to maximize returns at a prudent level of risk for pension and other state funds. They reviewed long-term performance, noting strong historical returns and explaining that the board generally invests public equities passively through low-cost index funds. Members also discussed sustainability practices, including ESG integration, proxy voting, climate and DEI blueprints, and the board’s view that divestment or asset-class restrictions can reduce returns and increase costs. Senators asked about deferred compensation, legislative influence over investment policy, and digital assets; staff said the board is slow-moving and that any major change would be studied carefully. The public hearing then focused on SB 5439, which would prohibit new thermal coal investments beginning in 2026 and require full divestment by 2030, with limited exceptions. Supporters argued coal is a poor long-term investment and a major climate and health risk, and several said the bill still gives the board flexibility to retain holdings in companies transitioning to clean energy. The committee also heard testimony on SB 6109, which would bar investments in private detention facilities and require divestment by 2030; supporters said state money should not profit from immigrant detention, while staff confirmed the board currently holds a small investment in Geo Group. SB 6304 would require responsible investment principles for the State Investment Board, including consideration of human rights, environmental degradation, corruption, and related risks, along with proxy voting guidelines and annual reporting. Testimony in favor emphasized ethical investing, climate risk, and avoiding complicity in human rights abuses, while board staff had earlier said they view such decisions through an investment-risk lens rather than a values-based lens. The committee also heard Substitute SB 5945, which would exclude most offenses committed before age 18 from counting as strikes under the state’s persistent offender law and would allow retroactive resentencing for affected people, with exceptions for first- and second-degree murder and serious sex offenses. Staff said the substitute would likely affect fewer cases than the original bill, with estimates ranging from about 10 to 24 resentencings. Public defense, prosecutors, and sheriffs’ representatives raised concerns about workload, victim impacts, and retroactive application, while supporters and pro bono providers said they were prepared to help with resentencing and reentry support. No votes were taken during the hearing.

Transcript Highlights:

• MAT for opioid-addicted adolescents and young adults and sees it as a preferential treatment for treating
• And so, I don't know what the solution is, but we have to find a way to incentivize physicians to prescribe
• How do you treat somebody? Mr. Chair, Representative Vincent, most of the time it's an injection.
• you're reflecting the same thing that Allegra reflected, that we're having the challenge In finding physicians

Transcript Highlights:

• Health and Human Services Committee, House Bill 2444 allows a pharmacist to independently test and treat
• Health and Human Services Committee, House Bill 2444 allows a pharmacist to independently test and treat
• Health and Human Services Committee, House Bill 2444 allows a pharmacist to independently test and treat
• as amended by the Health and Human Services Committee, continues the Arizona Regulatory Board of Physician
• The full amount must be treated as a contribution. Could you explain that? Representative Powell?

Summary: The meeting was a caucus-style run-through of many bills and resolutions across Appropriations, Commerce, Education, Federalism/Military Affairs/Elections, Government, Health and Human Services, Judiciary, ENRU, Public Safety, and Rural Economic Development. Measures discussed included housing and HOA rules, school policy and funding, health care licensing and records timelines, public safety and corrections funding, election and campaign rules, water and environmental policy, and several criminal justice and juvenile justice changes. Many items were described as being on third-read consent or consent calendars, with staff often noting that no questions were raised and no sponsor was present. Several bills drew sponsor explanation or member discussion. In education, members reviewed bills on teacher strikes, school safety, math placement, student outcomes, free school meals, parent permission for clubs, and school bond ballot disclosures. In health, bills covered prior authorization data reporting, nursing board rules and complaint procedures, pharmacist testing/treatment authority, opioid antagonist expiration dates, board continuations, and a constitutional amendment on refusing medical mandates. In government and public safety, members discussed DCS legal representation, inmate medical records, public safety parity funding, sheriff authority, border support funding, and a resolution supporting county sheriffs. In commerce and housing, bills addressed condominium and HOA authority, shade structures, pet restrictions, insurance certificates, apprenticeship definitions, automatic renewal contracts, and a state housing affordability district. There was notable discussion on House Bill 4044, which would create a Public Safety Parity Fund for DPS and DOC salaries using interest from the state rainy day fund and other revenue sources. The sponsor argued it would provide a reliable way to fund public safety pay, while others objected that it would consume interest needed to preserve the fund’s value and that a general fund appropriation would be more appropriate. The bill prompted extended back-and-forth, with some members supporting the concept and others saying it was fiscally irresponsible. Another point of discussion came on House Bill 2775, where staff noted a possible misprint in the bill history, and on House Bill 467, where staff clarified that the inactive voter list changes related to e-poll book status categories. No formal votes were recorded in the transcript, and the meeting appears to have been a review of measures before floor action.

