Transcript Highlights:

• But the door is still open. I'll move the bill. A motion to second.
• The primary goal of code enforcement is compliance with health and safety laws.
• I mean, we're always open to further discussions on that.
• We're open to discussions on that. Further discussions.
• If you're a primary witness, welcome to come to the table. Good morning, Members.

Summary: The committee heard testimony on several bills. AB 416 would allow emergency room physicians to initiate 5150 mental health holds, with supporters saying it would reduce emergency room bottlenecks and speed care for patients in crisis. County and behavioral health representatives opposed the bill, and some members raised broader concerns about the 5150 system and juvenile placements. The bill was ultimately approved on a do-pass as amended vote. AB 446, the Surveillance Pricing Act, drew extensive testimony. The author and supporters argued it would prohibit businesses from using personal data to charge different prices for the same product or service, describing the practice as discriminatory and exploitative. Business and industry groups opposed the bill, warning that its language was too broad, could affect discounts and loyalty programs, and would create litigation risk through a private right of action. After discussion about enforcement and possible amendments, the bill passed on a do-pass motion. AB 632 would give local governments a faster way to collect penalties for serious code violations, including unsafe housing, fire hazards, and illegal cannabis activity, by allowing certain fines to become money judgments and clarifying lien authority. It had support from county and city groups and no opposition was voiced in the hearing; the bill passed as amended. ACA 7, a constitutional amendment intended to clarify and limit misuse of Section 31A, also moved forward after brief support testimony. The committee then took up AB 649, which would extend protections for businesses that proactively obtain certified access specialist inspections and fix accessibility violations; the author, a small business owner, and others testified in support, while disability rights groups moved to neutral after amendments. Members discussed the balance between access enforcement and reducing predatory litigation, and the bill was still under consideration as the transcript ended.

Transcript Highlights:

• At a time when the state is calling for meaningful reforms and investment in primary care, House Bill
• And when people have primary care practices, what they really want to do is take...
• When people have primary care practices, what they really want to do is take care of their patients.
• For example, if a patient is suddenly short of breath but cannot reach their primary care doctor.
• Neighborhood Birth Center is poised to open our first...

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• So are we supposed to go to open caucus? You know the caucus calendar posted? Yeah, I'm sure.
• Jennifer Mayfault is a primary care physician at the University of Arizona, Phoenix.
• As the director of the primary care track at Banner University Medical Center, Phoenix, she trains and
• mentors future primary care physicians in Arizona.
• The system is open to sector or record the vote, or excuse me, the system is open.

Keywords: 1182, all

Transcript Highlights:

• author here Real quickly our committee's policies for testimony in today's hearing are as follows primary
• Each primary witness will have two minutes to give their testimony.
• I mean, your opening data point illustrates why it's so important for us to do this.
• We will leave it open. For absentee members. Thank you. Thank you.
• We'll leave the roll open for absentee members. Is this yours? I don't have my pink holders.

Committee: House Environmental Safety and Toxic Materials

Keywords: 988, house, all

Transcript Highlights:

• I didn't realize that that was open.
• do not think that there were any other threats that were made that were any more than just a very open
• And I, listen, I'm not going to open up for any other of that because, again, if I hadn't to sit on the
• We're trying to open that up for that.
• We're trying to open that up for that.

Committee: Senate Education

Keywords: 974, senate, all

Transcript Highlights:

• meeting of the Oklahoma 911 Management Authority has been convened in accordance with the Oklahoma Open
• So the recruiting campaign is one of our primary items right now, as we've discussed.
• You know, they want to open their own 11 center things of that nature.
• Great meeting opened up a lot of other doors. A lot of folks want to hear more about 911.
• Each speaker shall be limited to 5 minutes under Oklahoma open meeting laws.

Keywords: 914, all

Transcript Highlights:

• We will allow primary witnesses here in the room today to speak for two minutes each, with two primary
• Open on for call. Okay. Thank you, Ms. Colosa. Have a good day.
• We wanted to make sure all were open to participate in this.
• So, with that, we will leave it open.
• So, with thanks, we'll leave it open.

