Transcript Highlights:

• Even now we have outbreaks of tuberculosis in some parts of our country and measles outbreaks.

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the House Journal for the 43rd day by roll call vote, 122-1. Members also used points of personal privilege to honor former representative and city official Edward L. Bushmeyer with a moment of silence, and to recognize Jean Carnahan during Women’s History Month, along with several special guests and student groups visiting the chamber. The main floor business focused on budget reappropriation and capital improvement bills. House Bill 2017, the reappropriations bill, was explained as carrying forward previously approved appropriations for unfinished projects, including $186 million for St. Louis tornado recovery; it was adopted and ordered perfected and printed after discussion about delayed spending and funds on the governor’s restricted list. House Bill 2018, the maintenance and repair bill for state facilities, was also adopted and perfected. House Bill 2019, the capital improvements bill, drew the most debate over new projects, the use of general revenue, and a $104 million capital renovation item tied to the Capitol building; an amendment adding $3 million for a state nursery road and Conservation Commission partnership with MoDOT was adopted, and the bill was then approved and perfected. House Bill 2020, the ARPA spending bill, was described as the final year for expending federal pandemic funds; members discussed how any unspent amounts would flow to the foundation formula, and the bill was adopted and perfected. Later, House Bill 2760, the “Praise Act,” was taken up. The bill would protect religious worship services during state emergencies by preventing stricter restrictions on houses of worship than on comparable private entities, while preserving emergency carve-outs for disasters and similar threats. Supporters framed it as a First Amendment and religious liberty measure, while opponents argued it could undermine public health protections during pandemics. Debate continued with questions about how the bill would apply in emergencies and whether churches should be treated differently from other gathering places.

Transcript Highlights:

• It's tuberculosis, it's Hepatitis C, it's mental health, it's depression, it's substance use, it's sexually

Transcript Highlights:

• COVID-19, influenza A and B, measles, monkeypox, RSV, pneumonia, and tuberculosis have all grown exponentially

Keywords: 995, all

Summary: The committee held a lengthy hybrid hearing of the Joint Committee on Municipalities and Regional Government, with testimony spanning local board training, animal welfare and enforcement, municipal charters, water district dissolution, and other home rule matters. Chairs Rausch and Lewis set strict time limits because of the large number of speakers and explained that written testimony would also be accepted. Members heard from local officials, advocates, municipal employees, and residents, with many bills receiving broad support from municipal and advocacy witnesses. Several speakers supported bills requiring or expanding training for local boards and commissions, including pre-service training for planning, zoning, and other land use boards. Supporters said training would help volunteers understand complex laws, improve consistency, reduce legal challenges, and speed up housing and development decisions. Related testimony also backed a bill to modernize historic district commissions and another to allow associate planning board members to serve more broadly when needed to maintain quorums. A major portion of the hearing focused on animal legislation. Witnesses supported bills to expand citations for cruel conditions beyond dogs, update dangerous dog procedures, improve animal health inspections and breeder oversight, strengthen tethering rules, and protect pet consumers. Animal control officers, humane organizations, and some victims of dog attacks described enforcement gaps and the need for clearer standards, while several dog trainers and the American Kennel Club opposed parts of the dangerous dog bill and tethering restrictions, arguing they would limit humane training tools and professional discretion. The committee also heard strong support for a bill to create a statewide pet shop and consumer protection framework. The committee also heard testimony on several local home rule petitions. Medford officials and residents strongly supported a new city charter that would replace the current at-large council with ward-based representation and periodic charter review. Wayland representatives supported a bill to preserve the library’s Millennium Fund as intended, Cambridge officials backed creation of an employment and job training trust, and Carver officials supported dissolving the North Carver Water District due to compliance and financial problems. No votes were taken during the hearing, and the chair repeatedly invited written testimony and follow-up materials.