Transcript Highlights:

• happening or the way existing agencies... ...are happening or the way existing agencies or companies are treating
• animals, but to try to move us toward a future that maximizes the ability to treat animals more humanely
• Treating animals with integrity shouldn't be something earned after years of suffering.
• Treating animals with integrity shouldn't be something earned after years of suffering.
• Ignaz Semmelweis examined the differences between the clinics and found that the doctors at the physician

Bills: HB2361 , HB2542 , HB2629 , HB2394 , HB2274 , HB1078 , HB2294

Committee: House Consumer Protection & Business

Keywords: small loans, consumer protection, financial regulation, lending limits, credit access, animal testing, alternatives, ethical research, animal welfare, scientific methods, infrastructure, protection, safety, security, state regulations, public safety, insurance fraud, law enforcement, crime, penalties

Transcript Highlights:

• By passing House Bill 737, we align Louisiana law with the updated federal direction that now treats
• By passing House Bill 737, we align Louisiana law with the updated federal direction that now treats
• This is still going to be a conversation that is had between pediatricians, primary care physicians,
• So if you live too far away and aren't treated with antibiotics in time, the outlook is very grim.
• And so I do think that non-public schools and public schools are treated differently.

Bills: HCR47 , HB628 , HB737 , HB1008 , HB1062 , HB1079 , HB1112

Committee: House Education

Keywords: mandatory reporter, child abuse training, online training, Department of Children and Family Services, Department of Education, educator requirements, early childhood education, microcenter, school board, cooperative endeavor, economic disadvantage, vaccination, meningococcal disease, school entry, immunization requirements, public health, academic freedom, free speech, retaliation, faculty rights

Transcript Highlights:

• We ask that uncontracted funds not be treated as a lack of need.
• And I think the way the budget treated that is it assumed kind of no tax, and then when the... ...had
• treated that, it assumed kind of no tax, and then when the tax was approved, it provided additional
• Natalie Pita on behalf of the California Academy of Family Physicians.
• has included funding for emergency physicians treating Medi-Cal enrollees in the last three budgets.

Summary: The committee first heard May Revision child care and human services items. The Department of Child Support Services described two technical adjustments, which the analyst supported. The Department of Social Services then walked through child care proposals, including a reduction in federal and Proposition 64 funding absorbed through a shift from General Child Care to the Alternative Payment program, a 2.01% child care COLA, disaster-related infrastructure grants, a new administrative support cost structure for Alternative Payment agencies, the removal of prospective pay funding after a federal rule change, a reappropriation for existing infrastructure grants, and estimates of unspent child care funds. The Legislative Analyst’s Office recommended asking for more justification for shifting reductions to CAP, supported the COLA reduction but wanted consistency across programs, recommended removing prospective pay funding, opposed the administrative cost shift, and suggested further review of disaster grant alignment. Members pressed the administration on why more slots would be cut for the same savings, why the COLA was reduced, and whether the administrative percentage would grow over time. The administration said the changes were intended to avoid disrupting currently enrolled families, reflect point-in-time relinquishments and unspent funds, and stabilize contractor operations. Public commenters, including providers, advocates, and county representatives, urged full COLA funding, rejection of child care slot reductions, preservation of prospective pay, and continued investment in child care infrastructure and access. The subcommittee then recessed before moving to health items. In Part B, the Department of State Hospitals presented its May Revision proposals, including a central utility plant replacement project at Metropolitan State Hospital, funding for a continuum electronic health record system, reduced county bed billing authority to reflect phase-in of additional LPS beds, limited contract exemption authority for online clinical subscription services, reversion of prior-year unspent operating funds, and a workforce development proposal to use Behavioral Health Services Act funds instead of General Fund for training programs. The department said the EHR would modernize records and improve continuity of care, and that the contract exemption would prevent delays in essential clinical information services. No votes were taken in the excerpt provided.

