Transcript Highlights:

• The bill permits treatment with nostrums like dietary supplements, mushrooms, and herbs, which have an
• training do not prepare them to properly and accurately diagnose illness or provide appropriate treatment
• schedule 4 controlled substance to home health aide for medically fragile children for emergency treatment
• It allows Janice, under Dana's supervision, to provide preventive treatments without unnecessary delays
• Students routinely develop a dental hygiene diagnosis and plan treatment based on that diagnosis, as

Transcript Highlights:

• system allows some to strategically run out the clock without ever meeting a caseworker, seeking treatment
• None of this succeeds without continued commitment to mental health, addiction treatment, and recovery
• </c> treatment, recovery, and enforcement. treatment, recovery, and enforcement.
• for</c> program on top of funding for program on top of funding for residential<00:34:35.119><c> treatment
• , peer support, and residential treatment, peer support, and expanded<00:34:37.520><c> services</c><00

Transcript Highlights:

• pathways like mental health and drug treatment programs to care for individuals convicted of treatment-mandated
• There's $127 million to the BSC for grants that can be used for treatment under Proposition 36.
• It forces people to delay care, go to emergency rooms, or forego treatment altogether.
• Compassion is providing treatment; responsibility is providing supervision and accountability.
• Compassion is providing treatment; responsibility is providing supervision and accountability.

Summary: The Assembly convened after a quorum call and proceeded to floor business, with the main item being SB 101, the state budget bill. Before debate on the bill, Assembly Member Sanchez offered amendments to redirect funding toward Proposition 36 implementation, wildfire prevention, Medi-Cal provider reimbursement, developmental services, and other priorities; the majority moved to lay those amendments on the table, and the motion passed 43-18. The chamber then took up SB 101 as the budget bill for immediate effect. Debate on the budget was extensive and sharply divided. Supporters, including Assembly Member Gabriel and several committee chairs, described the budget as a difficult but responsible compromise that protects Medi-Cal, IHSS, child care, housing, wildfire prevention, and other safety-net programs while responding to a projected deficit and federal uncertainty. Opponents criticized the budget as fiscally unsound and argued it relied on accounting gimmicks, did not adequately fund Proposition 36 or wildfire prevention, and continued spending on high-speed rail and Medi-Cal coverage for undocumented immigrants. Several members also raised concerns about gas taxes, provider reimbursement, probation funding, and the impact on vulnerable Californians. After debate, the Assembly voted on SB 101 and passed it 57-19. The measure was sent immediately to the Senate. The body then announced upcoming session schedules, with no floor or check-in sessions on June 14 and 15, and a floor session set for June 16 at 1 p.m., before adjourning.

Transcript Highlights:

• When a patient receives treatment in an emergency room, ...serve people, not stand in their way.
• When a patient receives treatment in an emergency room, they shouldn't be sent home empty-handed simply
• When a patient receives treatment in an emergency room, they shouldn't be sent home empty-handed simply
• over 2,000 social workers across the state to address support, provide mental health first aid and treatment
• Only 5% of women experiencing menopause receive evidence-based treatment, largely because many health