Transcript Highlights:

• The budget also includes $15.5 million one-time for CalRx to support low-cost epinephrine and tuberculosis

Keywords: 988, house, all

Transcript Highlights:

• It invests in global health programs from HIV to maternal and child health to tuberculosis. ...stopping
• the health of moms and children and fights other infectious diseases that know no borders, like tuberculosis
• 04:50:24.240><c> no</c><04:50:24.560><c> borders</c><04:50:25.280><c> like</c><04:50:25.520><c> tuberculosis
• </c> that know no borders like tuberculosis. that know no borders like tuberculosis.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, January 14, 2026, 1012, house, all

Transcript Highlights:

• We handle tuberculosis, multidrug-resistant tuberculosis. That's a biosafety level two.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:05 Approval of Minutes 00:01:48 Welcome New Members 00:02:03 Information Items 00:02:35 Review of Executive Branch Agency Plans 00:03:33 A. Cabinet for Health and Family Services 00:04:00 B. Kentucky Department of Education 00:17:03 C. Education and Labor Cabinet 00:29:33 D. Energy and Environment Cabinet 00:42:38 E. Finance and Administration Cabinet 0:53:30 F. Justice and Public Safety Cabinet 01:13:28 G. Personnel Cabinet 01:31:04 H. School Facilities Construction Commission 01:41:39, 958, all

Summary: The meeting was the first of the year for the Capital Planning Advisory Board. Members were called, a quorum was confirmed, new co-chairs and members were welcomed, and the board approved the prior year’s meeting minutes. The chair also reviewed the capital planning timeline, packet organization, and the list of agencies that submitted plans but would not testify. The Cabinet for Health and Family Services presented first, outlining priorities centered on public safety, protecting existing infrastructure, preventive maintenance, and improving service delivery. Its major requests included a $21 million maintenance pool for 14 campuses and 175 buildings, phase 2 construction funding for a new public health laboratory, an 18-bed psychiatric hospital for children and adolescents with severe mental health needs, and several projects at Western State Hospital, Western State Nursing Facility, Hazlewood, and Oakwood. Members asked about the youth facility’s relationship to a separate DJJ project, vacant buildings, the high per-bed cost of the children’s hospital, and how the cabinet determined the need for the youth facility. CHFS said the youth project would be a separate facility serving high-acuity youth, the cost reflected the specialized nature of the unit and an 18-bed cap, and the broader youth plan also includes prevention, in-home services, and coordination across agencies. The Kentucky Department of Education then described projects for its three state-operated facilities: the Kentucky School for the Deaf, the Kentucky School for the Blind, and the FFA leadership training center. It requested additional funding for the FFA classroom and activity building after bids came in higher than expected, plus funding for a new education finance application system to support SEEK budgeting. Other priorities included a maintenance pool, FFA pool renovation, electrical upgrades, campus education enhancements, lighting improvements, safety and security work, door and window replacements, and HVAC maintenance. Members asked about student outcomes, the size of the FFA pool, and construction cost assumptions; the department said it tracks students through the schools and short-course programs, the pool size figure may have been a typo, and current construction estimates are being adjusted upward because of inflation and supply-chain pressures. The Education and Labor Cabinet began its presentation with 12 priority projects, including a state labor exchange system to connect job seekers and employers, renovation of the McDow Vocational Rehabilitation Center, and a new adult education and family literacy management information system. The cabinet said the labor exchange would help match workers with employers at no cost, while the McDow renovation was needed because the 30-year-old facility has safety and code concerns. The adult education system was described as outdated and lacking adequate case-management and tracking capabilities.

Transcript Highlights:

• We used to think tuberculosis you can't treat in our communities. Well, guess what?

Summary: The meeting focused on Turtle Mountain’s public health and behavioral health priorities, especially access to rural health transformation funding and a long-running data use agreement with the state. Tribal public health leaders described how, during COVID, a temporary data-sharing arrangement allowed them to do their own contact tracing and case management, and they argued that a similar agreement is now needed to respond more quickly to very high syphilis rates and other infectious disease concerns. Committee members generally expressed support and said they would follow up with state officials, while tribal representatives emphasized that they already have the staff and infrastructure to use timely data effectively. A major portion of the meeting was devoted to the Turtle Mountain Recovery Center and the broader issue of the IMD exclusion and residential treatment capacity. Tribal leaders described the center’s opening, its five levels of care, its 16-bed limit, and its efforts to become financially sustainable through billing, grants, and partnerships. They shared success stories and argued for an IMD waiver or similar flexibility so the center could expand to 32 beds and better meet local need. Committee members discussed the policy barriers to expanding residential treatment, including federal approval timelines, state funding choices, and the need to preserve a continuum of care that includes outpatient and community-based services. The committee then heard a detailed presentation from Hector Hernandez-Dogato of the National Health Law Program on the history and mechanics of the IMD exclusion and Section 1115 waivers. He explained that the exclusion limits Medicaid payment for services in facilities with more than 16 beds, but noted existing exceptions and alternatives such as state plan options, managed care arrangements, telehealth, and community-based services. He also reviewed mixed results from states that have used IMD waivers, warning that they do not automatically improve overdose deaths, emergency room use, or access to community care, and may risk reinforcing institutionalization if not paired with strong upstream services. The committee discussed a draft bill to appropriate $49,000 and one FTE for HHS to pursue an IMD waiver, with members suggesting the bill may need to explicitly include serious mental illness as well as substance use disorder and asking for department input at a future meeting.

