Transcript Highlights:

• wondering if this system operates all the way down to the medical records level or whether it just gives feedback
• wondering if this system operates all the way down to the medical records level or whether it just gives feedback
• whether it the medical records level or whether it just<00:10:35.920><c> gives</c><00:10:36.240><c> feedback
• > to</c><00:10:37.920><c> oh</c><00:10:38.480><c> I</c><00:10:38.800><c> referred</c> just gives feedback
• as to oh I referred just gives feedback as to oh I referred this<00:10:39.600><c> patient</c><00:10:

Keywords: 1189, house, all

Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.

Transcript Highlights:

• Upon receiving further feedback from stakeholders, it was determined that the first responders' resiliency
• Upon receiving further feedback from stakeholders, it was determined that the first responders' resiliency
• requirement for DEP, but does not remove any requirement to hold public hearings and accept public feedback
• So, again, I want to thank all of you for your support, for your feedback, and ask for your favorable
• So, again, I want to thank all of you for your support, for your feedback, and ask for your favorable

Summary: The Senate convened with an opening prayer, pledge, and several introductions recognizing visitors, students, local officials, and professional groups in the gallery. The chamber then took up a report from the Ethics and Elections Committee confirming 42 executive appointments; the report was adopted by a vote of 36-0. The Senate also adopted a resolution honoring the Ripple Project for childhood cancer awareness and funding. The bulk of the meeting was spent on special-order bills, many of them open-government sunset review measures and policy bills. The Senate passed bills preserving or updating public records exemptions for aquaculture records, trade secrets, and cybersecurity information; a child-abuse reporting statute of limitations bill; a commercial driving schools bill; a human trafficking training requirement for nursing graduates; a new injunction for protection against serious violence by a known person and its companion public-records bill; a nature-based coastal resiliency bill with an amendment restricting dredge-and-fill in Terra Ceia Aquatic Preserve; a chiropractic patient-funds bill; specialty license plate legislation; a one-time waiver for late financial disclosure fines; public school personnel compensation changes; the Florida Farm Bill with amendments protecting Everglades lands and technical corrections; homestead exemption clarification for long-term leaseholders; disability presumption clarifications for firefighters and law enforcement; reinsurance intermediary manager conformity changes; patriotic displays in public schools; ADS-B aviation fee restrictions; autism-related law enforcement training and a blue envelope program; public post-secondary safety policy requirements; and a bill allowing licensed agents to market health care sharing ministries. Several bills were temporarily postponed, including local vessel restrictions, temporary certificates for practice, and domestic animals. Members debated a number of measures, especially the health care sharing ministries bill, where opponents raised consumer-protection and commission concerns and supporters argued for free speech, religious liberty, and expanded consumer choice; it passed 32-5. Other debated bills included the autism law enforcement bill, the school athletics bill addressing coach support for student-athletes, and the Farm Bill, where senators discussed surplus land safeguards and biosolids timing. Most bills passed overwhelmingly, often 37-0 or 38-0, with a few closer votes such as the patriotic displays bill (36-2) and the health care sharing ministries bill (32-5).

Transcript Highlights:

• Under this bill, the advisory councils will continue to provide feedback and recommendations.
• In fact, um, the feedback I get is strengthening what we started back in 1990.
• In fact, um, the feedback I get is strengthening what we started back in 1990.
• In<00:48:58.480><c> fact,</c> In fact, In fact, um<00:49:00.559><c> the</c><00:49:00.880><c> feedback
• I get is strengthening um the feedback I get is strengthening what<00:49:03.599><c> we</c><00:49:03.920

Keywords: 958, all

Transcript Highlights:

• This is gathering community input, feedback through different engagement opportunities to inform our
• This is gathering community input, feedback through different engagement opportunities to inform our
• I think, from what we've heard and the feedback that they got, because the initial, those first districts
• Are you able to provide feedback and open the door to expand what is covered?
• I also have another student, I believe he's coming for the next panel to watch and give feedback.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• to deliver as many of those projects as possible, and we will go back and look and give you any feedback
• All I'll just say is as a topline feedback from our industry, we're supportive of alternative delivery
• All I'll just say is as a topline feedback from our industry, we're supportive of alternative delivery
• All I'll just say is as a topline feedback from our industry, we're supportive of alternative delivery
• As a topline feedback from our industry, we're supportive of alternative delivery methods.

