Transcript Highlights:

• substance use disorders, and treatment-resistant neurological or mental health conditions to qualify
• It's very challenging for physicians to treat these disorders.
• , co-occurring substance use disorders, and treatment-resistant neurological or mental health conditions
• It's very challenging for physicians to treat these disorders.
• There's very few treatment options available, and those treatments I'm to treat these disorders.

Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several Senate bills, beginning with SB 113 on the local health care provider participation program in Calcasieu Parish. The committee adopted a technical amendment and heard that the bill would shift the local sponsor from the parish to the city if needed by a June 1 deadline. After brief discussion and no opposition, SB 113 was reported favorably with amendments. The committee then approved SB 23, which exempts certain assisted living facilities licensed by LDH from the definition of food service establishment, and SB 150, which would allow LDH to scan and electronically store vital records supporting documents and return originals to citizens. SB 221 also advanced after testimony that it would allow EMS providers to be reimbursed by Medicaid for emergency responses where treatment is provided on scene but the patient is not transported. Members discussed that the bill could reduce unnecessary ER use and likely would require some rulemaking, but it was reported favorably. A major portion of the meeting focused on SB 404, a broad vision benefit plan reform bill. Supporters, including optometrists, said the measure would improve transparency, patient choice, and access to eye care by limiting restrictive plan practices; opponents from the vision care plan industry argued it was an unprecedented, provider-driven overhaul that could raise costs and reduce flexibility. After extensive testimony and an agreed amendment clarifying network participation, the committee reported SB 404 favorably with amendments. The committee also reported SB 32 favorably with amendments after emotional testimony from parents and advocates about perinatal bereavement care, cooling devices, and training for hospitals to give grieving families more time and dignity after infant loss. Finally, the committee heard SB 43, which would create a psychedelic-assisted therapy initiative within LDH for clinical research and treatment involving ibogaine and psilocybin, with testimony from veterans, researchers, and advocates describing potential benefits for PTSD, substance use, and traumatic brain injury. The bill was reported favorably with amendments and set to pass a courtesy sheet. The committee then began SB 253, a bill regulating peptides and compounding pharmacies, adopted technical amendments clarifying provider liability, and continued discussion as the transcript ended.

Transcript Highlights:

• 00:41:06.680> of<00:41:06.839> substance<00:41:07.280> use<00:41:07.760> disorders
• the treatment of substance use disorders the treatment of substance use disorders and<00:41:09.160
• /c><00:42:52.920> use we have seen in the substance use we have seen in the substance use disorder
• billing codes um inside of the disorder billing codes um inside of the Medicaid<00:42:57.240> system
• use disorder treatments and counselings<00:43:19.800> it<00:43:19.920> will<00:43:20.160

Keywords: Call to Order 00:00 Roll Call 16:20 HB 90 Discussion 17:00 HB 90 Vote 25:40 HB 398 Discussion 30:55 HB 398 Vote 38:52 HB 580 Discussion 40:10 HB 580 Vote 42:10 HB 87 Discussion 44:12 HB 87 Vote 44:54 HB 422 Discussion 46:00 HB 422 Vote 46:43 Adjournment 47:20, 958, all

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

Transcript Highlights:

• we've worked policy related to electric grid security with a specific emphasis on electromagnetic spectrum
• we've worked policy related to electric grid security with a specific emphasis on electromagnetic spectrum
• Chairman, on electromagnetic spectrum threats is because there's a reason for it, and that's because
• HB 2555 did not specify electromagnetic spectrum threats when it came to resilience initiatives by the
• made is if it can be specified by the legislature that the utilities can include electromagnetic spectrum

Bills: SB75, SB715, SB776, SB1299, SB1405, SB1968, SB2021, SB2077, SB2148, SB2321, SB2330, SB2411

Keywords: electric generation, reliability, ERCOT, Public Utility Commission, penalties, performance requirements, energy policy, construction contracts, compensatory damages, government delays, contractor, legislation, nonprofit donor privacy, membership lists, supporter confidentiality, volunteer privacy, association rights, public records exemption, Texas Public Information Act, government transparency