Transcript Highlights:

• We used to think tuberculosis you can't treat in our communities. Well, guess what?

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• The next one, laser tuberculosis, is a, one. Perfect. I understand.

Bills: HB99, HJR5, HM39, HB206, HB213, SB41, SB153, SB165, SB261, SB264

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• We certainly get tuberculosis, brucellosis, and all these other animal diseases that we have a limit

Keywords: 997, house, all

Transcript Highlights:

• Tuberculosis Control and Treatment, Personal Services, 13.1 FTE. $1,500,461. $1,188,761. $311,700.
• </c><05:48:51.360><c> control</c> I 10 9.2 2 FTE 11 tuberculosis control I 10 9.2 2 FTE 11 tuberculosis
• treatment personal services 13.1 FTE I treatment personal services 13.1 FTE 14<05:49:00.400><c> tuberculosis
• control</c><05:49:01.360><c> and</c><05:49:01.600><c> 15</c><05:49:02.480><c> 1,500,461</c> 14 tuberculosis
• control and 15 1,500,461 14 tuberculosis control and 15 1,500,461 1,188,761 1,188,761 1,188,761 311700

Keywords: 981, all

Transcript Highlights:

• We also do infectious disease testing: tuberculosis, arboviral diseases, tickborne diseases, influenza
• disease</c><03:07:14.080><c> testing,</c> infectious disease testing, infectious disease testing, tuberculosis
• ,<03:07:16.000><c> arboiral</c><03:07:16.800><c> diseases,</c> tuberculosis, arboiral diseases, tuberculosis

Keywords: 1191, senate, all

Transcript Highlights:

• The budget also includes $15.5 million one-time for CalRx to support low-cost epinephrine and tuberculosis

Summary: The Assembly Budget Committee met to consider the final three-party agreement for the 2026-27 state budget and 19 implementing bills, including two budget bill juniors and 17 trailer bills. Committee leadership and administration officials described the budget as a balanced plan that reduces out-year structural deficits, maintains large reserves, and makes major investments in health care, education, housing, child care, public safety, and other core services while also responding to expected federal cuts and fiscal uncertainty. The Department of Finance outlined the package’s major components, including Medi-Cal adjustments, education funding increases, higher education changes, child care and human services updates, housing and homelessness funding, energy and transportation provisions, and tax and general government changes. Members asked questions about several provisions, including CSU enrollment targets and turnaround plans, the Prop. 98 settle-up mechanism, the plastics market development payment program, housing accountability measures, NextGen 9-1-1 implementation, and veteran services. Staff and administration witnesses explained that the higher education language is intended to improve campus-by-campus reporting and oversight, that Prop. 98 settle-up would be finalized later through the statutory certification process, and that NextGen 9-1-1 now includes one-time funding, quarterly reporting, an independent technical review, and a state audit. Members also discussed the HAP homelessness funding increase to $900 million and the balance between accountability and timely distribution of funds. The most extended exchange centered on comparisons between funding for veterans and Medi-Cal/immigrant health coverage. Republican members argued the budget spends far more on undocumented immigrant services than on veterans, while Democratic members and Finance staff responded that the comparison was misleading because many veterans’ services are federally funded and the state budget also includes dedicated veteran support. The chair and other members emphasized that the budget reflects difficult tradeoffs and that the package protects vulnerable populations, preserves health care access, and advances affordability. No final vote was described in the excerpt, but members indicated support for the overall package and said they would support it on the floor.

