Transcript Highlights:

• Emergency medical calls now take hours, not minutes.
• than... ...and maintenance, we increase the likelihood of emergency closures rather than planned investments
• I know—are you prepared a detailed plan?
• issue rather than a public safety emergency.
• Emergency response routes were constrained.

Summary: The Senate Transportation Committee began with a work session on the Fairfax Carbon River SR-165 Bridge closure and replacement. Wilkeson Mayor Jamie Pololi described the bridge as a long-neglected state asset whose closure cut off a gateway community from Mount Rainier access, hurt local businesses and municipal revenue, complicated emergency response, and severed access to public lands. Pierce County’s Melissa Littleton emphasized that the Fairfax closure, along with recent bridge closures from other causes, shows the need for stronger preservation and modernization funding. WSDOT’s Steve Rourke explained that the 105-year-old bridge was permanently closed after structural failure, that a detour route on private property is now the only access for some residents, and that the agency’s planning study considered seven alternatives; the current recommendation is to continue geotechnical work and NEPA review, with construction likely taking 24 months or more once a design is finalized. Committee members asked about detour distance, speeding up the project, emergency authority, historic-preservation issues, community mitigation, and funding needs; WSDOT said about $7 million in existing preservation funds has already been used and more will be needed. The committee then heard public testimony on proposed substitute Senate Bill 5987, which would declare the Fairfax Bridge closure an emergency, direct WSDOT to restore SR-165 access as soon as possible, and give the transportation secretary some emergency authorities. Supporters, including the mayor, residents, recreation advocates, and trail groups, said the bill is needed because the closure was foreseeable, has harmed local economies and recreation access, and lacks a current emergency response pathway. WSDOT testified in opposition, warning that the bill could create false expectations because most of the timeline is driven by federal environmental review and historic-preservation requirements that the secretary cannot waive. The bill drew strong support in testimony, with 606 pro, 1 con, and 2 other recorded on the sign-in tally. The committee also heard Senate Bill 6170, which would raise dollar thresholds for state highway work performed by state forces and for certain contracting rules that help small and disadvantaged businesses compete. Staff said the limits have not been updated since 2005 and the bill would increase the normal state-force threshold from $60,000 to $100,000 and the emergency threshold from $100,000 to $160,000. Senator King, the prime sponsor, said the change would better match inflation and help keep maintenance work in-house when appropriate. Washington Federation of State Employees and WSDOT supported the bill, saying it would help maintenance workers do more timely work without harming existing equity and small-business contracting programs; the committee noted 55 pro and no con on the sign-in tally. The chair then reminded members that amendment requests for the upcoming executive session were due the next day, and the committee adjourned.

Transcript Highlights:

• A plan can approve, modify, delay, or deny a request in whole or in part, based A plan can approve, modify
• that operate in their county, but not with plans that operate outside of their county.
• A facility might have contracts with the plans that operate in their county, but not with plans that
• operate outside of their county.
• In closing, the implementation of emergency medical... ...emergencies.

Committee: House Health

Summary: The Assembly Health Committee heard a special order of bills focused largely on utilization management and prior authorization in health care. Chair Bonta opened by explaining the committee’s rules and noting several consent items, then moved into bills aimed at reducing delays and barriers in coverage decisions for mental health, substance use disorder treatment, chronic care, and rehabilitation services. The committee also noted AB 1429 had been pulled from the agenda. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and for physician care delivered during those inpatient stays. Supporters, including behavioral health groups, hospitals, emergency physicians, and patient advocates, argued that prior authorization delays crisis care and can worsen outcomes. Opponents, including health plans and insurers, warned about fraud, waste, abuse, and ambiguity around residential treatment facilities and review processes. The bill passed the committee on a do pass as amended vote and was sent to Appropriations, though it was placed on call. AB 510 by Assembly Member Addis would require health plans to provide a peer of the same or similar specialty when a treating provider appeals a prior authorization decision. Supporters said this would make appeals fairer and more clinically informed; opponents said the specialty-matching requirement and timelines were unworkable and could strain the system. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the prescribed treatment, with supporters citing chronic illness and cancer care delays and opponents arguing the bill was too broad. AB 669 by Assembly Member Haney would bar certain utilization reviews for the first 28 days of in-network substance use disorder treatment and limit prior authorization for related outpatient medications; it drew strong emotional support from a parent who lost her son after treatment was cut short, while insurers and health plans opposed it as too restrictive. AB 512 by Assembly Member Harabedian would shorten prior authorization turnaround times to 24 hours for urgent requests and 48 hours for non-urgent requests, and AB 574 by Assembly Member Mark González would allow up to 12 physical therapy sessions for a new episode of care without prior authorization. Across these bills, supporters emphasized timely access and patient harm from delays, while opponents repeatedly raised concerns about oversight, medical necessity review, and cost. Several measures were voted out on call or held on call for later action.