Transcript Highlights:

• Looking at the physician professional expense, is some of that hospital as well?
• Some hospitals do own physician groups, and so there is some connection there.
• Those types of things can be billed differently if they're also treating them in professional.
• Another thing that tends to come up a lot is physician-administered drugs tend to be under physician
• addiction, for whatever depression issue you're having, as opposed to, I have a heart problem, it gets treated

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• Because of the 30% requirement, it doesn't allow us to treat our portfolio equally.
• I want to treat the Senator fairly. Do we have a table motion? Mr. Chair. Senator, yes.
• This would lead to an immediate and pretty drastic increase in surcharges for independent physicians
• More independent physicians have to pay higher premiums because of an action that I've taken today.
• I guess that's just the way I treated it. So, my bad.

Bills: SB132 , SB241

Committee: Senate House Appropriations & Finance

Summary: The committee first heard HB 158 as amended, which would require state agencies receiving appropriations from the Grow Fund to submit accountability and evaluation plans to the State Budget Division and the Legislative Finance Committee. LFC staff said the bill would put existing practice into statute and formalize agency reporting and evaluation responsibilities. The bill drew no opposition testimony, and after questions about whether agencies or LFC would do the evaluations, it passed on a 9-0 due pass vote. HB 255, the Public Safety Workforce Building Program, was then presented as a bipartisan measure to consolidate public safety workforce funding into a competitive grant program for local law enforcement, fire, detention, and public attorney offices. The sponsor said it would not require a new appropriation. There was no opposition testimony, and the committee approved it on a 9-0 due pass vote. The committee then took up SB 309, which would replace the lottery’s 30% return requirement with a fixed floor return for several fiscal years, with a reversion to the current law if the floor is not met. Lottery officials and supporters argued the change would let the lottery offer more competitive prizes, including higher-value scratchers, and potentially increase scholarship revenue; opponents, including Think New Mexico and a nursing student, warned it could cap long-term growth and reduce scholarship funding. After extended debate, the bill passed on a 7-2 due pass vote. Later, SB 79, creating a statewide mosquito-borne disease prevention program through the Department of Health, was presented by its sponsor as a response to West Nile virus and warmer winters. Testimony from the sponsor and the state entomologist emphasized rising mosquito risk and the need for county grants and statewide coordination. Although the committee initially moved to table the bill because funding had already been included in the budget, that motion failed and the bill ultimately received a due pass vote. The committee also heard HB 295, which would create a centralized accessibility reporting position in the Department of Health; after testimony for and against, an amendment stripping the appropriation was adopted, and the bill passed 5-3. The committee then heard HB 124, establishing an Office of New Americans within Workforce Solutions to coordinate workforce integration for immigrants with lawful status. Supporters described barriers faced by immigrant workers and the need for bilingual training and centralized assistance, while the sponsor said the office would have no first-year budget impact. The bill passed 6-4. Finally, the committee considered SB 273 and SB 274, both involving state financial support for affected entities and the Patient Compensation Fund. SB 273, which would provide temporary state assistance to communities affected by economic disruption, passed after debate about precedent and economic recovery. SB 274, which sought repayment from the Patient Compensation Fund for prior state infusions, drew opposition from hospitals and physicians who warned of higher surcharges and questioned the timing and legality; discussion continued around the committee substitute and the fund’s statutory restrictions.