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, health care, and workforce bills. Measures discussed included AB 957, which would prohibit tobacco sales in licensed pharmacies; AB 447, which would allow patients to take home certain unopened medications started in emergency rooms; AB 427, joining the Social Work Licensure Compact; AB 667, allowing interpreters for certain licensing exams; AB 742, prioritizing descendants of slaves in licensing review; AB 873, changing infection-control training timing for dental assistants; AB 360, requiring a report on menopause education for physicians; and AB 1175, modernizing CPA licensure requirements and mobility. Testimony generally emphasized public health, access to care, workforce shortages, language access, and economic opportunity, while opposition or concerns focused on implementation, worker protections, compact authority, and constitutional issues in AB 742. Several bills drew broad support from sponsors, professional associations, and advocacy groups. AB 957 was backed by cancer and pharmacy advocates and pharmacists who said pharmacies should not sell tobacco; AB 447 was supported by emergency medicine and hospital representatives as a way to reduce waste and help patients leave with needed medication; AB 427 drew support from social work and mental health groups but concerns from AFSCME about standards and displacement; AB 667 was supported by immigrant-rights and community groups, with questions about whether translated exams would be preferable to interpreters; AB 360 received extensive support from women’s health advocates and medical groups, and opposition from CMA and ACOG was removed after amendments; and AB 1175 was supported by the Board of Accountancy and CPA groups as a way to expand the pipeline and improve mobility. The committee took votes after quorum was established. AB 360, AB 427, AB 447, AB 667, AB 873, AB 1175, and AB 742 were all approved and sent to their next committees, with AB 742 going to Judiciary and AB 1175 to Appropriations. AB 957 was initially held on call, then later passed after additional votes were recorded. The consent calendar bills AB 375, AB 1107, and AB 1496 were also approved. Most measures passed on largely party-line or near-unanimous votes, with some members not voting on certain items during the roll calls.

Transcript Highlights:

• A directive can help create a treatment plan using alternative pain management situations and ensures
• </c><00:03:13.959><c> and</c><00:03:14.120><c> has</c><00:03:14.280><c> been</c> approach to treatment
• and has been approach to treatment and has been successfully<00:03:15.120><c> implemented</c><00:03:
• This empowers individuals, especially those in recovery, to take control of their treatment and avoid
• This empowers individuals, especially those in recovery, to take control of their treatment and avoid

Transcript Highlights:

• THE STATE WILL DESIGNATE THESE EMERGENCY HOSPITALS DOES NOT REQUIRE TREATMENT BEYOND THE 24 HOURS.
• ANOTHER COMPONENT OF HOUSE BILL 7085 IS THE SICKLE CELL DISEASE RESEARCH AND TREATMENT GRANT PROGRAM.
• THIS PROGRAM AWARDS GRANTS TO COMMUNITY BASED MEDICAL TREATMENT AND RESEARCH CENTERS.
• THEY WERE TWO FOR WORKFORCE DEVELOPMENT EDUCATION PROJECTS AND THREE AWARDS FOR TREATMENT CENTERS OF
• FIRST IS MEDICAL MARIJUANA TREATMENT CENTER.

Transcript Highlights:

• Although remarkable advances in treatment have improved survival for many children, outcomes still vary
• many survivors experience lifelong physical, cognitive, emotional, and financial effects from the treatment
• Many must travel far from home to receive specialized treatment, disrupting their work, finances, and
• Years of treatment.
• While clinical treatment While clinical treatment remains essential, we must also embrace innovative

Summary: The Assembly convened after a quorum call, opened with a Native American prayer/song and a moment of silence for former staff member Eric Washington, then proceeded through a series of procedural motions, guest introductions, and floor ceremonies. Members also recognized Assemblymember Ward’s birthday and welcomed several guests, including family members, business and community leaders, firefighters, and students. A major portion of the meeting was devoted to the Native American Day ceremony and adoption of ACR 208 by Assemblymember Ramos, which recognized California Native American Day and the California Indian Cultural Awareness Conference. Multiple caucus leaders spoke in support, emphasizing Native history, sovereignty, cultural preservation, missing and murdered Indigenous people, and the need to tell California’s history honestly. The resolution was adopted by voice vote after 61 coauthors were added, followed by a ceremonial honoring of tribal elders and leaders. The Assembly also adopted several other resolutions and concurred in Senate amendments on multiple bills. These included ACR 126 designating the Captain Vida Anderson Memorial Highway, AB 1651 requiring disclosure of AI use in bar exam development, AB 2789 on mediation, AJR 27 urging federal disaster aid for Eaton and Palisades fire victims, and AB 2134 protecting local officials taking parental leave. Later, ACR 213 designated September 2026 as Childhood Cancer Awareness Month, HR 102 recognized Filipino American History Month, and ACR 230 proclaimed California Firefighter Appreciation Month and California Firefighters Memorial Day; all were adopted with broad support and many coauthors. The Senate file also began with SCR 136 on coastal protection and SJR 12 opposing offshore drilling, with debate reflecting strong environmental opposition and a dissenting view that the resolution was too absolute and could raise energy costs.