Transcript Highlights:

• We had a nurse who had encountered a patient with tuberculosis, which is a highly infectious disease,

Summary: The Senate Labor and Public Employment Committee held an oversight hearing on federal policy impacts on California’s labor market. In opening remarks, the chair argued that federal actions, including immigration enforcement, tariffs, and cuts to safety-net programs, are harming workers, employers, and communities, and said the committee wanted to document impacts and identify state responses. The first panel featured economist Enrique Lopez Lira of UC Berkeley, who described slow job growth, wage pressures, high housing and care costs, and the large share of California workers in low-wage jobs. He said federal cuts to Medi-Cal and SNAP/CalFresh and increased immigration enforcement would worsen insecurity, especially in health care, retail, hospitality, agriculture, and care work. The chair asked about recession indicators, middle-wage stagnation, and which sectors rely most on safety-net programs, and Lopez Lira said worker organizing and unions were a source of hope. A second panel focused on federal immigration enforcement. UC Merced’s Edward Orozco Flores presented research finding that private-sector employment in enforcement-targeted states fell during escalated enforcement periods, with California experiencing unprecedented declines in 2025. He urged policymakers to consider wage-replacement or stimulus-style support for affected workers, including excluded workers who cannot access unemployment insurance. Shannon Sedgwick of the Los Angeles County Economic Development Corporation said undocumented workers are deeply embedded in the county economy, generating substantial economic activity and supporting over a million jobs. She reported that intensified enforcement in Los Angeles County was associated with business disruptions, reduced sales and customer traffic, workforce instability, lower transit ridership in vulnerable areas, and losses from the downtown curfew. Committee members asked about impacts on small businesses, tax revenue, and recovery, and witnesses pointed to local resiliency funds, business toolkits, and know-your-rights efforts as partial responses. The hearing then heard from worker representatives. Flore Melendres of the Clean Car Wash Worker Center said car washes have been heavily targeted by federal agents, with hundreds of workers taken from workplaces, many businesses disrupted or closed, and workers living in fear; she urged support for AB 2271 to provide financial benefits to families who lost income because of DHS activity. California Nurses Association president Michelle Gutierrez-Vos said H.R. 1’s Medi-Cal and Covered California cuts threaten hospital finances, jobs, and patient care, and she backed CalCare (AB 1900), a hospital closure moratorium, and more support for nursing education. UAW 4811 president Rafael Jaime said federal research cuts are putting UC research funding and postdoctoral jobs at risk and endorsed SB 895, a proposed bond measure for health and scientific research. AFGE representatives Wallace Wade and Kendrick Roberson described the strain on federal workers during shutdowns, unpaid work, staffing losses, and the effects on TSA, Social Security, VA services, and worker housing stability; they supported SB 1155 to protect federal workers from eviction. Committee members thanked the witnesses and said the testimony showed both the human and economic consequences of federal policy. In the final panel, employer groups began responding to the same federal pressures. California Retailers Association president Rachel Michelin said retail is a major private-sector employer and a key entry point for young workers, and that retailers are seeing the effects of rising costs, supply-chain shifts, and consumer pressure at the checkout counter. The hearing continued with additional employer testimony beyond the provided excerpt.

Transcript Highlights:

• We had a nurse who encountered a patient with tuberculosis, which is a highly infectious disease, and

Keywords: 987, senate, all

Transcript Highlights:

• Two of those, Clinton or excuse me, Ellisa, I Mean, sorry, Tallahina and Sulfur were both tuberculosis

Keywords: 914, all

Transcript Highlights:

• fever ticks out there, but we could get fever ticks coming through there, but we certainly get tuberculosis

Transcript Highlights:

• So they chose to cut some tuberculosis staff instead of communications staff, and like seriously, Mr.
• So they they chose to cut some<04:07:25.279><c> tuberculosis</c><04:07:26.239><c> staff</c><04:07:27.040
• ><c> instead</c><04:07:27.359><c> of</c> some tuberculosis staff instead of some tuberculosis staff instead

Keywords: 1187, senate, all

Transcript Highlights:

• part of with him, someone asked how we kept building in the face of overwhelming problems like tuberculosis