Transcript Highlights:

• in an emergency.
• Will there ever be a plan again to be able to handle the emergencies of people, or is it just appointment
• emergencies as well.
• savings, approximately $15 million of operational savings, as part of our plan for addressing the deficit
• savings approximately $15 million of operational savings a part of our plan for addressing the the deficit

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing focused on House Bill 55, the governor’s FY25 supplemental budget proposal to spend about $1.3 billion in surplus Fair Share revenue. House and Senate chairs framed the bill as a one-time opportunity to invest fairly in education and transportation, while also noting the need to protect the state’s long-term fiscal balance. Administration officials said the proposal should be considered alongside the FY26 budget and related bills, since the governor’s broader Fair Share plan aims for roughly an even split between education and transportation over time. Secretary of Administration and Finance Matthew Gorzkowicz, Transportation Secretary Monica Tibbits-Nutt, and Education Secretary Patrick Tutwiler outlined the administration’s priorities. Transportation funding would go mainly to the MBTA and related reserves, including money for the Federal Transit Administration reserve, MBTA stabilization reserve, low-income fares, winter resilience, RTA workforce support, MassDOT workforce and project delivery, and micro-transit grants. Education funding would support universal preschool expansion, early education and care capacity, early literacy tutoring, adult basic education and ESOL, early college and career technical education, MyCAP expansion, and special education circuit breaker funding. The administration emphasized that many of these investments are one-time or multi-year measures designed to address current needs without creating unsustainable recurring costs. Committee members raised concerns about regional equity, especially the large share of transportation money going to the MBTA versus regional transit authorities and rural areas. Several members asked for more detail on how the proposal would benefit Western Massachusetts and other non-MBTA regions, and whether micro-transit and Chapter 90-related investments would be sufficient. Education questions focused on special education reimbursement shortfalls, federal funding cuts to school districts, and how CTE and vocational investments would align students with workforce needs. The administration said it would provide additional data on MBTA versus RTA investment and explained that the special education circuit breaker and transportation reimbursement changes were intended to improve predictability and relief for districts. After the administration panel, Jessica Tang of AFT Massachusetts testified in support of using Fair Share funds to protect public education amid federal uncertainty and cuts. She argued that schools are facing a fiscal cliff, that vulnerable students would be hit hardest by funding losses, and that the Fair Share revenue should be used to preserve services and support students’ needs.

Transcript Highlights:

• opt in after being in operation for 25 years.
• only opt in after being in operation for 25 years.
• As mentioned, we saw this during the 2001 energy crisis when emergency hydro system operation killed
• During an emergency, people turn to internet and social media, while emergency responders and agencies
• “Or the operations there would be impacted.