Keywords: 00:05 Call to Order and Roll Call 01:20 Road Projects 46:30 Approval of Minutes 46:50 Railroads 57:26 Adjournment, 958, all

Summary: The Budget Review Subcommittee on Transportation met without a quorum, so it could not approve the minutes. The chair announced an Eastern Kentucky University health forum later that day and then proceeded with testimony on alternative delivery methods for road projects. Jason Sawala of the Kentucky Transportation Cabinet and Chad Laroo of the Kentucky Association of Highway Contractors were sworn in and introduced themselves. Sawala explained KYTC’s use of alternative delivery tools, including design-build, construction manager/general contractor (CMGC), and public-private partnerships (P3s). He said the cabinet’s goal is to deliver the best value to taxpayers in terms of quality, cost, and time, and emphasized that alternative delivery is most useful on projects with special circumstances such as innovation needs, specialized technology, complex constructibility, schedule pressure, or early contractor input. He cited the cabinet’s wrong-way driving prevention project as an example where design-build helped evaluate technologies and coordinate with stakeholders such as EMS and first responders. He also outlined the main tradeoffs: alternative delivery can improve collaboration and sometimes accelerate schedules, but it also brings risks related to right-of-way acquisition, utility relocation, changing scope, and the need for dedicated staff and compressed decision-making. He stressed that these methods are not a cure-all and are not appropriate for every project, while noting that traditional design-bid-build remains effective for most of KYTC’s work. Representative Branscum responded favorably, saying early contractor involvement is valuable and consistent with his experience in the vertical construction world. No votes or formal actions were taken because the committee lacked a quorum.

Transcript Highlights:

• that committee so that it's helpful to you or at least that it can give you some oversight and some feedback
• can give you some oversight<00:34:02.080><c> and</c><00:34:02.399><c> some</c><00:34:02.640><c> feedback
• c><01:00:16.720><c> or</c><01:00:16.960><c> to</c><01:00:17.200><c> provide</c><01:00:17.440><c> feedback
• </c><01:00:17.839><c> on</c><01:00:18.079><c> any</c> you pass or to provide feedback on any you pass
• or to provide feedback on any uh<01:00:18.640><c> suggestions</c><01:00:19.119><c> that</c><01:00:19.359

Keywords: 928, house, all

Summary: The committee opened by approving the September 5, 2025 minutes, with one member asking that future minutes use honorifics such as Mr. or Ms. The agenda was then adjusted so Police Standards and Training could present first. Director John Skipa reported on the 2019 performance audit, saying 12 of 16 findings were fully resolved and the remaining items were substantially or partially resolved. He highlighted work on a job task analysis to update curriculum and develop a more realistic physical aptitude test, including possible replacement of the long-used Cooper test and a shift away from mandatory baton training toward electronic weapons training. He said stakeholder work groups would meet in October and November, with a goal of completing the work by the first quarter of 2026. On the strategic planning and performance measurement finding, Skipa said the agency had relied on the 2019 audit and the LEAC report as guides while also implementing a digital records system. He acknowledged that a formal forward-looking strategic plan with the council had not yet been completed, but said he and the council chair wanted to do so, possibly through a retreat-style planning session. Members asked how many LEAC recommendations had been fully implemented; Skipa said he did not know the exact number but believed nearly all of the 22 items assigned to his agency were complete. On the administrative rules finding, he said a part-time former director had been brought back to help revise outdated rules, the council subcommittee had finished its work, and proposed changes would be sent to the full council, then to stakeholders and the public, with a public hearing expected and implementation targeted for 2026. For the Corrections Advisory Committee finding, Skipa said the committee had been reconvened in 2020 and 2021 but had limited usefulness because the statutorily named members were mostly high-level administrators rather than line supervisors or newer corrections staff. He said some positions later went unfilled because of budget and staffing issues, and the committee had not been called back, but he was open to either informal adjustments or possible legislative changes to make the committee more useful. Committee members suggested that the statute may need to be amended to allow more appropriate designees or supervisors to participate. After Police Standards and Training concluded, the committee moved on to the Office of Professional Licensure and Certification, where the executive director said he would focus on the partially resolved items in the dental examiner audit and the National Path audit, noting that many changes were tied to recent statutory revisions.

Transcript Highlights:

• We've already received feedback from systems that adding a compliance component to the portal would be
• have been thinking far enough, or their indication is too small, you know, and they will get that feedback
• And one of my friends gave me feedback saying, 'You looked so serious.' No answer.
• And one of my friends gave me feedback saying, you looked so serious.
• And one of my friends gave me feedback, saying, “You looked so serious.”