Summary: The committee first took up pending business and favorably reported several bills without objection or by recorded vote, including SB 783, SB 1238, SB 1706, SB 1791, SB 458, SB 1644, and SB 1810, with some of them also sent to the local and uncontested calendar. The committee then moved into hearings on additional bills. SB 1968, by Senator Schwertner, would update the Real Estate License Act by repealing subagency, requiring written buyer-agent agreements before showings, and clarifying when a formal buyer representation agreement must be signed. Texas Realtors testified in support, saying the bill modernizes agency rules and increases transparency, while a committee substitute corrected drafting issues. SB 2411, the annual update to the Texas Business Organizations Code, was also laid out and left pending after supportive testimony from the Texas Business Law Foundation and drafting committee representatives. The committee also heard SB 2321, which would codify ERCOT’s current practice of notifying TCEQ when backup generation needs enforcement discretion for grid reliability; Sierra Club and a chamber of commerce witness supported it with suggestions for clearer emissions reporting, and the bill was left pending. SB 2077 would broaden eligibility for the Texas Mutual Insurance Company board by narrowing conflict restrictions tied to insurance-related interests; Texas Mutual supported the change and the bill was left pending. SB 1405, a broadband bill, would align state law with FCC standards and streamline Broadband Development Office processes; it was left pending after supportive testimony. SB 1299, protecting nonprofit donor privacy, drew support from privacy advocates and concerns from one witness about transparency for publicly funded nonprofit operations; it was left pending. The committee then heard SB 776, which would bar government construction contracts from shifting delay damages to contractors when delays are caused solely by the public owner. Contractors, surety representatives, and water infrastructure advocates supported the bill, arguing it would improve fairness and reduce inflated bids, while water utilities and critical infrastructure entities opposed it, warning of more litigation and higher costs; the bill was left pending. Finally, SB 715, which would apply reliability requirements retroactively to all generation resources in ERCOT, drew opposition from renewable and storage groups and support from some critics of renewable subsidies, with witnesses split over whether it would improve reliability or raise costs; testimony was underway when the transcript ended.

Transcript Highlights:

• regulations speaks to the fact that there needs to be homogeneous results within a particular framework or spectrum
• needs to be homogeneous results and there needs to be, within a particular framework or a particular spectrum
• needs to be homogeneous results and there needs to be, within a particular framework or a particular spectrum
• <00:14:24.800> a<00:14:25.040> particular<00:14:25.959> um<00:14:26.240> spectrum
• framework or a particular um spectrum framework or a particular um spectrum that<00:14:27.240>

Keywords: 958, all

Summary: The committee met with a quorum and took up Senate Bill 202, adopting a committee substitute before hearing testimony. Senator Julie Rocky Adams explained that the substitute would require the Cabinet for Health and Family Services to promulgate regulations by January 1, 2026 for intoxicating hemp-derived beverages, direct the University of Kentucky to study manufacturing, testing, distribution, sales, and consumer effects of those beverages, and impose a moratorium on their sale until July 1, 2026. Supporters, including Rep. Matt Cook, said the measure was intended as a consumer-protection step rather than a ban, citing concerns about youth access, inconsistent labeling, and the need for a clearer regulatory framework. Members asked about the legal status of the products, whether the bill could unintentionally sweep in non-intoxicating hemp beverages, and whether there was evidence of harm. Senators were told the products are legal under the federal farm bill loophole, but that testing has shown THC levels on sampled cans did not match labels and that current regulations do not specifically address intoxicating hemp-derived beverages. Senator Higdon said CHFS had already been authorized to regulate hemp products and was moving forward with regulations and enforcement, while Senator Meredith questioned whether a moratorium would unfairly punish businesses that had already invested in the market and suggested setting a THC standard instead. Public testimony then shifted to industry opposition. Jim Higdon of Cornbread Hemp said his company had invested heavily in a beverage line and argued the moratorium would function like a ban and harm small businesses. Dee Taylor of 502 Hemp and the Kentucky Hemp Association also opposed the moratorium, saying existing rules already require age limits, behind-the-counter sales, and licensed retailers, and arguing that a cap on milligrams would be preferable to a shutdown. He said retailers were seeing approved and unapproved products in the market and urged work with the Cabinet and ABC rather than a moratorium.