Keywords: 995, all

Summary: The meeting was a special commission hearing on antisemitism held off-site at Kerem Shalom Synagogue in Concord, with commissioners approving prior minutes and noting a quorum, a rescheduled October 27 meeting, and the addition of a new commissioner. The co-chairs and host speakers emphasized the personal and communal significance of holding the hearing in a synagogue and the importance of confronting antisemitism while protecting free speech, academic freedom, and civil discourse. The commission heard from former SJC Justice and current UMass General Counsel David Lowy, who discussed the IHRA definition of antisemitism, said its use as nonbinding guidance does not raise First Amendment concerns, and described UMass’s response to a discriminatory academic conference policy. Commissioners also asked about campus speaker vetting, protest rights, and university practices for addressing antisemitism and protecting students’ access to education. District Attorney Marian Ryan testified about restorative justice as a tool for addressing hate incidents, saying it can help victims be heard, reduce reoffending, and be used in criminal, school, and community settings. She described local programs, online reporting forms, and the need for better statutory tools, including changes to restitution and education requirements in hate-crime cases. Commissioners asked whether restorative justice affects charging decisions, and Ryan said it should not alter whether a hate crime is investigated or charged. She also identified model programs and said the commission’s work aligns with the national strategy it is charged with implementing. Three rabbis then described the rise in antisemitic incidents in schools and communities, the emotional toll on Jewish families, and the need for stronger school responses, clearer language in incident communications, and better training for educators. Rabbi Brad David recounted repeated incidents in Acton-Boxborough and praised the district’s improved partnership and response, while Rabbi Tom Shah described parental anxiety, concerns about classroom materials lacking context, and the need for balanced instruction. The rabbis also discussed synagogue security costs and measures, including volunteer security teams, police support, grants, and physical protections. Commissioners said the testimony would inform forthcoming recommendations, and DESE staff noted they are developing instructional-materials guidance and a rubric for educators. The final witness, Professor Christina Miller, outlined hate-crime prosecution issues in Massachusetts, including mixed-motive cases, the need for clearer statutes and jury instructions, better training for police and clerk magistrates, guidance on sentencing and diversity-awareness programs, and the use of community impact statements.

Transcript Highlights:

• Not everyone that understands goats and sheep understands bovine or swine.
• > understands</c> understands goats and sheep understands understands goats and sheep understands bovine
• bovine bovine um<00:19:21.520><c> or</c><00:19:21.840><c> swine.

Keywords: 928, house, all

Summary: The subcommittee held an open work session on HB 1766-FN, a bill addressing cruelty to livestock, and focused on proposed language changes from the Department of Agriculture. Assistant State Veterinarian Nathan Harvey, speaking for the commissioner, explained concerns about the term “imminent danger,” arguing that the bill should allow seizure based on probable cause when an animal is starving or has a life-threatening condition, rather than tying action too closely to whether the owner is arrested. The department also proposed language on “extreme suffering” that would require euthanasia if the cost of treatment would exceed the allowable reimbursement amount under AGR rules, though members immediately raised concerns about using a dollar limit to require euthanasia. The department further suggested clarifying who may participate in investigations by allowing the state veterinarian or a designate, and noted that the current draft could be read too narrowly. Members discussed the $5,000 emergency care cap in the rules, with Josh Marshall confirming it is an aggregate emergency veterinary care limit. Several legislators said they were uncomfortable changing the bill from “may” to “shall” euthanize, arguing that treatment costs vary widely by species and condition and that a fixed monetary threshold could be too rigid. Representative Bixby also raised a separate concern that the bill’s language may be broader than intended and could apply to all animals rather than livestock only. The department agreed the bill should be limited to livestock and suggested using existing statutory definitions or adding a new section to make that clear. The discussion also turned to humane societies and other organizations that might investigate complaints or board seized animals. A representative from a humane organization said the groups with expertise in care often also have expertise useful to investigations, and that removing them entirely could be impractical because only a few facilities in the state can provide boarding. Members and witnesses explored alternative language that would allow for-profit and nonprofit organizations to participate in either the investigation or the care of livestock, but not both, to avoid conflicts of interest while preserving needed expertise. No votes were taken; the work session ended with agreement to consult the Office of Legislative Services and the department to refine the bill before the next meeting.