Bills: HB2521 , HB2249 , HB1796

Committee: Senate Ways & Means

Keywords: firearms, background check, gun control, public safety, legislation, HB 2249, Washington Technology Solutions, WaTech, civil service, classified service, exempt employees, state employment, state personnel, network security, cybersecurity, information technology, IT contracting, data center, systems integration, network engineering

Transcript Highlights:

• Our plan in Montana is a multiple-employer, IRS tax-qualified length of service award plan.
• We do not allow emergency responders to participate in the plan.
• It's better use of planning and resources among the different agencies so that way they can operate together
• In emergency management, we have a six-week plan right now to go...
• In emergency management, we have a six-week plan right now to go through the problem discovery, solutioning

Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.

Transcript Highlights:

• , Individual Education Plan, Individual Program Plan, Section 504 plan, or incidental medical service
• plan.
• plans or otherwise disproportionately burden Medicaid plans.
• plans equally.
• Emergency services.

Transcript Highlights:

• Operations nations.
• , which was the Medi-Cal plan.
• This Thursday, we are planning to release an H.R. 1 implementation plan.
• Care Health Plan. L.A.
• Care is the largest publicly operated health plan in the nation, serving over 2.2 million enrollees in

Committee: House Health

Transcript Highlights:

• These small emergencies from the FEMA lens are large emergencies for small communities.
• So we do... ...emergencies from the FEMA lens are large emergencies for small communities.
• This is a phased transition plan to get us from the version of next general A phased transition plan
• routing issues and operability issues.
• You need to have, you know, sort of a failover plan for your failover plan so that in, you know, to get

Summary: The Senate Budget Subcommittee on Corrections, Public Safety, Judiciary, Labor, and Transportation heard updates from the Office of Emergency Services (Cal OES) and the Department of Justice. Cal OES Acting Director Tina Curry described the department’s proposed budget, disaster response and recovery work, Los Angeles wildfire recovery, FEMA reimbursement delays, hazard mitigation grant applications, planning for major events like the FIFA World Cup and LA28 Olympics, and the state’s next generation 911 priorities. Senators raised concerns about Operation Stonegarden, small-disaster recovery delays, FEMA reimbursement timing, VOCA funding, and the need for more detailed reporting on federal grants and recovery costs. The committee then focused on Next Generation 911. Cal OES staff said the current regional deployment encountered call-routing and transfer failures, leading the department to pause further rollout and propose a new phased plan centered on a statewide provider, followed by an open procurement for a long-term vendor. They said the plan is intended to improve reliability, simplify architecture, and support Los Angeles-area PSAPs ahead of the Olympics, with a target of full statewide transition by summer 2030. The Legislative Analyst’s Office urged the Legislature to pause major changes until it receives more information, including a clearer explanation of the problems, alternatives considered, costs, cybersecurity and privacy issues, and oversight needs. Members expressed mixed views, with some supporting a joint oversight hearing and requesting quarterly fiscal reports and monthly progress updates. The Department of Justice then presented its overall workload, emphasizing public safety enforcement, fentanyl and human trafficking prosecutions, housing enforcement, civil rights work, and extensive federal litigation against the Trump administration. DOJ said the additional federal accountability work has significantly increased staffing and overtime demands, though it has hired 44 additional employees. The committee also heard DOJ’s firearms workload proposal, including funding for SB 704 implementation, continued firearms IT modernization, and a proposed shift of Bureau of Firearms costs to the General Fund. The LAO recommended using special funds and loans instead of ongoing General Fund support where possible, and asked DOJ to develop a framework by January 2027 for determining which firearms and ammunition workload should be supported by fee revenue. The Department of Finance largely agreed with the need for SB 704 funding but disagreed with the LAO’s proposed loan approach for the firearms account.

Transcript Highlights:

• more clearly what the exit plan is and expands Medi-Cal eligibility for this exit plan.
• I can understand the concern that in an emergency room, there are emergency situations...
• However, in this case, emergency services and care is related to not just emergency room care, but also
• Many of the deep discounts plans and insurers can achieve are possible when health plans and insurers
• have robust visibility into plan finances, and the public has meaningful insight into plan operations

Committee: House Health

Transcript Highlights:

• These small emergencies, from the FEMA lens, are large emergencies for small communities.
• routing issues and operability issues.
• You need to have, you know, sort of a failover plan for your failover plan so that, you know, to get
• And there doesn't seem to be the plan, your plan, to address these serious concerns.
• That's the Emergency Number Association.