Summary: The Assembly Economic Development, Growth, and Household Impact Committee met in person and established quorum after beginning briefly as a subcommittee. The committee adopted its rules and then heard several bills focused on economic recovery, housing, technology, retail theft, and utility infrastructure. AB 265 (Caloza) would create a $100 million state-funded small business and nonprofit recovery program for organizations affected by declared emergencies; it drew broad support from small business, nonprofit, chamber, city, and community groups, with no opposition voiced. AB 797 (Harabedian) proposed a zero-cost state financing structure using CRA-backed securities to help community nonprofits buy wildfire-damaged properties at fair market value and prevent predatory investor purchases; it was presented as a community stabilization tool and received support from the California Community Foundation, with no opposition. AB 940 (Wicks/Ellis) would establish quantum innovation zones to strengthen California’s quantum computing economy, and AB 949 (Shiavo) would create a retail theft grant program for small businesses to fund security improvements and theft prevention measures; both bills were supported by business and university witnesses, though one member said they would not vote for AB 949 due to concerns about broader crime policy. AB 1347 (Carrillo) proposed a pilot program to speed utility interconnections in priority growth regions, including allowing developers to trade expedited connections for upfront infrastructure cost recovery and use microgrids in some cases; it had no opposition in the hearing. Committee members generally expressed support for the bills, especially those aimed at disaster recovery and small business resilience. Questions on AB 940 focused on where quantum innovation zones might be located and how local governments and universities would coordinate; the author and witnesses said the zones should be open statewide and could build on existing research centers such as Berkeley, Stanford, Caltech, UCSB, UCLA, and UCSC. On AB 797, members discussed the need to protect homeowners from below-market offers after wildfires. On AB 949, the author emphasized that modest grants could help small businesses make security upgrades and prevent repeated theft losses. The committee voted to send AB 265, AB 797, AB 940, AB 949, and AB 1347 forward, generally on party-line or near-unanimous votes, with the bills reported out of committee and placed on call as needed. The consent calendar, including AB 254, AB 415, AB 655, AB 1232, AB 1254, AB 1477, and HR 27, was also approved. The hearing adjourned at 10:33 a.m.

Transcript Highlights:

• I will do the primary testimony and just answer any technical questions. Thank you, sir.
• We'll now invite primary witnesses in opposition to SB 877. Please come forward. Welcome.
• This time I'll invite primary witnesses in opposition. Please approach.
• I'll now invite primary witnesses in opposition. Please come forward.
• I'll now invite primary witnesses in opposition. Please come forward.

Summary: The committee heard three major insurance-related bills. SB 1209 by Senator Allen would give the Insurance Commissioner new authority to require insurers to implement corrective actions found in market conduct and financial exams, with penalties for failure to comply. Supporters, including Commissioner Ricardo Lara and his deputies, said current law leaves CDI without a direct way to compel remediation of repeated violations or obtain needed financial information, while opponents argued the bill expands CDI authority too far, could duplicate existing penalties, and should be limited to legal violations rather than recommendations. After discussion, members and the author agreed to narrow the bill through amendments, including tying it to legal violations, applying penalties per exam rather than per policy, and clarifying accounting language; the committee then passed the bill 5-1 to Appropriations, with one member on call. SB 1301, also by Senator Allen, would reform residential property insurance non-renewals by requiring clearer written explanations, giving homeowners a chance to mitigate correctable issues, and prohibiting certain unfair non-renewal bases such as claims below deductible or claims not paid by the insurer. The author and supporters said Californians face unusually high non-renewal rates and often receive vague notices that make it hard to keep coverage, while opponents warned the bill’s original 180-day notice period and reporting requirements were too burdensome and could worsen availability. Senator Richardson said he would support the bill after the author agreed to reduce the notice period to about three months and continue working on a mitigation-based process; the committee then approved the bill 4-1, with one member on call. The committee also considered SB 1026 by Senator Gonzalez, which would strengthen regulation of bail fugitive recovery agents by allowing CDI to suspend or revoke licenses without a criminal conviction, expanding prohibited conduct, and tightening insurance and appointment requirements. Supporters, including Commissioner Lara, said the 2022 licensing law left loopholes that allow misconduct to continue and that the bill would improve public safety and accountability. Opponents from the bail industry and crime victims groups argued the bill requires unavailable or impractical insurance coverage, including coverage for willful acts, and could reduce the number of recovery agents and delay justice. Members raised concerns about the insurance language and availability, and the author said the bill was still being worked on with opposition; the committee passed it 4-1, with one member on call. Finally, the committee heard SB 982 by Senator Wiener, the Affordable Insurance and Recovery Act, which would let the Attorney General seek recovery from fossil fuel companies for climate-related costs affecting the Fair Plan and private policyholders. The author said Californians are paying rising insurance and disaster costs while fossil fuel companies that contributed to climate change are not, and witnesses from flood and wildfire communities and climate policy experts supported the bill as a way to fund recovery and resilience. Opponents, including business and labor representatives, argued the bill would impose broad liability, invite litigation, and harm jobs and energy affordability. The hearing included extensive testimony, but no vote was taken on SB 982 in the portion provided.