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee heard budget presentations from the Legislative Budget Board and agency officials on several agencies, starting with the Texas Historical Commission. LBB described a large biennial reduction driven mainly by the removal of one-time funding and discussed capital projects, rider changes, and exceptional items including Presidio La Bahia and the National Museum of the Pacific War. Senators asked about heritage trails, courthouse grants, unexpended balance authority, and the status of historical-site funding. Historical Commission leadership emphasized preservation, courthouse restoration, heritage tourism, coordination with the Alamo and other Texas Revolution sites, and requested additional IT, staffing, and vehicle funding. No votes were taken. The committee then reviewed the Pension Review Board and the Employees Retirement System. The Pension Review Board’s budget was largely unchanged aside from IT maintenance and salary adjustments, with an exceptional item for additional IT enhancements. Members discussed the Dallas Police and Fire Pension System’s funding dispute and the need for a workable restoration plan. ERS presented a much larger budget, including funding for the retirement system, the group benefits plan, and the legacy payment intended to reduce unfunded liability. Senators focused heavily on pension investment returns, benchmark comparisons, and rising health-care costs, especially pharmacy spending driven by GLP-1 drugs; ERS said the plan covers about 540,000 lives and that premiums would rise 8% while benefits remain unchanged. ERS also said it had no exceptional items, and committee members requested more detailed benchmark information. The committee also heard from the Texas Emergency Services Retirement System and the Cancer Prevention and Research Institute of Texas. TESSORS reported an unfunded liability, an infinite amortization period, and requested additional state support, staffing, and IT funding, including a statutory change to allow a higher contribution level; the agency warned that without more funding it may have to cut benefits. CEPRIT’s presentation covered its bond-funded cancer research and prevention portfolio, revenue-sharing from funded projects, and a request to increase salary limits for its CEO and chief scientific officer. Senators questioned CEPRIT’s accomplishments and return on investment, while CEPRIT cited screening, prevention, and research outcomes, including tens of thousands of detected cancers and precursors and hundreds of thousands of first-time screenings. The meeting ended after these presentations and questions, with no recorded committee action or vote.

Transcript Highlights:

• KHA collects data from our hospitals and provides that to our partners at Medicaid, and we provide feedback
• KHA collects data from our hospitals and provides that to our partners at Medicaid, and we provide feedback
• KHA collects data from our hospitals and provides that to our partners at Medicaid, and we provide feedback
• KHA collects data from our hospitals and provides that to our partners at Medicaid, and we provide feedback
• KHA collects data from our hospitals and provides that to our partners at Medicaid, and we provide feedback

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• We benefit from the raw Feedback that we get from Minnesotans shapes our opinions and our perspectives
• Listening to feedback as constructive criticism is actually a good thing, because then you can figure
• Listening to feedback as constructive criticism is actually a good thing, because then you can figure
• Listening to feedback as constructive criticism is actually a good thing, because then you can figure
• Listening to feedback as constructive criticism is actually a good thing because then you can figure

Keywords: 1183, house

Transcript Highlights:

• I think there was a lot of feedback today that we'll want to maybe make sure we get answers on um and
• I think there was a lot of feedback today that we'll want to maybe make sure we get answers on um and
• I think there was a lot of feedback today that we'll want to maybe make sure we get answers on um and
• I think there was a lot of feedback today that we'll want to maybe make sure we get answers on um and
• I think there was a lot of feedback today that we'll want to maybe make sure we get answers on um and

Keywords: 1187, senate, all

Transcript Highlights:

• Um, the feedback from school psychologists is that they're swamped, and there are districts with only
• So, we've gotten quite a bit of feedback and support for the initial bill. Chair.
• from the Kentucky Department of feedback from the Kentucky Department of Education<01:27:53.679><c>
• So, we've gotten quite a bit of feedback<01:28:12.400><c> and</c><01:28:12.800><c> support</c><01:28:
• and support um for the initial feedback and support um for the initial bill. bill. bill.

Keywords: 958, all

Transcript Highlights:

• We're in the process of negotiating, waiting for some feedback from the GOP on offers that have been
• We're in the process of negotiating, waiting for some feedback from the GOP on offers that have been
• We're in the process of negotiating, waiting for some feedback from the GOP on offers that have been
• We're in the process of negotiating, waiting for some feedback from the GOP on offers that have been
• </c> negotiating, waiting for some feedback negotiating, waiting for some feedback from<01:32:54.480>

Keywords: 1183, house

Transcript Highlights:

• They come back to us with great feedback.
• </c> they come back to us with great feedback they come back to us with great feedback they<00:10:58.800
• We never got any feedback. If we do get feedback, it's something very arbitrary.
• There's no information, no feedback, so we appreciate your time.
• There's no information, no feedback, so we appreciate your time.