Transcript Highlights:

• House Bill 606, an act relative to a patient's right to medically appropriate care for reproductive disorders
• medically appropriate care for medically appropriate care for reproductive<01:44:38.719> disorders
• <01:44:39.600> Having reproductive disorders. Having reproductive disorders.

Keywords: 1189, house, all

Transcript Highlights:

• RECOGNIZED FOR ITS IMPACT ON INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES, INCLUDING MANY DIAGNOSED WITH AUTISM

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and then took up a Rules Committee report advancing several bills directly to third reading, including Senate Print 9630, an appropriations extender for government operations, and Senate Print 9631, an extender related to Part U1 of Chapter 61 of the Laws of 2023. The chamber then moved to the controversial calendar and debated the first extender, with Senator O’Mara questioning what the bill covered, how much funding it extended, and the status of budget negotiations. Senator Krueger said the extender covered about $1 billion for payroll and certain payments for agencies including Health, Law, OPWDD, and Veterans Services through April 7, and described the budget talks as still unresolved, with no announced follow-up Joint Budget Conference Committee meetings or table targets. She also discussed utility affordability proposals, including a three-year moratorium on A.I. and crypto data/storage facilities and support for green energy and low-income ratepayer relief. O’Mara argued the lack of urgency and absence of written proposals on climate and utility costs was concerning. Both extender bills were then passed, with the first receiving 59 ayes and the second passing 46-13 after debate over its two-year duration. The Senate then adopted the resolution calendar, excluding two items initially, and took up two resolutions. Resolution 1821, sponsored by Senator Ramos, recognized Farmworkers Day and highlighted the essential role of farmworkers, the history of organizing for farmworker rights, and concerns about immigrant workers facing fear and retaliation; Senator May added support, noting the importance of farm labor to dairy production and food supply and the impact of deportation fears on farms in her district. The resolution was adopted. Resolution 1823, sponsored by Senator Zellner, proclaimed March 20, 2026 as Behavior Analysis Day in New York, recognizing applied behavior analysis and its benefits for individuals with developmental disabilities, autism, education, healthcare, and other fields; it was also adopted. The chamber also welcomed a group of students from Queens visiting Albany, with Senator Comrie speaking about the importance of civics education and government engagement. After the introductions and acknowledgments, there was no further business, and the Senate adjourned until Wednesday, April 1, at 11:00 a.m.

Transcript Highlights:

• This is particularly important in the state of Florida for children with autism who, when they feel overwhelmed

Summary: The Committee on Regulated Industries met and reported several bills favorably. SB 530 on state lotteries was presented with two technical amendments and passed as amended. The bill revises Department of Lottery powers and duties, updates bid/proposal information requirements, adds definitions related to ball machines, and gives the department more flexibility to purchase rather than lease machines. SB 204 also passed favorably; it increases penalties for illegal slot machine operations to a third-degree felony and creates a process for veteran service organizations to seek binding declaratory statements from the Gaming Commission about whether a machine is lawful. Testimony on SB 204 included support from Florida Gaming and soft opposition from a veteran organization that wanted clearer language and more cooperation on electronic bingo-type games. The committee then took up a combined proposed committee substitute merging SB 658 and SB 608 on water safety requirements for rental and residential properties. The merged bill requires certain rental properties near water bodies or with swimming pools to have specified safety devices, such as exit alarms, self-closing/self-latching locks, pool fences, pool covers, or pool alarms, and allows DBPR enforcement for vacation rentals. Supporters emphasized the bill’s goal of preventing child drownings, citing Florida’s high number of fatal drownings and the disproportionate impact on young children and children with autism. The combined bill was reported favorably. SB 980 on nicotine dispensing devices was amended with a delete-all amendment creating the Florida Agegate Act. The substitute bill restricts advertising, promotion, and display of non-FDA-approved nicotine devices in retail settings accessible to those under 21, sets escalating penalties, directs fine revenue to enforcement and youth prevention, and authorizes inspections and warrantless searches tied to retail permits. Members discussed whether the bill would effectively curb illegal and counterfeit products and how enforcement would work; the sponsor said the measure is intended to reduce youth access in light of limited enforcement resources. The bill passed favorably. SB 1708 on veterinary licensure by endorsement also passed, removing a three-year out-of-state practice requirement for licensed veterinarians while keeping other qualifications intact to help address veterinary shortages. Finally, SB 680 on electric vehicle charging taxation passed with a strike-all amendment creating a sales tax exemption for electricity sold to EV charging station operators and transferred to consumers, provided it is separately metered and properly documented. The committee adjourned after noting additional support forms and inviting members to a later K-12 speech and debate bill presentation.