Transcript Highlights:

• And I appreciate what you said about primary care.
• So I've been in primary care in Massachusetts since 1990.
• We are a direct primary care practice.
• So this bill would actually encourage more primary care physicians to do direct primary care.
• So this bill would actually encourage more primary care physicians to do direct primary care.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• We are the primary source of jet fuel for Sea-Tac Airport.
• Their primary focus was ensuring proper bonding of transfer lines was executed to prevent static with
• That's a primary duty that I have under my responsibility.
• And those will remain open through the winter. But again, permanent repairs, not until likely July.
• We had the road open on January 7th, mainly just a stabilization effort.

Committee: Senate Transportation

Keywords: 904, all

Transcript Highlights:

• We are the primary source of jet fuel for Sea-Tac Airport.
• Their primary focus was ensuring proper bonding of transfer lines was executed to prevent static with
• The other really important thing to note here, too, is that the primary supply for the airport comes
• That's a primary duty that I have under my responsibility.
• We had the road open on January 7th, mainly just a stabilization effort.

Summary: The Senate Transportation Committee met on January 20, 2006, for two work sessions focused first on aircraft fuel pipeline resiliency and then on flooding impacts to the state highway system. On the fuel topic, BP and Olympic Pipeline described the pipeline system serving Washington and Oregon, its regulatory oversight, inspection and leak-detection programs, and the November 11 Mile Post 78 release near Everett. Witnesses said the leak was initially too small for the system to detect, was found by a farm worker, and led to shutdowns, excavation, soil removal, and repairs while the site later faced flooding that complicated access but did not stop both lines from remaining operational. Committee members questioned why the leak was not detected sooner, how much fuel was released, and what safeguards exist for future environmental protection. BP also described emergency response and recovery efforts, including trucked fuel deliveries to Sea-Tac and coordination with refineries and Canadian partners. The Port of Seattle and Alaska Airlines explained the airport response, including expanded truck offloading capacity, fire and police support, communication with airlines and other airports, reduced fuel use, and the impact on flights. Tim Zenk of Earth Finance argued that Washington’s fuel system lacks redundancy and that regional renewable fuels production and storage, including sustainable aviation fuel, could improve resilience; he suggested a regional goal of producing at least 33% of fuels locally. The committee then heard from WSDOT on the December flooding and storm damage. Emergency manager John Hemel and Olympic Regional Administrator Steve Rourke described statewide emergency operations, use of WebEOC tracking, and efforts to secure FEMA and FHWA funding. They said the state EOC was activated for 10 days, four regional EOCs were activated, and more than 100 sites were impacted. WSDOT reported roughly 50 emergency work sites, about 16 emergency contracts, and a preliminary damage estimate of $40 million to $50 million. They reviewed major repairs on US 2, I-90, SR 12, SR 410, SR 542, and US 101, noting that some roads reopened quickly with temporary fixes while others would require later permanent work and environmental permitting. Members asked about the 30-working-day emergency contracting authority, federal reimbursement, and whether emergency response contracting methods could be used to speed ordinary projects. The committee then adjourned.

Transcript Highlights:

• The hearing room is open for in-person attendance of this hearing.
• Are there any primary witnesses in opposition?
• Are there any primary witnesses in opposition? Thank you.
• We'll leave it open for absent members. Thank you very much. 7-0.
• We'll leave it open for absent members.