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• I appreciate all the feedback and ways we can continue to work on this bill to strengthen it.
• I really thank the opposition for being here today as well as for your feedback and sharing some of the
• I appreciate all the feedback in ways we can continue to work on this bill to strengthen it.
• I really thank the opposition for being here today as well as for your feedback and sharing some of the

Keywords: 987, senate, all

Transcript Highlights:

• here in Baton Rouge is that they're not just treating; they're just requesting, they're getting feedback
• , and then they're treating accordingly to the feedback they're getting without looking at the guidelines
• They're asking for permission, and, you know, if they get feedback that it doesn't match the guidelines
• So we're working on some amendments right now, but this is what we're working on: to get your feedback

Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.

Transcript Highlights:

• We've taken extensive feedback through this process to make sure that the amendment and the underlying
• We've taken extensive<00:08:32.479><c> feedback</c><00:08:32.919><c> through</c><00:08:33.120><c> this
• </c><00:08:33.320><c> process</c> extensive feedback through this process extensive feedback through

Keywords: 1183, house

Transcript Highlights:

• So the next board meeting sometime in May will lay out, again, based on feedback from many stakeholders
• , kind of our summary of what we think that structure should look like, get the feedback, fine-tune it
• Should look like, get the feedback, fine-tune it, and then we'll start.
• I think you probably know and deep should look like, get the feedback, fine-tune it, and then we'll start

Summary: The hearing focused on the Governor’s Office of Business and Economic Development (Go-Biz) and several related budget proposals. Director D.D. Myers described the California Jobs First economic blueprint, regional planning efforts across 13 regions, and the state’s strategy to target sectors such as ag tech, space, life sciences, semiconductors, and emerging technologies. She also discussed the California brand campaign, export promotion, film tax credits, and the California Civic Media Fund, emphasizing job creation, regional equity, and business attraction/retention. Members raised questions about support for journalism, arts and creative industries, AI’s impact on jobs, foreign direct investment, manufacturing, tariffs, and how the Jobs First framework is being implemented across regions. Go-Biz then presented trailer bill language to extend the encumbrance deadline for remaining Jobs First administrative funds and to codify the Office of Regional Economic Development Initiatives. The department said $95 million of the $100 million Jobs First appropriation had already been deployed to grants for counties and tribes, and members asked for more information on regional outcomes, including Orange County and the North State. Public comment supported Jobs First and the Small Business Development Centers’ role in helping businesses access capital and create jobs. The committee also heard a request for ongoing CalExport funding to replace uncertain federal STEP support; the LAO noted the Legislature may want to weigh whether to backfill federal reductions, while Go-Biz argued the state program is needed because federal support appears unlikely to continue and demand exceeds available funding. The committee next heard the film and television tax credit staffing request. Go-Biz asked for funding for three permanent positions to manage the expanded program, and the LAO recommended approval given the increased workload. The Film Commission reported a sharp rise in applications after AB 1138 and the program expansion, with productions taking place both inside and outside the Los Angeles 30-mile zone and activity spread across the state. Finally, Go-Biz presented a request for one permanent position and one graduate student assistant to support innovation and emerging technologies, including quantum and fusion. Members asked about the use of the state’s quantum funding, and staff explained it would support microgrants, state capacity-building, and workforce education. No formal votes were taken in the portions provided, and the chair indicated some items would be moved and heard later in the agenda.

Transcript Highlights:

• . >> Oh, just um, just get your feedback on something because you do work with the elderly and with public
• c><00:17:59.120><c> just</c><00:17:59.360><c> get</c><00:17:59.520><c> your</c><00:17:59.679><c> feedback
• </c><00:18:00.000><c> on</c> &gt;&gt; Oh, just um just get your feedback on &gt;&gt; Oh, just um just
• get your feedback on something<00:18:00.559><c> because</c><00:18:00.799><c> you</c><00:18:01.120><c

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard a series of gubernatorial nominations, primarily to the State Rehabilitation Council, the Policy Advisory Board for Elder Affairs (PABEA), the Hawaii State LGBTQ+ Commission, and the Center for Nursing Advisory Board. Nominees included Patrick Gartside, Judith Daniels, James Montgomery (not present), Christine Park, Tammy Napoleon, Scott Spelina, Roy Katsuda, and Dr. Sylvia Rom. Each nominee described their background and why they wanted to serve, with recurring themes of disability advocacy, vocational rehabilitation, nursing workforce development, elder issues, and LGBTQ+ health and community support. Department of Human Services and Executive Office on Aging representatives generally testified in strong support of the nominees and emphasized their qualifications and relevance to the boards’ missions. Members and agency witnesses also discussed substantive policy issues during the nominations. For PABEA nominee Scott Spelina, the committee asked about a bill involving strict liability and elder abuse-related criminal penalties; Spelina supported the approach, saying it would be easier to enforce and better protect seniors. For other nominees, testimony highlighted the need for stronger rehabilitation services, qualified vocational rehabilitation counselors, adult education partnerships, and nursing recruitment and retention, especially on Kauaʻi. Dr. Sylvia Rom’s nomination drew broad support from commission members and community supporters, with testimony focusing on LGBTQ+ health, gender-expansive youth, and intersectional advocacy. No final votes were taken during the hearing. The chair repeatedly stated that decision-making would be deferred until later in the calendar, and in some cases until the nominee was present or quorum was available. One nomination, James Montgomery, was skipped because he was not present on Zoom, and Kevin Nakamura’s nomination was also deferred to a later date. The committee accepted written and oral testimony and generally moved through the nominations without questions from members.