Transcript Highlights:

• I bought my wife a gift certificate to get a scalp treatment, a head spa treatment, whatever it's called
• Scalp massaging, treatment, deep cleansing, aromatherapy.
• Scalp analysis, scalp detox, scalp treatment, all by an esthetician.
• Scalp analysis, scalp detox, scalp treatment, double cleanse, conditioning.
• Scalp massage, scalp treatment by the esthetician.

Committee: House Commerce, Consumer Protection, and International Affairs

Summary: The House Committee on Commerce met on May 11, 2026, with a quorum present and took up a series of Senate bills, a resolution, and one House bill. The committee reported favorably Senate Bill 79 to recreate Louisiana Economic Development, Senate Concurrent Resolution 5 to establish the Louisiana-Ireland Trade Commission, Senate Bill 375 on firefighting foam with amendments clarifying use in declared emergencies, Senate Bill 398 moving manufactured and modular housing oversight under the Contractors Licensing Board with technical and substantive amendments, Senate Bill 163 on virtual currency business licensing with an amendment providing for federal preemption if Congress enacts a national licensing regime, and Senate Bill 287 on virtual currency kiosks with consumer-protection provisions and technical amendments. The committee also reported favorably House Resolution 197, as amended, urging the Public Service Commission to study distributed energy generation and storage resources with LSU involvement, and Senate Bill 54, which would allow estheticians to blow-dry hair after certain services; that bill drew extensive testimony from supporters and opponents in the cosmetology and aesthetics industries before being reported favorably. Several bills prompted detailed discussion and testimony. On Senate Bill 398, the sponsor and Contractors Licensing Board representatives said the change would improve enforcement and consumer safety for manufactured-home installation, especially tie-downs, leveling, and foundation blocking, while not affecting HUD-regulated construction. On the virtual currency bills, OFI said it currently licenses 37 virtual currency businesses with 33 pending applications, and supporters described the kiosk bill as a response to fraud complaints by requiring clearer disclosures, refund procedures, live customer support, and reporting to OFI. For House Resolution 197, the sponsor, PSC officials, and energy stakeholders said the study would examine the value of distributed energy resources, including rooftop solar and battery storage, in light of rising demand and grid reliability concerns; PSC staff and LSU energy experts described the study as focused on market value and avoided-cost benefits. House Bill 744, which would have shifted regulation of certain New Orleans utilities from the city council to the PSC, generated discussion about constitutional history, rate impacts, and utility consolidation. PSC officials and the sponsor said the current city-council regulation is a constitutional exception dating back to 1921, and they argued that PSC regulation could reduce costs and simplify oversight, but the sponsor ultimately moved to defer the bill rather than force a floor fight, and the committee agreed. The committee then began consideration of Senate Bill 386, the Louisiana Data Privacy Act, adopting technical amendments and then a larger amendment package that revised definitions and compliance provisions; the transcript ends while that bill’s amendment process is still underway, with no final action shown in the excerpt.

Transcript Highlights:

• So we're talking here about how do you predict the cost of future treatment, knowing that you are going
• to be obligated to that treatment.
• . ...whole as possible without overcharging the person who's going to pay for the treatment.
• We're simply talking about the actual treatment. And so I think it would be fairer to everybody.
• We're simply talking about the actual treatment. And so I think it would be fairer to everybody.