Transcript Highlights:

• <00:32:27.000> We've youth with substance use disorder.
• We've youth with substance use disorder.
• And they cannot go to a substance use disorder program because of wait times.
• But a teenager with substance use disorder will humble you to your core.
• will humble you to your use disorder will humble you to your core. core. core.

Bills: HF4407, HF4382

Keywords: child welfare, African American children, racial disproportionality, family preservation, reunification, foster care, kinship care, relative placement, noncustodial parent, guardian ad litem, ombudsperson, Department of Human Services, county social services, active efforts, reasonable efforts, child protection, placement, out-of-home placement, Northstar kinship assistance, data disaggregation

Summary: The Children and Families Committee adopted the April 8 minutes and then took up House File 4407, as amended by the A1 amendment. The amendment, explained by nonpartisan staff, incorporated much of the Senate version of related legislation and made a series of changes: it revised the definition of “disproportionately represented child,” shifted that determination to the Commissioner of Children, Youth, and Families, made technical cross-reference and terminology updates, adjusted training requirements, set the working group to expire December 31, 2027, and added an appropriation for statewide implementation. The committee adopted the A1 amendment and then referred the bill to Ways and Means. Representative Gilman said the bill is intended to preserve the goals of the Minnesota African American Family Preservation Act while addressing operational, legal, and fiscal problems before statewide implementation. He argued for delaying the effective date by one year, shifting case review responsibilities to the state, and providing funding so counties are not left with an unfunded mandate. He also said the bill adds safety measures related to synthetic opioids and other imminent-harm concerns, and that the delay would allow the working group to finish its recommendations and give counties time to prepare. County officials Steve Schmidt of Meeker County/Minnesota Rural Counties and Jenny Mojo of Clay County testified in support of the bill as amended, emphasizing that counties need clearer responsibilities, staffing, training, technology, and dependable funding to implement the law successfully. Rebecca St. George of DCYF said “active efforts” is not absolutely defined and is determined case by case, often with court involvement. Members raised questions about the meaning of active efforts, the bill’s synthetic opioid language, and whether the proposal should apply more broadly rather than within this specific act. A citizen also cautioned that the opioid language should not unintentionally affect families in treatment programs. Representative Hicks warned that the fentanyl provisions could lead to broad removals and create placement problems for teens with substance use disorder, while Representative Gilman responded that the bill includes a rebuttable presumption and is meant to protect children from imminent harm.

Transcript Highlights:

• Um, that's own substance use disorder.
• <00:54:04.960> You substance use disorder themselves.
• You substance use disorder themselves. You heard<00:54:05.359> Mr.
• And this severe substance use disorders.
• suffering from substance use disorder suffering from substance use disorder and<01:53:22.000>

Keywords: 1189, house, all

Transcript Highlights:

• Or the story that Carol Levin and AJ Lago did on the woman who lives with autism that they evicted her
• person with a brain injury whose DSP keeps them safely housed, the parent praying that their child's autism
• 01:19:41.240> that<01:19:41.360> their<01:19:41.480> child's<01:19:41.880> autism
• praying that their child's autism praying that their child's autism supports<01:19:42.800> don't

Keywords: 1187, senate, all

Transcript Highlights:

• state-mandated training for use of force, crisis response, conflict management, cultural diversity, and autism
• state-mandated training for use of force, crisis response, conflict management, cultural diversity, and autism
• state-mandated training for use of force, crisis response, conflict management, cultural diversity, and autism
• Cultural diversity and autism training.
• and just for further clarification on the previous amendment, it had to do primarily with adding autism

Keywords: 1187, senate, all

Transcript Highlights:

• I'm Jillian Nelson, policy director at the Autism Society of Minnesota, and I'm here to ask for your
• sometimes they fall out of their wheelchair and they have to call 911 because sometimes they have autism
• :51:13.960> have call 911 because sometimes they have call 911 because sometimes they have autism
• c> they<01:51:14.880> get<01:51:15.040> overstimulated<01:51:15.920> and autism
• and they get overstimulated and autism and they get overstimulated and they<01:51:16.159> maybe

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• At the time, we received a lot of training surrounding autism, which was good and important, but we now
• At the time, we received a lot of training surrounding autism, which was good and important, but we now
• received a lot of<00:59:31.200> training<00:59:31.640> surrounding<00:59:32.039> autism
• <00:59:32.480> which<00:59:32.599> was of training surrounding autism which was of
• training surrounding autism which was good<00:59:32.920> and<00:59:33.119> important<00

Bills: HF6, HF52, HF53

Keywords: education, literacy, science of reading, school performance, funding flexibility, innovation zones, equity and inclusion, HF52, New Germany, wastewater treatment, wastewater facility, sewer infrastructure, capital investment, bonding bill, state bonds, Public Facilities Authority, municipal infrastructure, water quality, sanitation, sewage treatment

Transcript Highlights:

• But I want you to think about independence in terms of a spectrum, that you're not either independent
• or not, but there's a varying level to it, and also layering on that maybe making a spectrum into a
• But I want you to think about independence in terms of a spectrum that you're not either independent
• or not, but there's a varying level to it and also layering on that maybe making a spectrum into a quadrant

Keywords: 907, all

Summary: The Joint Interim Committee on Legislative Audits met on June 17 for informational presentations. The Department of Administrative Services, through Chief Audit Executive Eli Ritchie, gave an overview of statewide internal audit requirements and the fiscal year 2025 report. He explained the difference between internal and external audit, described Oregon’s statutory and rule-based internal audit structure, and reported that 30 agencies had internal audit functions, with most meeting required standards. He said 73 audits and 49 advisory/consulting engagements were completed statewide, with strong compliance overall, though a few agencies were rebuilding audit committees after vacancies. No committee questions were raised after the presentation. The Secretary of State’s Audits Division then presented its Government Waste Hotline annual report. Director Steve Bergman and audit manager Olivia Rekhed described changes made to align the hotline with statute, including renaming it the Government Waste Hotline, creating a review panel, improving anonymity protections, removing fraud reporting from the hotline’s scope, and adjusting reporting timelines. They said hotline volume increased modestly in 2025, most reports were referred elsewhere or closed for insufficient evidence, and two reports were substantiated, including questioned costs of about $856 for personal use of a state vehicle and about $2.9 million tied to the Preschool Promise program. Committee members asked about hotline staffing, cost, anonymity, and follow-up on findings; staff said the hotline is lightly resourced, uses a contracted intake service, and referrals or recommendations are followed up through management letters and later reviews. The committee also heard an audit of the Oregon Parks and Recreation Department’s safety inspections and asset tracking. The Secretary of State’s office reported that OPRD had not consistently conducted or documented quarterly OSHA safety inspections and had incomplete asset records, including missing acquisition dates and costs for many assets. The audit made eight recommendations covering safety inspection policies, asset management guidance, tagging, reconciliations, disposition controls, training, and a new asset management system; OPRD agreed to all recommendations. OPRD officials said they had already begun training staff, improving inspection procedures, and working toward a replacement asset system, while noting operational challenges from a large, dispersed park system and manual processes. Committee members asked about what kinds of assets are tracked, how tagging works, whether items were actually being lost, and how much tracking is necessary for low-value tools; OPRD said the main issue was inconsistent classification and documentation rather than widespread loss. The meeting ended with no votes or formal actions taken.