Transcript Highlights:

• We represent thousands of physicians across the state of Utah in every specialty.
• It reduces hours for PAs in their collaboration with physicians and with other people. ...hours for PAs
• in their collaboration with physicians and with other PAs.
• , should be treated in the same way.
• So to give a brief summary of what these two bills do, to start off, these bills should be treated as

Committee: Joint Business and Labor Interim Committee

Transcript Highlights:

• I'm a physician, former athlete... Thank you. Hi, my name's Kim McElnay.
• I'm a physician, former athlete, former coach, and I strongly oppose this bill. Thank you.
• I'm a practicing family physician here in Sacramento.
• Kim Macklenay, also rendered as Kim McElnay, is a family physician, advocate, coach, and parent.
• I'm a family practice physician here in Sacramento, and I oppose this bill. Thank you.

Summary: The committee met on April 1, 2025, first adopting its rules and then taking up AB 89, a bill to require CIF to align girls’ high school sports with federal policy and restrict participation to biological females. The author and supporters argued the bill was needed to protect fairness, safety, privacy, and competitive opportunities for girls, citing individual student-athlete stories and examples of transgender participation. Opponents, including parents, athletes, advocates, and technical witnesses, argued the bill would stigmatize transgender youth, invite invasive scrutiny and harassment, and solve a problem they said was extremely rare or unsupported by data. After lengthy public testimony and debate, the committee rejected AB 89 on a 2-7 vote and sent it to the Committee on Education as a failed motion. The committee then heard AB 844, a related measure framed by the author as restoring competitive integrity, protecting student privacy, and bringing California into compliance with Title IX and federal directives. Supporters, including Matt Walsh and a student athlete who said she lost a varsity spot to a transgender student, argued that sex-based sports rules are necessary because biological males retain athletic advantages and that California risks federal funding if it does not change course. Opponents, including educators, parents, LGBTQ advocates, and trans youth, said the bill would increase bullying, harassment, and exclusion, and that existing policies have worked without evidence of harm from transgender athletes. Public comment was again heavily divided, with many speakers on both sides. The transcript ends during public testimony on AB 844, before any final committee vote or action is shown.

Transcript Highlights:

• also have to work with the medical board to make sure that the credentialing process that then the physicians
• much sees them throughout that cycle after that until they need to follow back up with the actual physician
• So what I don't see... ...until they need to follow back up with the actual physician.
• If you have coverage to treat but not diagnostics, you don't have adequate coverage.
• I'm really getting at here is we've talked about establishing something like memory net so that physicians

Committee: All ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL

Summary: The Alzheimer’s Disease and Dementia Advisory Council met to approve the August 12 minutes and then reviewed an updated Arkansas state plan for dementia. David Cook of the Alzheimer’s Association explained that the plan reflects newer research and treatments, and the council discussed adding objectives related to insurance coverage for diagnostics and therapies, access to specialists, provider education, and the use of biomarker testing. Members also raised concerns about low reimbursement rates, hospital financial strain, and the need to recruit and train more neurologists and advanced practice providers, especially in rural areas. The council approved the general outline of the state plan, with objectives to be refined later. The meeting then moved through proposed priority areas for the next state plan: dementia risk reduction and brain health, caregiver support, access to diagnostics and treatment, and access to quality care. Testimony emphasized integrating brain health messaging into existing public health efforts, reducing stigma by framing outreach around “brain health,” expanding education in underserved communities including Marshallese speakers, and improving referral networks and dementia resource centers. Members also discussed the need for more caregiver respite support, broader caregiver navigation services, and possible future legislation to strengthen those programs. Under access and quality of care, participants discussed gaps in Medicaid and other payer coverage, the need for rural telehealth and specialist networks, and the importance of training first responders, home care workers, and other direct care staff. Concerns were raised that some training requirements apply only to licensed providers, leaving private-pay home care outside the same standards. The council also reviewed membership participation and discussed possible changes to the statute to replace inactive members. No additional votes were taken beyond approving the state plan outline, and the council scheduled its next meeting for September 22 at 10 a.m. to focus on finalizing the state plan before the October 1 report deadline.