Bills: SB2030 , SB1926 , SB2170 , SB2151 , SB2166 , SB1213 , SB1381 , SB1824 , SB1876 , SB1728 , SB1582 , SB1286 , SB1386 , SB1708 , SB1618

Committee: Senate Judiciary

Summary: The Senate Judiciary Committee heard and advanced a series of bills covering criminal justice, family law, elections, insurance, and property issues. Among the measures approved were SB 2030, a clean-slate/automatic expungement bill; SB 1926, allowing victims seeking protective orders to file in another county; SB 2170, requiring supervised visits when sexual abuse allegations are substantiated by DHS; SB 2151, giving prosecutors discretion to seek a 65% sentence instead of an 85% sentence in some cases; SB 2166, setting evidentiary rules for calculating future medical damages; SB 1213, allowing certain inmates to start at a higher earned-credit level; SB 1381, creating a statewide pretrial hearing process with a pilot program approach; SB 1824, updating corporation and LLC statutes; SB 1876, modernizing service of process on foreign insurers; SB 1728, adding a domestic violence definition for coercive control; SB 1582, defining bona fide resident and lawful permanent resident for alien land ownership rules; SB 1286, requiring more political subdivisions to provide polling places at no cost; SB 1386, creating a courtroom transparency pilot program using audio-video recording; and SB 1708, creating a rebuttable presumption of joint custody and equal parenting time. Several bills were amended before passage, including title-striking motions on multiple measures and committee-substitute language changes. Debate centered on the policy tradeoffs in several of the more controversial bills. Senators raised concerns about forum shopping and judicial bias in the protective-order bill, the fairness and practical effects of the future-damages bill on injured plaintiffs and insurers, the impact of the custody presumption bill on domestic violence cases and guardian ad litem practice, and the risks of foreign land ownership. Supporters generally framed the bills as responses to constituent concerns, efforts to improve fairness or transparency, or ways to modernize outdated statutes and procedures. Opponents or skeptics focused on unintended consequences, possible burdens on victims, and whether existing law already addressed the problems being raised. The committee also heard that SB 1381 would likely return as a pilot program in one county because of fiscal concerns, and SB 1386 was discussed as a limited courtroom-recording pilot rather than a full statewide rollout. SB 1582 passed after discussion of the meaning of “bona fide resident” and whether certain noncitizens could buy land. SB 1708 drew especially detailed debate over whether the law should begin with a presumption of equal parenting time or leave custody decisions entirely to the judge’s best-interest analysis. Most measures advanced on bipartisan roll-call votes, with some dissent on SB 1926, SB 2166, SB 1386, and SB 1708.

Transcript Highlights:

• So the school that the gentleman talked about inside of a juvenile treatment facility... ...that the
• gentleman talked about inside of a juvenile treatment facility is a part of that treatment protocol.
• We have juvenile treatment facilities with a really low recidivism rate, one of the best in the whole
• talked about inside of a juvenile treatment facility is a part of that treatment protocol.
• We have juvenile treatment facilities with a really low recidivism rate.

Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior day’s journal by roll call, and recognized a Black History Month tribute to Dr. Penelope Martin Knox, superintendent of Raytown C-2 Schools. Members also introduced guests, including the day’s pledge leader Adeline Overcast and visitors from a rural hospital in Rolla. Several new bills were read for the first time, including measures on blind pensions, first responder harassment, and flag display at the state capitol, and committee reports were received recommending passage of several deferred measures. The chamber then took up multiple third-reading bills. House Bill 2596, concerning multiple employee self-insured health plans for small businesses, passed 145-0 after supporters said it would help small employers offer affordable coverage. House Bill 1644, addressing franchise employment liability and joint-employer issues, passed 103-45 after debate over whether it would unfairly limit workers’ rights to sue franchisors. House Bill 2423, dealing with Division of Finance licensing fees and oversight, passed 146-0 despite concerns about fee increases. House Committee Substitute for House Bill 2641, which aligns state law with federal restrictions on intoxicating hemp-derived products, passed 109-34 after extensive debate over whether the bill unfairly carves out beverages and harms hemp businesses. House Bill 2498, a juvenile justice reform measure shifting some certification-related responsibilities and expanding information sharing, passed 100-44 after supporters argued it would improve accountability and opponents warned it would politicize juvenile cases and burden treatment facilities. House Committee Substitute for House Bills 2637 and 3155, a sentencing bill increasing mandatory minimums and clarifying time-served and parole eligibility, passed 102-45 amid debate over whether it was truly a transparency measure or an increase in punishment. The House also debated House Committee Substitute for House Joint Resolution 154, a proposed constitutional amendment tied to Medicaid expansion/work requirements. Supporters said it would encourage work and reduce administrative costs, while opponents argued it would undermine Medicaid expansion and risk coverage for vulnerable residents. After a previous-question motion, the resolution passed 99-48. The session ended with announcements about upcoming committee meetings, a Black History Celebration, and other caucus and committee gatherings, followed by adjournment until Monday afternoon.