Transcript Highlights:

• but they were intellectually and academically involved, uh, their awareness of the process and the feedback
• their awareness of the process<01:18:01.400><c> and</c><01:18:01.480><c> the</c><01:18:01.560><c> feedback
• </c><01:18:02.160><c> we</c><01:18:02.280><c> got</c><01:18:02.520><c> from</c> process and the feedback
• we got from process and the feedback we got from them<01:18:02.840><c> on</c><01:18:02.960><c> an</c

Keywords: In an effort to stave off issues that may occur with long format live streams, we have split this stream into two parts., 958, all

Transcript Highlights:

• In the meantime, we are still making progress toward defining and gaining feedback about single-rate
• Based on feedback from our programs, we believe that state preschool could serve a larger share of two-year-olds
• I believe we have shared it after last week, but that is with family feedback, and so the absences do
• So there's a lot of consideration to put families first that we used with the feedback we received from

Summary: The Assembly Budget Subcommittees on early childhood education heard a broad review of the Governor’s child care and preschool budget proposals, with testimony from the Department of Finance, the Department of Social Services (CDSS), the California Department of Education (CDE), and the Legislative Analyst’s Office (LAO). The main topics were cost-of-care-plus and COLA adjustments, the California State Preschool Program, child care slot reductions tied to federal and Proposition 64 funding changes, disaster recovery grants for child care facilities, trailer bill proposals on family fees and absences, prospective pay, and several budget change proposals for departmental staffing and licensing. Officials also discussed the state’s transition toward an alternative methodology for setting rates based on the true cost of care. On rate reform, CDSS and CDE said the current reimbursement system remains below the alternative methodology in many counties and that providers continue to struggle with recruitment and retention. The LAO recommended aligning cost-of-care-plus increases across provider types, while CDE urged that any COLA be added to base rates rather than cost-of-care-plus payments because providers view the latter as less ongoing. CDSS said the next alternative methodology update will be developed with a contractor during fiscal year 2026-27, with public engagement and legislative input, and estimated that fully transitioning to rates informed by the methodology would take about 24 months once policy and funding are in place. CDSS also said the direct-service cost of care under the methodology was estimated at about $18.7 billion in a July 2025 report. A major point of contention was the proposed reduction of 4,167 child care slots due to lower federal CCDF funding and reduced Proposition 64 revenue. CDSS said it expects to absorb the reduction through unspent funds and relinquishments so currently enrolled children are not disrupted, while the LAO supported the reduction as a way to avoid worsening the structural deficit. Members strongly objected to the slot cuts, arguing the administration has repeatedly proposed reductions after prior budget agreements and emphasizing the economic and family benefits of child care. The committee also discussed preschool enrollment trends, including growth in three-year-old enrollment and a sharp increase in two-year-olds served under a temporary provision, with CDE warning that the temporary two-year-old authority expires in 2027. The committee also reviewed an $11.5 million Proposition 64 proposal for child care infrastructure grants for facilities impacted by 2025 state disasters, especially the Los Angeles fires, and members asked for trailer bill language to make the funds flexible for repairs, equipment, insurance, and permitting. On trailer bill items, the panel discussed codifying family fee reimbursement rules, defining excessive unexplained absences to allow disenrollment after prolonged nonuse, and expanding temporary provider absences; CDSS said the absence policy is meant to mirror federal CCDF rules, while CDE said it is already pursuing its own rulemaking. The hearing also covered prospective pay, with CDSS and CDE saying they are waiting for final federal guidance before moving ahead; LAO said the state could save ongoing costs if the federal requirement is rescinded. Finally, the committee reviewed staffing and support budget requests for CDSS and other implementation items, and held several items open for further discussion before the May Revision. Public comment overwhelmingly urged full funding for child care slots, true cost-of-care payments, and ongoing support for early education programs and county offices of education.