Transcript Highlights:

• Thank you all for passing that last year and looking forward to implementing that.
• could go to so that we could implement ethnic studies.
• That would avoid the payment delay.
• million—I remember the number $240 million or $250 million—to implement ethnic studies.
• So just clarifying that beginning in 2025-26, there would be no payment delays to schools.

Summary: The Assembly Budget Subcommittee on Education Finance met for its annual Proposition 98 overview, with Chair Alvarez outlining the committee’s focus on K-12 funding, student outcomes, and use of one-time funds. Superintendent Tony Thurmond gave an update on education issues, including wildfire recovery support for affected school communities, ongoing concerns about federal threats to education funding and immigration enforcement, progress on literacy and math, dual-language immersion, educator housing, and support for dual enrollment. Members broadly expressed support for these priorities, while also raising concerns about implementation, funding stability, and the need for schools to remain safe places for students. The committee then reviewed the Governor’s Proposition 98 proposal. The Department of Finance said the 2025-26 Proposition 98 guarantee is projected at $118.9 billion, with higher revenues and TK-related rebenching driving the increase. The LAO said the budget adds about $7.5 billion over two years and discussed the volatility of the guarantee, especially in 2024-25, when changes in revenue could have an outsized effect on school funding. Members questioned the proposed $1.6 billion delayed settle-up payment, the legal basis for delaying it, and the impact of possible federal funding freezes. The LAO presented alternatives such as a reserve deposit or delayed disbursement, while Finance said the proposal is intended to manage uncertainty. Members also raised concerns that ethnic studies implementation was not funded in the January budget, and Finance said the administration was not proposing funding for it. The committee next heard on the Proposition 98 rainy day fund and education deferrals. Finance said the reserve would receive a mandatory deposit of about $1.2 billion in 2024-25 and a discretionary deposit of $376 million in 2025-26, leaving a balance of about $1.5 billion. The LAO supported rebuilding the reserve as a way to manage volatility. On deferrals, Finance described the Governor’s plan to eliminate remaining deferrals by 2025-26, and the LAO said paying them off improves cash flow and budget resilience. Members generally supported eliminating deferrals and rebuilding reserves, though some asked about acting earlier if revenues allow. The committee also reviewed the proposed $1.8 billion student support and professional development block grant; Finance said it would fund professional development, recruitment and retention, and dual enrollment, while the LAO recommended clearer language on local discretion and use for one-time costs. Members were divided, with some supporting flexibility and others warning that one-time block grants can create instability and confusion for districts.

Transcript Highlights:

• In an earlier presentation on this, I was told that there is a delay in implementing this, and I'm curious
• Do we have any understanding of what they are going to consider delay, legitimate delay in implementing
• States can request a delay, but we're not guaranteed a delay.
• The bill does grant states the option of applying for a waiver to delay implementation.
• implementation up to December of 2028, so it's about a two-year delay.

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• Muratsuchi, and the implementation of ethnic studies.
• That delay affects more than 20% of the state's personal income tax base.
• This year's budget delayed the other $1.6 billion until next year.
• That's the most compelling option that would avoid the payment delay.
• $250 million to implement ethnic studies.

Keywords: 988, house, all

Transcript Highlights:

• So when certifications are delayed, so are these aides' raises.
• So when the certifications are delayed, so are these aides raises.
• Interviewees said Prometric policies were a main cause of delay.
• DOH is already implementing an improvement that eliminates the delay between training and testing by
• Program managers at DOH provided a few reasons for the worsening delay.

Summary: The Joint Legislative Audit and Review Committee held a public hearing on the State Auditor’s Office performance audit of Washington’s Restoring Quality Home Care Initiative (I-1163). Auditors said the initiative’s background checks and 75-hour training requirement are widely viewed as safety measures, but the state lacks pre-2011 data to directly measure safety outcomes. They also found Washington’s long-term care workforce is still short, though the state ranks better than many others in workers per disabled person, and that some groups and regions have larger gaps between authorized and actually used Medicaid care hours, suggesting access problems for certain clients. The audit focused heavily on the certification process for home care aides. Auditors reported that many applicants never finish certification, that the process often exceeds the 200-day legal deadline, and that delays can cause lost income, job loss, and in some cases repeated employer changes that allow aides to keep working without becoming certified. They recommended that the Department of Health accept applications only after training and testing are completed, move testing into training programs more broadly, and eliminate redundant DOH verification of FBI background checks. Committee members asked about testing contract incentives, language access, and the role of immigration in workforce shortages; auditors said they found no financial performance standards in the Prometric contract, did not specifically study immigration status, and did not focus on language barriers in this audit. Department of Health and Department of Social and Health Services officials largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including expanded in-program testing, more staffing, and rule changes, and that testing has been integrated into more than 110 training programs. DSHS noted testing is offered in 13 languages. Both agencies said they support further streamlining and expect continued collaboration, including possible budget or legislative requests. No public testimony was offered, and the committee adjourned without taking any vote or formal action on the audit.