Transcript Highlights:

• to notify local jurisdictions when a new license is issued for an alcohol or drug abuse recovery treatment
• We know that alcohol and drug treatment facilities are a vital part of our behavioral health continuum
• Or they may feel forced to pay for costly out-of-network treatments because, try as they might, they
• It would allow us to ensure that we were getting the appropriate treatment at the appropriate time for
• It would allow us to ensure that we were getting the appropriate treatment at the appropriate time for

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:

• to do with elective pregnancy termination but have created barriers, both perceived and real, to treatment
• the way the laws were written, they created barriers, some perceived and some very real, to the treatment
• of women with real uh to the treatment of women with these<00:23:26.000><c> common</c><00:23:26.400>
• of substance use disorders the treatment of substance use disorders and<00:41:09.160><c> all</c><00:
• </c><00:43:18.640><c> and</c> substance use disorder treatments and substance use disorder treatments

Summary: The Senate Standing Committee on Licensing and Occupations met on March 12, 2025, after waiting for the Senate to adjourn so the committee could officially convene. The committee first took up House Bill 90, which concerned freestanding birthing centers and related medical language. Testimony from Representative Jason Nemes, Dr. Jeffrey Goldberg of ACOG Kentucky, and a representative from Kentucky Right to Life focused on clarifying what medical procedures are not abortions under Kentucky law, including miscarriage management, ectopic pregnancy, molar pregnancy, sepsis, hemorrhage, and stillbirth. Supporters said the committee substitute was intended to reduce confusion and barriers to care for physicians and patients, while Senator Armstrong and Senator Berg raised concerns about the late-arriving substitute, terminology, and whether the bill was being accurately described as supported by ACOG. The committee substitute and title amendment were adopted, and House Bill 90 passed with favorable expression. The committee then considered House Bill 398, relating to occupational safety and health. Representative Walker Thomas said the bill would prevent Kentucky from adopting or enforcing regulations stricter than federal OSHA standards, arguing it would create uniformity for businesses operating in multiple states while preserving worker safety. Senator Armstrong questioned what would happen if federal OSHA were eliminated and argued the bill could reduce Kentucky’s ability to address state-specific workplace hazards; Representative Thomas responded that Kentucky is a state-plan state and would retain the ability to act if needed, and that the measure was about administrative regulation rather than legislation. After a committee substitute was adopted, the bill passed 8-1, with Senator Armstrong voting no. House Bill 580, concerning alcohol and drug counselors and peer support specialists, was presented next. Representative Kim Moore and Elena Sweezy explained that the bill would add structure, training, and supervision requirements for peer support specialists, limit group settings to eight patients, shorten temporary peer support status to nine months, and require additional supervision hours so trainees can complete required training. The bill passed with favorable expression, with Senator Nemes voting no. House Bill 87, relating to employment and occupational licensing, followed; Representative Emily Callaway said it would reduce barriers for people with felony records and help “second chance” citizens enter the workforce. Several senators supported the goal but Senator McDaniel noted caution about substance-use billing and oversight, and the bill passed with favorable expression. Finally, House Bill 422, relating to administrative regulations, was described by Representative Derrick Lewis as a streamlining measure that would reduce paperwork and simplify the regulatory process. It also passed with favorable expression, and the committee then adjourned.