Transcript Highlights:

• So, this had buy-in across the spectrum from, you know, property owners to attorney groups to homeowners
• So, this had buy-in across the<00:03:45.400> spectrum<00:03:46.239> from,<00:03:46.959>
• you<00:03:47.080> know,<00:03:47.280> property the spectrum from, you know, property
• the spectrum from, you know, property owners<00:03:48.360> to<00:03:48.640> attorney<00

Keywords: 918, senate, all

Summary: The interview reviewed the Minnesota Senate session with a focus on bipartisan accomplishments and the challenges of a divided chamber. The senator highlighted the creation of an independent Office of the Inspector General as a major fraud-fighting win, along with the “Take It Back Act,” which would require fraudsters to forfeit 100% of stolen proceeds. He said lawmakers also refined fraud-response measures so legitimate service providers, including those serving Minnesotans with disabilities, would not be unnecessarily cut off while investigations proceed. Another bipartisan measure discussed was a consumer protection bill for homeowners associations and common interest communities, intended to give property owners more protection against overzealous enforcement while preserving community rules. The senator said these bills reflected growing working relationships across the aisle and noted the importance of trust-building, especially with many retirements ahead in the Senate. The conversation also covered affordability and tax relief. The senator said the caucus helped secure a one-year reduction in vehicle tab fees, worth about $254 million to taxpayers, alongside a $1.2 billion bonding bill, and also backed other tax relief items such as pass-through entity tax changes, Section 179-related business tax relief, and property tax relief. He said these were negotiated at the end of session and did not reduce funding for roads and bridges. On contentious issues like gun violence prevention and immigration enforcement, he said some broad packages contained useful bipartisan elements but were derailed by controversial provisions and party-line politics. He described the session overall as “50/50,” saying Republicans wanted more emphasis on taxpayers, education, public safety, and economic growth, and argued that Minnesota’s education performance needs urgent improvement. He closed by stressing that the main lesson of the session was the value of relationships and service, and he encouraged incoming senators to focus on constituents rather than themselves.

Transcript Highlights:

• So I'm going to give you two ends of the spectrum on that.
• The other end of the spectrum is we have developed a human-machine teaming tool for special Operations
• So that's the other end of the spectrum, where now it's not quantifying something that you can publish
• So it runs that type of spectrum. Any follow-up? Go ahead. Just one.

Transcript Highlights:

• Really, from the spectrum of children to seniors, how critical that funding is and how dire it would
• Um really from the<00:09:08.000> spectrum<00:09:08.320> of<00:09:08.560> children
• ><00:09:08.880> to<00:09:09.200> seniors,<00:09:09.760> how the spectrum of children
• to seniors, how the spectrum of children to seniors, how critical<00:09:10.399> that<00:09:10.720

Keywords: 1183, house

Transcript Highlights:

• I'm also a mother of two sons with epilepsy. and autism and a daughter who will be blind by adulthood
• Today I serve students who have specific learning disabilities, also some have moderate to severe autism
• He was reading more, writing more, and becoming more social in his special day autism core program.

Keywords: 988, house, all

Transcript Highlights:

• <00:08:20.680> And<00:08:21.240> for disorder treatment services.
• And for disorder treatment services.
• You know, substance use disorders, individuals with substance use disorders are exempt because they are
• , You know, substance use disorders, You know, substance use disorders, individuals<00:24:51.520>
• with substance use disorders individuals with substance use disorders are<00:24:53.240> exempt

Keywords: 958, all

Summary: The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required. The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695. A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change. Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.

Transcript Highlights:

• Health Association and the California Access Coalition represent mental health and substance use disorder
• Every day I witness the devastating impacts of substance use disorders on individuals and their family
• Again, while we share the author's goal of ensuring individuals suffering from substance use disorder
• While we share the author's goal of ensuring individuals suffering from substance use disorder receive
• . across California, 12 and up are considered to have a substance use disorder across California.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.