Transcript Highlights:

• And a delayed implementation date for rental car companies.
• <00:10:36.279> implementation<00:10:37.279> for then a delayed implementation for then
• Would you be open to putting in a delayed implementation date?
• Would you be open to putting in a delayed implementation date?
• c> there's<01:37:11.000> a delayed implementation date so there's a delayed implementation

Keywords: 912, senate, all

Summary: The joint committees first heard House Bill 229, which would establish a statewide speed restriction for motor vehicles under certain circumstances. Testimony on the bill was limited and came in support from the City and County of Honolulu’s transportation services, the Department of Parks and Recreation, and the Oahu Metropolitan Planning Organization. No one testified in opposition, and there were no questions. The committees then took up House Bill 860, which would grant immunity from liability to the state or counties when they repair or maintain a street whose ownership or jurisdiction is disputed between them. The Department of Transportation and the Department of Land and Natural Resources submitted written testimony, and the Hawaii State Association of Counties, Maui County Council Chair Alice Lee, Hawaii County Council member Heather Kimble, and the Iolani Homestead Community Association for Justice testified in support. The Ho Association for Justice opposed the bill, arguing the immunity was too broad and that the issue had already been addressed by prior legislation. In discussion, members raised concerns about liability and asked whether a different approach, such as extending the 2017 law transferring Oahu roads in limbo to the counties, would be acceptable; county representatives said that path could be considered if immunity were removed. House Bill 1161, which would authorize counties to use a road usage charge mechanism similar to the state’s, drew support from the Department of Transportation, the Energy Office, the Hawaii State Association of Counties, several county and city offices, and the Oahu Metropolitan Planning Organization. Rental car companies and industry groups supported the concept but asked for amendments, including a flat fee instead of a per-mile charge, relief for plug-in hybrid vehicles, and a delayed implementation date. The Tax Foundation of Hawaii also supported relief for hybrids. Members questioned the rental car representatives about the flat-fee proposal, and they said a per-mile charge would be difficult to calculate and pass on to customers. At the end of the joint agenda, the committees deferred decision-making on HB 1161 to Tuesday, March 18 at 3:00 p.m., and the Energy and Intergovernmental Affairs committee also deferred the three measures to that date and time. The Transportation and Culture and the Arts committee then began hearing House Bill 925, which would create a Performing Arts Special Fund, and House Bill 1378, which would establish a Performing Arts Grants Program and Special Fund and revise the State Foundation on Culture and the Arts’ responsibilities and funding sources. HB 925 received support from the State Foundation on Culture and the Arts and written support or comments from DBEDT, the Hawaii Arts Alliance, and others. HB 1378 drew extensive testimony and discussion focused on preserving arts funding while addressing concerns about the use of Works of Art Special Fund dollars for positions and programming. The Governor’s office said it supported the intent but had concerns; the Attorney General warned that the bill’s cap and transfer provisions were unclear and could affect the tax-exempt status of bond-funded dollars; and the State Foundation on Culture and the Arts opposed the measure, urging an audit, tracking of deposits, and a shift of positions and programs to general funds instead of changing the law. The chair explained that the bill was intended to protect arts funding while tightening the legal guardrails around bond-financed dollars and preserving federal support, and asked testimony to focus on new points as the hearing continued.

Transcript Highlights:

• implementation.
• Again, because of the delays, in my experience with L.A.
• Again, because of the delays, you know, I mean. We finalized in a faster manner.
• Again, because of the delays, again, in my experience with L.A.
• These lengthy review periods significantly delay basic interior buildouts.

Keywords: 987, senate, all

Transcript Highlights:

• This creates delays, higher costs, and risks.
• That decision, if challenged, could lead to significant delays.
• We don't have to wait for legislation to implement it.
• So this is not a month-long delay.
• , which there are already so many delays.

Keywords: 996, all

Transcript Highlights:

• It's a one-year delay.
• It's a one-year delay.
• The department is delayed with implementation of NEMT.
• > cost 2-week delay.
• That 2-week delay cost 2-week delay.

Keywords: 1187, senate, all

Transcript Highlights:

• extremely saddened to see that instead of reversing or delaying much, while I did see a delay for the
• We're implementing now.
• We're implementing now.
• At that point, we had to delay payments to vendors and delay tuition payments... ...had to delay payments
• pushing back the delay for assets.