Transcript Highlights:

• implement those plans.
• This quick response, it was the result of our emergency planning and training.
• We're planning for population growth, and we're planning by the Cascadia, high-speed rail, and I-5 programs
• We'd also like to get it up to a standard that works for today's operations and operations into the future
• The storm was a good 10 days where we were responding with outreach and operations and an operations

Bills: SB5989

Committee: Senate Transportation

Keywords: aircraft fuel tax, tax revenue distribution, aviation funding, transportation, state revenue

Transcript Highlights:

• And what it results is, to your point, these small emergencies from the FEMA lens are large emergencies
• routing issues and operability issues.
• You need to have, you know, sort of a failover plan for your failover plan so that, to get to the level
• And there doesn't seem to be the plan, your plan, to address these serious concerns.
• That's the Emergency Number Association.

Summary: The committee heard an overview from Cal OES on disaster response, LA wildfire recovery, federal FEMA reimbursements, security monitoring, and the state’s 911 transition. Cal OES said its budget supports disaster preparedness and recovery, including ongoing work in Los Angeles, where it reported about 700 FEMA public assistance applications totaling roughly $1.2 billion and about $545 million in state wildfire response and recovery funding already allocated under AB 100. Members pressed for more detail on FEMA delays, hazard mitigation grants, federal event planning, and the status of Operation Stonegarden, while also raising concerns about small-disaster recovery, federal shutdown impacts, and the need for more timely reporting. A major portion of the hearing focused on Next Generation 911. Cal OES described problems with the current regional deployment, especially call-routing and transfer failures, and said it now plans to shift to a statewide provider as an interim step, then run an open procurement for a long-term vendor. The agency said it expects to execute a bridging contract in the coming weeks, release an RFP in the second quarter of 2026, award a long-term contract in the fall, begin transitioning Los Angeles-area PSAPs ahead of the 2028 Olympics, and complete statewide migration by summer 2030. The LAO urged the Legislature to pause further implementation until it has more information on the problems, alternatives, costs, privacy/security issues, and oversight needs, and recommended quarterly and monthly reporting if the project proceeds. Several senators echoed concerns about cost, redundancy, cybersecurity, and whether the statewide model could create new risks, and the chair said she would pursue a joint oversight hearing with the Emergency Management Committee and seek input from the State Auditor. The Department of Justice then presented its overall workload and budget pressures. DOJ highlighted its work on fentanyl enforcement, human trafficking, firearms recovery, housing enforcement, consumer protection, environmental and civil rights litigation, and a large federal litigation workload, saying it has filed 59 lawsuits against the Trump administration and won most of them. DOJ said the added federal cases and other mandates have strained existing staff, though 44 additional hires have been made. Members praised DOJ’s work on immigration, housing, and federal accountability, and asked for more information on detention facilities and staffing. The committee also reviewed DOJ’s firearms-related budget proposals. DOJ requested funding for continued firearms IT modernization, implementation of SB 704 on firearm barrels, and a temporary shift of Bureau of Firearms costs to the General Fund. The LAO supported the IT modernization request but recommended funding SB 704 from the Dealer’s Record of Sale Special Account, with startup costs covered by a loan from the Firearm Safety and Enforcement Special Fund, and suggested limiting the General Fund shift to one year and treating it as a loan. The LAO also asked DOJ to develop a framework by January 10, 2027, for deciding which firearm and ammunition workload should be supported by fee revenue rather than the General Fund.

Transcript Highlights:

• . ...for natural disasters and I think man-made, natural emergencies and man-made emergencies.
• emergencies, or does that apply to existing emergencies and those that are renewed?
• This is for new emergencies. Representative... Thank you, Rep. This is for new emergencies.
• have to be a new emergency.
• be a brand-new emergency?