Transcript Highlights:

• Parents strongly opposed to unevidence-based treatment of gender-confused kids.
• The therapist should have asked why I was dysphoric as opposed to beginning to give me treatment.
• So, number one, there’s a difference in treatment.
• So, number one, there’s a difference in treatment.
• Disagreement that we have, particularly with regard to the treatment of youth, and legal remedies are

Summary: The committee first took up SB 934 by Senator Wiener, which would extend the time for survivors of conversion therapy to bring malpractice claims and clarify how expert testimony and scientific evidence may be used in those cases. Senator Wiener and supporters, including a survivor and a licensed therapist, described conversion therapy as harmful and argued that survivors often cannot come forward within current limitation periods. Opponents, including attorneys and advocacy groups, argued the bill was an unconstitutional workaround to California’s existing ban and could chill legitimate therapy or expand liability. Committee members pressed both sides on the bill’s scope, with the author emphasizing it does not bar exploratory therapy or medical treatment, only attempts to change a person’s sexual orientation or gender identity. The bill was moved on a 7-2-1 vote to the Senate Appropriations Committee, with the item placed on call; the consent calendar was also adopted 6-0 and placed on call. The committee then heard SB 1092 by Senator Allen, as amended, concerning manufactured home parks. The bill would require park owners who intend to sell to give residents or their designated representatives notice and an opportunity to submit a competitive bid, with timelines intended to allow residents to organize financing and complete due diligence. Supporters said the measure would help preserve naturally occurring affordable housing and give residents a fair chance to buy the land under their homes, especially after fire-related losses and increasing investor ownership of parks. Opponents from park-owner and realtor groups argued the bill would burden private property rights, devalue parks, and create an unconstitutional taking by imposing long timelines and restrictions that could deter buyers. Several senators questioned the 240-day process and whether the bill should include clearer good-faith or reciprocity provisions; the author said he was open to further adjustments. The transcript ends during committee discussion of SB 1092, with no final vote shown.

Transcript Highlights:

• And then I guess there was a cancer or is a cancer patient and his treatments over $100,000 a year.
• </c><00:35:27.119><c> Uh</c> treatments uh that come with a cost.
• Uh treatments uh that come with a cost.
• failures and things along on treatment failures and things along those<00:36:28.720><c> lines.
• Typically when a treatment those lines.

Summary: The Fiscal Committee met on June 20, 2025 and first approved the May 16 minutes and the non-removed items on the consent calendar. It then took up a Health and Human Services item for $5 million in additional nursing facility payments (FIS 25158). HHS explained the transfer was for private and county nursing facilities and was the third and final transfer in FY25, funded through federal matching dollars, county cap funds, and general funds. Members asked about the size of the transfer, whether it signaled future shortfalls, and how projections were developed; HHS said the request reflected updated estimates and that they did not expect similarly large transfers going forward. The committee adopted the item. The committee also considered an ARPA-related item to remove a line from a funding request because the issue had been resolved and the positions/funds were no longer needed. Members approved the item with that line removed. Commissioner Caswell then answered questions about ARPA spending authority, saying remaining projects must be expended by December 31, 2026 and that the item was intended to preserve authority for ongoing capital projects; any unspent funds would revert to the federal government. Members noted the recurring nature of these ARPA adjustments and the need to keep tracking deadlines. The Department of Corrections presented several items, including a $10 million request tied to staffing shortages and overtime costs, plus additional corrections-related funding items. Interim commissioner John Skipa said 18 employees had received preliminary layoff notices pending final budget approval. He and staff said the overtime need was driven by staffing shortages, later collective bargaining pay increases, and double-time compensation for uniform officers forced into overtime; they also said one housing unit section had been closed to reduce staffing pressure. In response to questions about morale and operational risk, Skipa said the department was under strain, that leadership was in transition, and that staffing or budget reductions could create litigation risk. The committee also heard about the Site Evaluation Committee’s budget shortfall, which was attributed to fewer new facility applications but continued casework and public engagement, and approved that item. Finally, members discussed a YDC claims administration item, questioning the role and cost of the Verald Dana consultant; staff said the firm handles intake and processing of claims for the Attorney General’s office and had been involved since the claims process was created. Several items were adopted after brief discussion.