Keywords: 987, senate, all

Summary: The hearing opened with Department of Finance and Legislative Analyst’s Office remarks on the May Revision, which both described efforts to reduce large out-year operating deficits through a mix of revenue increases, spending reductions, and reserve use. Finance said the May Revision more than halves projected deficits in later years, while LAO stressed that revenues are at unprecedented levels yet the state still faces a significant structural deficit and is drawing down reserves; LAO urged maintaining at least the administration’s level of budget solutions and adding to reserves rather than new ongoing commitments. The chair echoed concern about cuts to vulnerable populations and noted the tension between service reductions and requests for additional administrative positions. The committee then heard a series of California Health and Human Services and HCAI proposals, including additional legal support for CalHHS to respond to federal HR1 changes; a net-zero transfer of positions for a centralized eligibility/data-sharing platform; 988 crisis line implementation funding and continued work with the Trevor Project to train crisis centers to better serve LGBTQ youth; EMS data system maintenance funding; HCAI implementation of AB 1312 hospital charity care screening; SB 660 data exchange framework funding; CalRx biosimilar insulin reappropriation; and a diaper access initiative that would provide free diapers to newborns in participating hospitals and support a future direct-to-consumer purchasing option. Members questioned the diaper program’s universal design, the use of a Public Contract Code exemption, and the selection of Baby2Baby, with the chair expressing concern about optics and the lack of an income threshold. The committee also discussed distressed hospital funding, with HCAI requesting up to $50 million for another round of grants to hospitals in immediate financial distress. HCAI said it receives annual and quarterly financial reports but the data lag limits real-time monitoring, and the LAO recommended stronger program parameters and turnaround plans. Members argued the repeated need for distressed hospital aid reflects a structural problem, not a short-term gap, and raised broader concerns about hospital reimbursement and patient flow. Other items included reverting $19.6 million in unused opioid settlement funds from HCAI to DHCS for General Fund offset, and a Rural Health Transformation Program request to increase HCAI spending authority to cover the full federal award. Later, DMHC presented funding requests to implement PBM licensing and financial review requirements under AB 116, modernize the managed care complaint system, and build an electronic claims settlement data system under AB 3275. The final major discussion focused on the Behavioral Health Services Oversight and Accountability Commission, which opposed the May Revision’s proposed reduction of its Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy grants. The Commission argued these programs are core to Proposition 1’s goals of statewide innovation and community accountability, while Finance said the proposal is consistent with Proposition 1’s maximum funding levels and reflects a broader effort to prioritize direct services and use unspent prior-year funds; members pressed for more information and questioned whether the cuts would undermine the new behavioral health framework.

Transcript Highlights:

• , why are we implementing this on July 1st at that time?
• With part of the reason you're implementing all these changes, as you said, and you're implementing the
• How come there's not a length delaying the implementation of that until after training and education
• implementation until it's clear from the federal government what that implementation needs to look like
• So I think we can discuss just a delay in implementation so that it aligns with the federal implementation

Transcript Highlights:

• We are going to delay implementation to January 1, 2027, to allow the Judiciary to create jury forms,
• nurse we are going to delay nurse we are going to delay implementation<00:02:35.400> to<00
• would add even further um more delays would add even further um more delays work<00:23:43.039>
• <00:23:44.679> for work for the and potential delays for work for the and potential delays
• So for that reason, we're going to be passing this with amendments and a delayed implementation date

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services began by explaining strict one-minute testimony limits, reliance on written testimony, and that it had quorum and would move directly to decision making on deferred measures. It first adopted the chair’s recommendation to pass SB 8 with amendments, creating a five-year trial period for a jury-duty exemption for actively practicing APRNs, delaying implementation to January 1, 2027, and adding a defective date. It then adopted amendments to SB 189 on breast cancer screening, replacing references to “woman” with “patient,” clarifying that supplemental imaging and mammograms must be medically necessary and ordered by the patient’s provider, deleting one subsection, and adding a defective date. The committee then heard testimony on several bills. SB 46 on insurance/mental health coverage drew support from a member of the public and others, but later the chair said it would be deferred indefinitely pending a required sunrise analysis and a concurrent resolution. SB 642 on fertility preservation services received broad support from providers, advocacy groups, and an individual who described facing cancer treatment and high out-of-pocket costs; the chair later amended it to make coverage optional, limit it to those over 26, and add a defective date. SB 49 on terminal illness had limited testimony and was later passed with amendments incorporating agency and professional association changes plus a defective date. The committee also heard strong support for SNAP-related bills. SB 53, expanding SNAP eligibility to 300% of poverty, drew testimony about the “benefits cliff,” but the chair later deferred it indefinitely, citing uncertainty about costs and system issues. SB 58 on public assistance had no testimony. SB 960 and SB 961, both SNAP-related, drew extensive support from nonprofits, health groups, and others; DHS said its modernization work would not be ready until fall 2026 and that current systems could not automatically extend certification periods. SB 963 on SNAP also received support, including testimony from a volunteer reentry advocate and a public health advocate, but the chair later said it would be deferred indefinitely because the committee could not determine the fiscal impact and wanted to wait until next year. Finally, the committee heard SB 798 on child welfare and SB 974 on foster care. Testimony on SB 798 included support from child welfare and advocacy organizations, but also criticism from a witness who said the bill lacked voices of those harmed by the system and another who emphasized the need for independence, implementation, and accountability. The committee then recessed to regain quorum and later returned to decision making, where it deferred SB 46 indefinitely, passed SB 642 with amendments, passed SB 49 with amendments, and deferred SB 53 indefinitely. The transcript ends while the chair is continuing through the remaining measures.