Committee: House Housing and Community Development

Keywords: 988, house, all

Transcript Highlights:

• </c><00:10:31.360><c> up</c> And when Sonia is ready, we'll open up And when Sonia is ready, we'll open
• </c><01:00:54.960><c> the</c> It being 10:00, I'm going to open the It being 10:00, I'm going to open
• The primary option. the statute.
• We will open a public hearing on Senate Bill 635 FN.
• </c><01:57:04.800><c> care</c> they'll just join a direct primary care they'll just join a direct primary

Committee: Senate Ways and Means

Keywords: 1191, senate, all

Transcript Highlights:

• As was mentioned in our chair's opening comments, we do get a large percentage of our funding through
• There are two primary need-based programs: the Florida Student Assistance Grant and the Florida Work
• And so this is the primary way that they have for payment of basic operations and running of those 47
• The first is open access to undergraduate education in the state of Florida.
• The first is open access to undergraduate education in the state of Florida.

Summary: The Higher Education Budget Subcommittee met for an introductory overview of the higher education programs under its jurisdiction. After roll call and member introductions, Chair Busatta outlined that the subcommittee oversees programs in the Department of Education and the State University System, including vocational rehabilitation, blind services, private postsecondary licensure, student financial aid, career and adult education, the Florida College System, and the Board of Governors. The chair and staff also noted that these areas represent roughly $9 billion in current-year funding. Officials from the Department of Education presented on several programs. Vocational Rehabilitation Director Kelly Rogers described services for adults and youth with disabilities, including pre-employment transition services, job coaching, assistive technology, and employer support; she said the program served more than 55,000 people last year, has no wait list, and reported a return of $7.61 to the economy for every $1 invested. Division of Blind Services Director Robert Doyle explained services from birth through older adulthood, including early intervention, school-age support, vocational rehabilitation, independent living, the Business Enterprise Program for blind vendors, and the Braille and Talking Book Library; he said the division serves about 12,000 people annually and also has no wait list, though some community rehab providers may have one. Tiffany Hurst of the Commission for Independent Education described licensure and consumer protection for independent postsecondary institutions, reporting oversight of about 1,100 institutions and 721 non-degree schools, along with enforcement actions against unlicensed operators. Sean Haskin of Student Financial Assistance reviewed 22 scholarship and grant programs totaling about $1 billion for more than 200,000 students, including Bright Futures, Benacquisto, need-based grants, EASE, EASE Plus, veterans’ scholarships, dual enrollment reimbursement, first responder scholarships, and the Ocoee and Rosewood scholarships. Members asked about surplus funds, marketing, Bright Futures eligibility requirements, and whether EASE awards had changed; Haskin said any unused funds are reverted to the Legislature, that the department markets through schools and the Florida Lottery, and that EASE remained at $3,500 per FTE for the last two fiscal years. Several members raised concerns that students and parents may not learn about aid programs early enough, especially in economically disadvantaged communities. Chancellor Kevin O’Farrell then presented on Career and Adult Education, highlighting record participation in career and technical education, adult education, and apprenticeship. He said about 800,000 secondary students and 480,000 postsecondary students are in CTE, adult education serves about 183,000 learners, and apprenticeship/pre-apprenticeship programs include more than 22,000 participants. He also described the workforce development fund, Perkins, WIOA Title II, the Pathways to Career Opportunities Grant, workforce capitalization grants, CAPE performance funding, and the Pipeline nursing initiative, noting strong NCLEX outcomes and expanded outreach through the Get There, Your Way, Future of Work Florida, and Zello platforms. Kathy Hebda began the Florida College System presentation by emphasizing open access, workforce preparation, statewide reach, and strong enrollment and completion growth, including more than 672,000 students, over 131,000 degrees and certificates, and significant dual enrollment savings for students and families.

Transcript Highlights:

• And before we dive into these, I'd like to provide some opening remarks.
• As family physicians, how do we then re-center primary care in this?
• Denis Coelves from Merrill with the California Primary Care Association.
• Denis Coelves from Merrill with the California Primary Care Association.
• Denis Coelves from Merrill with the California Primary Care Association.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• The primary offenders...
• The primary offenders were out-of-state people who were bringing their homeless individuals into the
• Candidly, the primary opposition has been the vice chairman.
• Uh, he was the primary opponent of it last year and apparently continues to be the opponent of it this
• This creates the ability for them to virtually attend in conformity with open meetings law.