Transcript Highlights:

• I'm also the chair of the Youth Mental Health Select Committee for Youth Mental Health and Treatment
• outpatient treatment for adolescents and adults.
• He was leaving Sacramento County and was talking about how good his treatment was.
• And so it allows for the... ...clinical treatment on the ground and not be on the phone.
• I just wanted to touch base on the infrastructure for treatment at the local level and statewide.

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• This is not a treatment mandate. It is not some sweeping new government program.
• Alpha-Gal syndrome can complicate prescriptions, surgeries, emergency treatment, and routine care.
• So I want there to be treatment for it. I want us to figure out how to cure it.
• Local farmers are partners in public health, and prevention is valued as highly as treatment. Mr.
• There are also strong requirements for people who can and cannot facilitate this treatment.

Summary: The House first established a quorum after a quorum call and welcomed special guests, including the Freedom of the Road motorcycle riders and students from Warsaw High School. It then took up House Committee Substitute for House Bill 1855, a reporting bill on Alpha-Gal syndrome. The bill sponsor described the condition as a serious tick-borne allergy that has affected his family and many Missourians, arguing that Missouri needs mandatory reporting and surveillance data to identify hotspots, guide public health outreach, and support research and funding. Supporters from both parties said the bill would improve awareness and data collection, while one member raised concerns about the fiscal note and whether the state would get useful information for the cost. The chamber adopted Amendment 1 to HB 1855, changing the follow-up language from “may” to “shall,” but rejected Amendment 2, which would have required patient consent before lab results were reported into the surveillance system. Opponents of the consent amendment said it would undermine disease surveillance and set a bad precedent for other reportable conditions; supporters argued for privacy and individual choice. After debate, the House adopted the committee substitute as amended and ordered it perfected and printed. The House then considered House Committee Substitute for House Bills 2230 and 2978, a K-5 education measure addressing screen time, cursive, and handwriting. The sponsor said the bill responds to research and parent/teacher concerns about excessive screen use, poor literacy outcomes, and mental health effects, and would create a state focus group to review evidence and make recommendations while leaving districts flexibility. Members discussed carve-outs for special education, English language learners, and virtual school, and adopted an amendment excluding the virtual school program. The House then adopted the substitute as amended and ordered it perfected and printed. Finally, the House took up House Bill 2355, the “Food is Medicine” initiative, which would allow Missouri to use federal funds through 1115 waivers for pilot programs such as medically tailored meals, produce prescriptions, nutrition education, and related supports. Supporters said the program could improve health outcomes, reduce Medicaid spending, and help address food deserts. An amendment adding vitamin therapies and updating a date drew discussion over supplement safety and regulation, but the transcript cuts off before a final vote on that amendment or the bill itself.

Transcript Highlights:

• </c><00:50:43.200><c> than</c> incarcerated and have treatment than incarcerated and have treatment than
• </c> We have this relating to opioid use disorder treatment.
• But in the meantime, treatment centers.
• </c><01:04:56.720><c> and</c> Alzheimer's disease treatment and Alzheimer's disease treatment and diagnosis
• And with these new treatments manage.

Committee: Senate Health and Human Services

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

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• Affirming treatment and transgender-specific surgery, and to update the policy addition date.
• When they say someone needs hormone treatment for postmenopause or menopause, postpartum depression,
• you provide that is that treatment you provide that is that correct<00:55:21.680><c> absolutely</c><
• </c><01:09:14.279><c> system</c> construction and water treatment system construction and water treatment