Summary: The House convened with prayer, the Pledge of Allegiance, quorum calls, and several recognitions before taking up a series of Senate messages and House motions. Members also recognized House Sergeant at Arms staff, visitors in the gallery, and family members. The chamber approved the journal and then moved into message lists and concurrence motions on several bills. On CS/CS/SB 1668, relating to the Florida Birth-Related Neurological Injury Compensation Association (NICA), the House concurred in a Senate amendment that clarified that if the NICA plan lacks adequate cash flow, the Office of Insurance Regulation may authorize a cumulative transfer of up to $20 million over the life of the plan and removed a proposed time limit on provider assessments. The bill then passed 96-2. The House also concurred in a Senate amendment to CS/CS/CS/HB 905, the foreign influence bill, after debate over a proposed strike-all amendment that would have removed surrogacy-related language; that amendment failed. Supporters said the bill still retained key foreign-influence restrictions, while opponents objected to the surrogacy provisions and other remaining restrictions. The bill passed 83-17. The House then took up CS/CS/HB 1279 on education. The Senate amendment added provisions on tuition residency for certain military and State Department families, a one-year deferral option for Benacquisto Scholarship recipients, virtual school notifications, educational emergency authority for persistently low-performing schools, epinephrine flexibility, VPK and New Worlds Reading changes, math pathways, dance credit, IEP service notifications, charter school safety officer options, and FEFP adjustments for Florida advanced courses, while removing several House provisions including the 95% Florida resident requirement for preeminent universities, the 5% cap on undergraduate international enrollment, and DEI-related provisions. Debate focused heavily on the educational emergency and collective bargaining language for persistently low-performing schools, with supporters saying it would help districts improve student performance and opponents warning it would weaken unions and affect schools that are not truly failing. The bill passed 81-16. Finally, the House considered CS/CS/CS/HB 399 on land use and development regulations. An amendment to repeal portions of last year’s SB 180 was ruled not germane. The House then took up a Senate amendment on compost facilities that would bar local governments from conditioning compost-facility approval on the purchase of additional property to expand a privately owned road and would limit local revocation of permits when facilities comply with state or regional environmental regulation; debate began on that motion as the transcript ended.

Transcript Highlights:

• funding for that plan.
• </c><00:03:30.799><c> Uh</c> plan and the funding for that plan.
• Uh plan and the funding for that plan.
• </c> funds for the from the governor's plan. funds for the from the governor's plan.
• </c> operations, direct care, and treatment. operations, direct care, and treatment.

Committee: House Capital Investment

Transcript Highlights:

• We released an all-plan letter for our dental managed care plans at the end of October 2025 and continue
• Emergency services, dental emergency services, would still be covered under emergency services.
• for the 2027 plan year.
• This allows us to staff emergency departments at higher levels with more emergency physicians, so this
• Emergency rooms are already overrun.

Transcript Highlights:

• operations...
• Of the state who is right now running the emergency operations out there, a sum of $1.4 million, which
• operations...
• And because they were in that emergency operations, emergency order scenario, I think, you know, I think
• And because they were in that emergency operations, emergency order scenario, I think, you know, I think

Summary: The committee met with a quorum, approved the April 16 minutes, and then considered several water-system funding and deadline requests. For Magnolia Plantation Water System, members approved a deadline extension for plans and specifications to December 31, 2026, after hearing that the project still needed a test well, water-quality confirmation, and finalization of an LDH loan for matching funds. For St. Mary Parish Water and Sewer Commission No. 5, the committee approved an additional $619,850 to cover construction/engineering shortfalls and contingencies, bringing the grant total to $5,192,850 and requiring later JLCB approval. Members also approved revised phase two guidance, which updated emergency subfund language to align with recently passed legislation and clarified eligibility and process for limited fiscal administrators and fiscal administration. The committee then took up an emergency subfund request for Tallulah’s water system: staff explained that a temporary filtration skid must remain in place while permanent filters are designed and bid, and that the lease is expiring soon. After discussion of the timing, the need for a new engineer, and the possibility of a lease-purchase arrangement, the committee approved $1.4 million in emergency funding contingent on appointment of a limited fiscal administrator. Staff reported that the new payment process for the program is now moving funds more quickly and that updated expenditure projections will be provided at the next meeting. Members discussed the need to keep pushing projects toward closeout and acknowledged that some projects may need to be cut off if they cannot spend funds in time. The meeting ended with no further business and adjournment on a motion without objection.