Bills: HB162 , HB376 , HB425 , SB96 , HB426

Committee: House State Government

Keywords: homelessness, homeless individuals, unsheltered, transient, shelter, encampment, street outreach, relocation, displacement, law enforcement, municipal government, county government, local government, interjurisdictional transport, Class A misdemeanor, criminal penalties, public safety, social services, Alabama Code 15-20A-4, environmental regulation

Transcript Highlights:

• </c> keep their doors open. keep their doors open.
• </c><00:52:41.680><c> care</c> relating to primary care relating to primary care state<00:52:43.680><
• </c> Physicians in support Hawaii Primary Physicians in support Hawaii Primary Care<00:56:22.480><c>
• </c><00:56:57.280><c> Care</c> am the new CEO at Hawaii Primary Care am the new CEO at Hawaii Primary
• <c> Care</c> Eric Abe, Hawaii Primary Care Eric Abe, Hawaii Primary Care Association<01:33:32.240><c>

Keywords: 912, senate, all

Summary: The committee first took up gubernatorial message nominations. Margaret Jackson was heard for reappointment to the State Council on Mental Health, where she said her lived experience with family members facing schizophrenia, houselessness, and substance use issues motivates her service. Andrew Savaiano was heard for the Juvenile Justice State Advisory Council and said he wanted to continue elevating youth voice and lived experience. Tao Yan was heard for the Board of Certification of Operating Personnel in Wastewater Treatment Plants and emphasized the importance of wastewater treatment to public health and the environment. The Department of Health testified in support of the nominations, and the committee later adopted chair recommendations to advise and consent to all three nominations, noting Senator Favela’s excuse and no recorded objections. The committee then heard HB 1853 relating to dementia. Testimony was overwhelmingly in support from state agencies, advocacy groups, caregivers, and individuals with lived experience, including a person living with Alzheimer’s and his caregiver spouse, who described the value of early diagnosis and coordinated support. Supporters said the bill would expand memory care navigation and access, especially on neighbor islands and in rural areas, and help families connect to resources earlier. One member raised concerns about the cost and scale of the proposed program, asking about the number and cost of dementia specialists and noting broader budget pressures, but the bill remained under discussion with no final action shown in the transcript. The committee also heard HB 1591 relating to health care, which would expand the preceptor tax credit to additional health professions, including physician assistant students and PAs, with testimony in support from nursing, public health, medical, and provider organizations. Supporters argued the measure would help address workforce shortages and improve training opportunities for local and economically disadvantaged students. A committee member asked about the aggregate cost of the credit and whether the existing credit had been fully utilized; the chair noted the bill was being kept narrower than broader proposals because of fiscal concerns. The transcript then moved to HB 1961 relating to health care access near facilities, with supporters arguing it protects access to legal reproductive health care and opponents saying it is unnecessary, vague, and burdensome on free speech and protest activity. No final vote on the bills appears in the excerpt provided.

Transcript Highlights:

• The primary metabolite in kratom, mitragynine, does not cause it.
• I'm not sure I want to open that up. It has to do with Ways and Means.
• I'm not sure I want to open that up. It has to do with ways and means.
• And I am open for questions. Representative Levin. Thank you, Mr. Chairman.
• And I am open for questions. Representative Levin. Thank you, Mr. Chairman.

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• So I'd like to open up our executive session with staff briefings on four bills.
• We will open up our executive session. Okay, welcome back, everyone.
• The free market has opened that up to us.
• And I would like to thank the primary sponsor, Representative.
• And I would like to thank the primary sponsor, Representative.