Transcript Highlights:

• So isn't there already a delay built into the process?
• about this whole thing because delay about this whole thing because delay with<00:24:58.039>
• , so the commissioner would set that delay so it could be a three-month delay or a six-month delay, whatever
• commissioner would set that delay so it could be a three-month delay or a six-month delay, whatever.
• > less The less delays, the better, right?

Keywords: 928, house, all

Summary: The subcommittee first took up House Bill 507, which concerns the timeline for credentialing mental health care providers. Members discussed and approved an amendment that removed section 2 and changed the bill’s effective date to January 1. A motion for ought to pass as amended was made, seconded, and approved by a 6-0 vote, with Representative Miles assigned to write the committee report. The bulk of the meeting focused on House Bill 705, a price-transparency measure requiring insurance-related data reporting and uniform formatting. Committee members and a representative from Anthem discussed how the bill would interact with federal requirements, including a recent presidential executive order and anticipated CMS guidance on uniformity standards. Anthem testified that the federal timeline was uncertain, that final rules could take months, and that the machine-readable files involved are complex and costly to produce. Some members argued the state should mirror federal standards but wait for final federal guidance; others said the bill should create a firm state requirement and not leave everything to rulemaking. The main unresolved issue was timing. Members debated whether the bill should be effective upon passage, apply to plan years beginning January 1, 2026, or be delayed until after federal guidance is finalized, with several references to a possible six-month implementation window after final federal rules. No final vote was taken on HB 705 in the portion provided; instead, the committee planned to revisit the bill the next morning after language was rewritten and circulated, with a straw vote anticipated before the executive session.

Transcript Highlights:

• So it is some delayed implementation.
• delayed...
• It delays immediate Medi-Cal dental cuts. It prevents. It delays immediate Medi-Cal dental cuts.
• We delayed harmful dental cuts, we delayed immigrant premium increases, we provided health care premium
• We delayed harmful dental cuts, we delayed immigrant premium increases, we provided healthcare premium

Keywords: 988, house, all

Transcript Highlights:

• If we have not fully implemented parts of the measure, I'll be asking how we can... not fully implemented
• To accelerate implementation of the plan? Yeah, absolutely.
• These long-delayed decisions are not a backlog. They are institutional failures.
• These long-delayed decisions are not a backlog.
• , delayed civil rights and cumulative impacts policies, delayed implementation of source reduction and

Summary: The joint oversight hearing focused on DTSC’s implementation of SB 158 reforms, including enforcement, community engagement, fee stability, the hazardous waste management plan, permitting backlogs, and the Safer Consumer Products program. Senators and Assembly members emphasized protecting overburdened communities and asked how DTSC and the Board of Environmental Safety are using their authority to improve accountability, reduce delays, and address hazardous waste facilities and consumer product chemicals. The hearing also included discussion of extended producer responsibility programs and whether DTSC can support them more efficiently, including through coordination with CalRecycle. DTSC Director Katie Butler said the department is now more transparent, accountable, and fiscally stable, citing stronger enforcement actions, an interactive inspections map, expanded community outreach, and emergency response work on the Los Angeles wildfire cleanup. She said DTSC has made progress on fee reform, the hazardous waste management plan, cleanup grants, permit renewals, and safer consumer products rulemaking, including adding microplastics to the candidate chemical list. Board Chair Andrew Rakestraw said the board has held multiple public meetings and hearings, is working on fee rates and performance metrics, and is revising the hazardous waste management plan after public comment, including removing a proposal to send certain contaminated soil to municipal landfills. He also noted remaining concerns about fee structure, permit delays, and the pace of the safer consumer products program. Public witnesses offered sharply different views. A representative of the California Council for Environmental and Economic Balance said SB 158 reforms have improved permitting and transparency, but urged more attention to risk-based decision-making, reduced duplication, and possible General Fund support for plan implementation rather than relying only on fees. Earthjustice argued DTSC remains too slow and that communities continue to suffer from long-delayed permits and weak protections, urging the Legislature to take a more active role and to prioritize eliminating hazardous substances rather than minimizing costs. Committee members pressed the witnesses on permit renewals, community impacts, and the pace of the safer consumer products program, while DTSC defended its progress and said further legislative collaboration may be needed on hazardous waste management and emerging waste streams.

