Transcript Highlights:

• So we have one person in-person, Alan Acosta, if you could come up. And again, 60-second timer.
• For survivors, access to abortion care is not just health care.
• care decisions.
• And I did not care what the cost was.
• So the next panel is in person.

Summary: The Workforce Development Committee heard public testimony on several higher education bills. Senate Bill 5954 would expand veteran survivor tuition waiver eligibility to better align state law with federal DEA benefits, allowing eligible children and surviving spouses/domestic partners to use the waiver outside current age and time limits. The sponsor and veteran advocates said the change would help families access earned benefits; no opposition was heard, and the public hearing was closed. The committee then heard Senate Bill 5826, which would require public postsecondary institutions to provide access to medication abortion through student health centers or referrals and web-based information by the 2027-28 academic year. Supporters, including students and reproductive health advocates, said the bill would reduce barriers, travel burdens, and stigma and help students stay enrolled. Opponents, including clergy, Catholic Conference representatives, and other individuals, argued the bill promoted abortion, raised safety and moral concerns, and was outside the mission of colleges. The public hearing was closed after extensive testimony. Senate Bill 5828 would restore and adjust Washington College Grant and College Bound Scholarship awards for students attending private not-for-profit four-year institutions, using the average award at public institutions rather than the reduced formula adopted last session. The sponsor and many students, private college leaders, and business and workforce groups supported the bill as a matter of fairness, access, and student choice, while public university faculty and representatives opposed it, saying state aid should prioritize public institutions and that the bill would deepen funding inequities. The committee also heard Senate Bill 5909, which would require public baccalaureate institutions to review and potentially discontinue low-enrollment degree programs; supporters framed it as a transparency and efficiency measure, while faculty and student representatives opposed it as too blunt and potentially harmful to smaller, specialized, or equity-focused programs. No votes were taken on any of the bills during the hearing.

Transcript Highlights:

• There's no formal access care.
• </c> of care. of care.
• </c> managed care model does not do that. managed care model does not do that.
• illness that we care about while providing them with this care.
• </c> This is an access to care bill. This is an access to care bill.

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• . ...those who can least afford to pay for health care.
• , our hospitals, improving our system of care through cost reduction and making health care more affordable
• We're in a health care crisis, a cost crisis.
• care costs for our small businesses.
• I've never served on a health care committee, so...

Transcript Highlights:

• The stakes for health care are high.
• care services for people with disabilities.
• We are very concerned about the governor's proposals to change eligibility for waiver and personal care
• Face-to-face care coordination helps people manage multiple chronic health care problems, which reduces
• care.

Summary: The House Appropriations Committee continued its public hearing on House Bill 2289, the fiscal biennial supplemental operating budget appropriations bill. The chair and vice chair explained the hearing process, limited testimony to one minute per person, and then heard extensive public comment from a wide range of advocates, local officials, service providers, and residents. No committee vote was taken during the hearing. Much of the testimony focused on opposition to proposed budget shifts involving Climate Commitment Act revenue, especially the proposed diversion of $569 million to other uses, including the Working Families Tax Credit. Environmental, public health, and local government witnesses argued those funds should remain dedicated to climate pollution reduction, wildfire resilience, clean transportation, natural climate solutions, and affordability programs. Several speakers also urged full funding for wildfire response and forest health, including the HB 1168 commitment, and opposed transfers from the Public Works Assistance Account. Other major topics included Medicaid and long-term care rates, with nursing home and assisted living providers warning that freezing or delaying rate rebasing would worsen staffing shortages and threaten access to care. Public health and health care advocates opposed cuts to foundational public health services, Apple Health expansion, and pharmacy benefit changes, while oral health advocates asked to preserve Medicaid dental funding and support Dentist Link. Testimony also supported or opposed funding for K-12 programs such as special education, the Ninth Grade Success Initiative, and homeless student stability; early learning and child care subsidies; disability services; public defense; housing and homelessness prevention; food assistance; higher education; and immigrant legal services. The committee concluded the hearing and adjourned after public testimony ended.

Transcript Highlights:

• And so when we talk about whether private equity is good for health care or bad for health care, or good
• The doctors or other health care providers who are in the chain of care are often named, and it's their
• The hospitals are named the doctors or other health care providers who are in the chain of care are often
• or persons.
• And the last person is Judy. And the last person is Judy Muskell.