Summary: The Labor and Workplace Standards Committee met on January 28, 2026, first hearing staff briefings and then taking executive action on House Bills 1571, 2144, 2191, and 2372. HB 1571 would make heart conditions a presumptive occupational disease for certain firefighters and law enforcement officers; members spoke in support of the bill as a response to the stresses and exposures of those jobs, and it was reported out 8-1 with a do-pass recommendation. HB 2144 would require notice to employees when employers use electronic monitoring for performance evaluations. The committee considered several amendments to a proposed substitute, adopting an amendment clarifying private communications protections but rejecting amendments to broaden emergency exceptions and remove the private right of action. The bill, as amended, passed 6-3. HB 2191 concerns wages in the construction industry and employer/contractor liability for unpaid wages. The committee considered a proposed substitute and several amendments. Members rejected amendments to include public entities as owners and to extend the right to cure to subcontractors, but adopted amendments removing Attorney General enforcement authority and making additional clarifying changes. Supporters emphasized accountability for unpaid wages and protecting vulnerable workers; opponents raised concerns about the scope of liability. The amended bill was reported out 6-3. HB 2372 would require workers’ compensation time loss benefits to include the full employer health care premium contribution rather than a partial percentage. An amendment to add L&I invoice and notice requirements and bar attorney fees on the health-care-premium portion was rejected, and the bill was then reported out 6-3. The committee also held public hearings on HB 2563 and HB 2188. HB 2563 would allow the Office of Administrative Hearings to automatically serve unemployment-case notices electronically during a pilot period ending July 30, 2029. OAH testified that the change would reduce mailing costs and improve service, while the Unemployment Law Project warned it would harm claimants with limited digital access and create procedural barriers; no action was taken during the hearing. HB 2188 would require L&I to publish actuarial indicated workers’ compensation rates and explain when rate caps shift costs to other classes. Business groups supported the transparency measure, and L&I testified it could provide the information and that the bill would have no fiscal impact; the hearing was closed without action.

Transcript Highlights:

• Opening up to additional testimony and support.
• And our primary concern is that, you know, And we agree with that assessment, and our primary concern
• So the amendments do kind of three primary things.
• We'll leave it open for absent members to add on.
• Let's go ahead and open it up for additional support testimony.

Summary: The committee heard several energy and water affordability bills, with extensive testimony on SB 254 by Senator Becker, SB 541 by Senator Becker, SB 453 by Senator Stern, SB 292 by Senator Caballero, and SB 473 by Senator Padilla. SB 254 was presented as a broad utility affordability package addressing short-term climate credits, a Power Fund, tighter scrutiny of rate increases and utility profits, wildfire spending, securitization of future utility costs, and streamlining. Supporters, including TURN and several environmental and public power groups, said it could lower bills and reduce long-term costs; opponents from investor-owned utilities, labor, business, and local government raised concerns about market impacts, insufficient analysis, and the breadth of the bill. The committee approved SB 254 on a 6-3 vote and placed it on call. SB 541 focused on load flexibility and using existing grid capacity more efficiently. Senator Becker described it as a transparency and planning measure to identify cost-effective load shifting and reduce peak demand, while supporters said it could improve resiliency and save money. Several CCAs and utilities opposed the bill in print or unless amended, arguing that some language implied a mandate and that the concept needed more cost-effectiveness analysis; the author said amendments would remove language dividing the state goal among retail suppliers and clarify that the bill is not a procurement mandate. The committee passed SB 541 as amended to Appropriations on a 9-1 vote and left it on call. SB 453 by Senator Stern would return unspent ratepayer-funded microgrid program dollars and was described as a way to keep the lights on and redirect unused funds. It drew support from local government and environmental groups, with PG&E expressing concern about how the bill would affect its ability to spend awarded funds. The committee passed SB 453 as amended to Appropriations on a 12-0 vote. SB 292 by Senator Caballero would require more granular outage and reliability reporting, including census-tract-level data, to better inform resilience planning after PSPS events; utilities opposed unless amended, citing duplicative reporting and regulatory overlap, but the bill passed 12-0 to Appropriations. SB 473 by Senator Padilla would require or expand water utility decoupling to promote conservation and affordability. Supporters, including water utilities, labor, business, and local government groups, argued decoupling stabilizes revenue, supports conservation, and can keep rates lower for low-use customers. The Public Advocates Office opposed, saying prior pilot data showed no conservation benefit and about $1 billion in added costs, and that the CPUC had already rejected similar requests. Committee members questioned the conservation and capital-investment effects of the different rate structures; the author and supporters argued decoupling helps utilities fund infrastructure while allowing lower fixed charges for low-use customers. The transcript ends during that discussion, before a final vote on SB 473 is shown.