Transcript Highlights:

• D is Division of Emergency Management, $4.1 million.
• H is Division of Emergency Management, $1.6 million.
• This is Division Emergency Management, 4.1 million.
• H is Division Emergency Management, $1.6 million.
• Division of Emergency Management, $1.6 million.

Committee: All ALC-PEER

Summary: The committee met to review a large slate of fiscal year 2026 and 2027 appropriation, transfer, and continuation requests across multiple sections. Early items included temporary appropriations for agencies such as Health, DHS, Education, Public Safety, State Police, Emergency Management, Aeronautics, Military, Economic Development, and Game and Fish, covering items like maternal health outreach, energy assistance repayments, Wynne High School tornado rebuilding, senior food services, cybersecurity, crime victim reparations, aviation grants, conservation incentives, and emergency tower maintenance. Members asked questions on several items, including DHS aging carry-forward funds and Treasury custodial banking fees tied to COVID-era balances; the committee also approved a disclosure by the chair on the Game and Fish-related item before voting to approve the section. The committee then approved continuation requests, CARES Act and ARPA reallocations, and federal grant appropriations. Notable discussion included the Boonville developmental disability project, ALIGN program reallocations at several universities, a small business technical assistance grant at UA Little Rock, and a Department of Public Safety highway safety grant, for which members requested more detail on operating expenses and professional fees. Additional approvals covered a transfer to the Merit Teacher Incentive program, restricted reserve fund transfers for military medical command and university projects, and a state central services deduction held at 2%. The Department of Commerce also received approval for a reallocation of positions and spending authority tied to its organizational realignment. Later sections included shared technology and higher education transfers, cash fund appropriations for school Medicaid reimbursements, corrections, youth mental health, narcotics detection canines, bike safety equipment, a state motor pool pilot, and law enforcement safety costs. The committee also reviewed budget classification transfers, including a Governor’s Office legal fee transfer related to a California lawsuit, and heard explanations about E-Rate reimbursements affecting the Office of State Technology. Members asked about VOCA funding levels for crime victim services and about the National Security Grant Program for nonprofits and faith-based organizations; officials said federal funding had declined from prior highs but appeared to have stabilized, and that the nonprofit security grant is an annual federal program. The meeting concluded with review of pay plan requests, DHS overtime funding for child protection caseloads, and a year-end adjustment request allowing DFA to make up to $1 million in transfers to close the books, after which the committee adjourned.

Transcript Highlights:

• These facilities, when properly implemented and operated...
• Health plans have failed to uphold their responsibilities to maintain these directories, and both plans
• Health plans have failed to uphold their responsibilities to maintain these directories, and both plans
• It requires health plans to clearly inform patients that they can contact their health plan for help
• Emergency physicians are in our emergency departments 24-7-365.

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• medical service departments, emergency medical service agencies, and technical rescue agencies operating
• Section five amends Title 20 to require all local emergency planning committees to include representatives
• management planning.
• Your committee on government operations heard from deputy fire chief, EMS and deputy emergency management
• </c> losses or emergencies. losses or emergencies.

Transcript Highlights:

• Non-emergency transportation.
• Again, we're building out this plan as we speak, but that's an important part of the plan.
• Again, we're building out this plan as we speak, but that's an important part of the plan.
• VDH enrolled 930 clients into ACA plans, 440 clients into Medicare plans.
• VDH enrolled 930 clients into ACA plans, 440 clients into Medicare plans.

Committee: House Health and Human Services