Summary: The subcommittee met with a quorum, approved the minutes, and welcomed new members before taking up Council on Postsecondary Education regulations 13 KAR 2:120 and 13 KAR 2:130. The regulations, as amended by staff and agency amendments, update public university and KCTCS performance funding models to conform to 2024 Senate Bill 191 and the performance funding work group’s recommendations. Changes discussed included replacing the underrepresented minority metric with an underrepresented students metric defined as first-generation students, adding an adult learner metric, increasing the low-income degree premium, adjusting small-school and nonresident credit-hour weights, revising data aging and progression metrics, and adding STEM+H criteria in 13 KAR 2:120. Travis Pal of the Council on Postsecondary Education explained that the changes reflect the work group’s three-year review process and that the work group ultimately voted to define underrepresented students as first-generation students and to apply half-weighting between research and comprehensive universities for the new metric. Michael Frasier of the Kentucky Student Rights Coalition and Eastern Kentucky University student government opposed 13 KAR 2:120, arguing that the regulation improperly applies weights where the statute does not clearly authorize them and that the funding changes disadvantage comprehensive universities and vulnerable students. He asked the committee to find the regulation deficient or, alternatively, recommend legislative clarification and a revised fiscal analysis. Pal responded that weighting has been part of the model since 2017, that CPE was following the statute and work group recommendations, and that the model could be changed by future legislation. Members asked about the timing of the broader performance funding review, and Pal said the full model is reviewed every three years, with the next work group cycle beginning in 2026. No motion to find the regulation deficient was made, and the committee allowed the regulations to proceed to the committee of jurisdiction. The committee then approved a staff amendment to Teachers’ Retirement System regulations 102 KAR 1:195 and 102 KAR 1:340, which require annual reporting of accumulated sick leave, leave policies, and salary schedules to TRS and make technical changes to the final average salary calculation and related definitions.

Transcript Highlights:

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• </c> that would order the acoustic treatment that would order the acoustic treatment to<00:19:01.919>
• The wall treatment then.
• So, this has a lot of the same treatment that the House does.
• </c> border around the acoustic treatment. border around the acoustic treatment.

Committee: Joint Capitol Interpretive Exhibits and Wayfinding Subcommittee

Transcript Highlights:

• Nationally, consumers spend about $15 billion out of pocket each year for mental health treatment.
• It will no longer need to leave this country to access treatment that might save their life.
• clinic in Mexico for a medically supervised ibogaine treatment, and it changed everything.
• were the most effective forms of treatment for addiction and for trauma.
• And you can say like, oh, I can go to this country and get this treatment.

Summary: The Assembly Health Committee heard a long agenda of health-related bills, beginning with AB 2651 by Bonta, which would require schools to notify parents when school vaccination rates fall below herd immunity thresholds. Supporters, including family physicians, PTA representatives, and medical groups, said the bill would improve transparency and help parents protect children and vulnerable family members. Opponents argued the data could be misleading, could identify medically exempt or conditional students, and might lead to stigma or discrimination. The bill was later moved out of committee on a due-pass-as-amended motion, with one no vote recorded on the roll call. The committee also heard AB 2123 by Aguirre-Curry on medical debt relief, AB 1570 by Wilson to eliminate out-of-pocket costs for medically necessary breast diagnostic and supplemental imaging, AB 2201 by Berner to restore Medi-Cal eligibility and renewal flexibilities, AB 2448 by Berman to strengthen privacy protections for reproductive and gender-affirming care records, AB 2034 by Addis on food additive safety and transparency, and AB 2598 by Krell to require better notification of next of kin when a patient dies in a hospital. Each bill drew strong support from authors, advocates, and affected individuals, while some drew opposition from insurers, industry groups, or transparency critics who raised concerns about cost, duplication, implementation, or unintended harm. Several bills were moved forward on due-pass-as-amended motions, including AB 2123, AB 2201, AB 2448, AB 2034, and AB 2598. The committee also heard AB 2551 by Elhawary, which would require health plans to collect and publish data on how often enrollees must go out of network for behavioral health care and why. Supporters said the measure would expose access barriers and high out-of-pocket costs, especially for communities of color and people with language access needs; opponents said it would add another reporting mandate and might not solve provider shortage problems. Members generally expressed support for the bill’s goals and several described personal or district-level experiences with behavioral health access problems. The bill was then moved out of committee on a due-pass motion. The committee also took up consent items and other procedural motions, with multiple bills reported out and some placed on call.