Transcript Highlights:

• close to three years after implementation had begun.
• after implementation had begun.
• None of the cases have been delayed.
• And so what is the delay in the chair?
• And so what is the delay in the chair?

Summary: The subcommittee first heard a lengthy Auditor General presentation on the Department of Management Services’ fleet management operations. The audit found major problems with oversight, recordkeeping, policies, fee-setting, purchase and disposal approvals, public auction controls, and FleetWave system access and processing. Key findings included that 2,279 vehicles valued at more than $57 million could not be matched between FleetWave and FLAIR, disposal records were missing or incomplete, user access remained active long after employees separated, and the department had not documented a reasonable basis for its $1.75 per-vehicle monthly fee. Members expressed strong concern about the accuracy of the state’s fleet inventory and the risk of waste or misuse. DMS Secretary Allende said the department concurred with the findings, was working with the Auditor General, and planned corrective actions, including better training, clearer guidance, improved reconciliation, and possible centralization or pilot programs for fleet purchasing and management. The committee then returned to vacancy discussions with several agencies. The Division of Administrative Hearings said its two long-vacant judges of compensation claims positions had been hard to fill because of low pay and short reappointment terms, but the chief judge said the division could operate without them and offered those positions up as part of a reduction exercise. The Public Service Commission reported 42 vacancies but said statutory deadlines were still being met, though staff workloads and depth of analysis were affected. The commission also said vacancies help it manage salaries within its trust-fund budget. Members questioned whether some of those positions were truly needed given the lack of delays. The Florida Gaming Control Commission reported 29 vacancies, including a vacant chair that prevented appointment of an inspector general, and said the chair vacancy was a gubernatorial appointment issue. The acting executive director also said the commission’s compulsive gambling prevention program had lapsed after no responsive bids were received for a new contract, but an invitation to negotiate was nearly complete and a new provider was expected soon. The Public Employee Relations Commission reported that its caseload had more than doubled after Senate Bill 256, which increased union recertification work; it said it was meeting deadlines only with overtime and that the workload had not fallen despite decertifications. Members asked for follow-up data on union cases, vacancy needs, and whether some positions across agencies could be reallocated to better match workload.

Transcript Highlights:

• <00:19:48.039> the Pu has the authority to delay the Pu has the authority to delay the standard
• :54.679> automatic<00:19:55.080> delay indefinitely this automatic delay indefinitely this
• <00:35:58.000> means comply indefinitely that delay means comply indefinitely that delay means
• will be burnt after the implementation will be burnt after the implementation of<01:20:43.639>
• <01:37:30.520> the members um so the the um delaying the members um so the the um delaying

Keywords: 1183, house

Transcript Highlights:

• So more we delay, higher the cost goes.
• Great, you just found difficulty in terms of implementation.
• The Salton Sea Management Program continues to lead all of the planning, all of the implementation. implementation
• So, right now, we don't believe this would delay. any cleanups.
• I think we have some investigations lined up that potentially be delayed but it shouldn't delay any cleanups

Keywords: 988, house, all

Transcript Highlights:

• And that is mandatory for agencies to implement.
• Instead, Doug faced years of litigation, delay, and hostility.
• And said, Doug faced years of litigation, delay, and hostility.
• Surveillance, I don't know. of litigation, delay, and hostility.
• IME's accusations and delays, Captain Doug Murray took his own life.

Summary: The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail. The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff. An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.

Transcript Highlights:

• and implementation.
• and implementation.
• Apologies for the delay.
• Apologies for the delay.
• To implement these new data requirements for PBMs, HCAI will build upon the successful implementation

Summary: The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis. For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken. EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• Counties either have implemented or are working to implement standardized decision-making tools for mandated
• Was not to delay statewide implementation as planned for October of 2026.
• potentially delay the implementation.
• It doesn't mean that because an issue occurs, it automatically means implementation would be delayed.
• implementation.

Keywords: 988, house, all