Bills: HB99 , HB49 , HB164 , SB30 , SB43 , SB50 , SB136

Committee: House House Judiciary

Summary: The committee first took up House Bill 99, which would make changes to the Medical Malpractice Act, especially around punitive damages. The chair and sponsor said the bill would not be voted on that day and that public comment would wait until Monday, when a fuller presentation and any recommended substitute would be considered. Dr. Brooke Baker, a physician-lawyer, gave a long presentation on physician wellness, malpractice stress, and the effect of litigation on staffing and burnout, while also discussing hospital ownership structures, private equity, and rural hospital vulnerability. She argued that punitive damages are often pled too broadly in New Mexico, that the amendment language was unclear about which entities would be capped, and that better oversight and internal quality systems—not punitive damages—are the better tools for addressing bad actors and unsafe care. Committee members from both sides asked extensive questions about the patient compensation fund, indemnification, corporate structures, the effect of caps on insurance and recruitment, and whether the bill would protect physicians’ personal assets. No vote was taken on HB 99, and the committee recessed before moving to the next bill. The committee then returned to House Bill 49, a public safety measure increasing penalties for felons who possess firearms. The sponsors and law enforcement witnesses said the bill is aimed narrowly at serious violent felons who are already prohibited from having guns, and that it would align state sentencing with federal law and give police and prosecutors a stronger tool against repeat violent offenders. An amendment was offered to narrow the bill further, add destructive devices, and make the offense a second-degree felony rather than escalating to first degree on repeat offenses. The amendment was adopted without opposition. Public testimony on HB 49 was largely opposed. The Law Office of the Public Defender argued the bill criminalizes possession without a new act of violence, that current law already punishes felon-in-possession conduct, and that New Mexico has repeatedly increased penalties without evidence of reduced gun crime. The ACLU of New Mexico also opposed the bill, saying increased penalties are not a proven deterrent. The transcript cuts off as additional online opposition testimony was beginning.

Transcript Highlights:

• individuals, even though they require the same level of secure forensic care.
• out of foster care.
• bias, particularly in emergency care settings.
• receive essential training in sickle cell care and treatment.
• So there's also health care initiatives and financial literacy and so many things.

Bills: S0086 , S0554 , S0760 , S0774 , S0778 , S0844 , S1022 , S1230 , S1246 , S1594 , S1630

Committee: Senate Fiscal Policy

Summary: The Fiscal Policy Committee met and first reported favorably SB 774, which extends enhanced workers’ compensation benefits to 9-1-1 public safety telecommunicators for mental or nervous injuries, after adopting a late-filed amendment declaring an important state interest. The committee also heard supportive testimony from a Palm Beach County dispatcher. SB 770, which updates the definition of forensic clients so certain individuals with intellectual disabilities or autism can be housed with other Chapter 916 residents in secure forensic settings, was reported favorably as well. Members then approved CS/SB 86, which declares unauthorized operation of a commercial vehicle by an unauthorized alien an imminent safety hazard and imposes driver, carrier, and enforcement consequences, despite questions about vehicle impoundment and cargo handling and one appearance in opposition. SB 1594, which protects veterans’ benefits received on behalf of foster youth from being used as reimbursement and instead sets them aside for education and transition services, was reported favorably after supportive testimony. The committee also approved CS/SB 760, creating a new offense for willful violations of no-contact pretrial release conditions in certain violent crime cases, though the Florida Association of Criminal Defense Lawyers raised concerns about expanded warrantless arrest authority in one section. The committee next reported favorably CS/SB 554, a complete rewrite of Chapter 617 governing nonprofit corporations, after a technical delete-all amendment. It also approved CS/SB 844, requiring continuing education on sickle cell disease care for certain health care professionals; the bill drew extensive supportive testimony from advocates and patients describing pain management gaps and health disparities. SB 1022, expanding Florida Children’s Initiatives by adding programs in Bay County and Broward County, and CS/SB 1246, broadening the Linking Industry to Nursing Education Fund to include health science workforce programs and related uses, were both reported favorably. Finally, the committee approved CS/CS/SB 1230, which restricts the use, sale, and distribution of aqueous film-forming foam containing intentionally added PFAS and requires inventory and disposal reporting, after adopting amendments that removed airports from one provision. It also approved CS/CS/SB 128, directing DEP to erect markers for the Andrew Red Harris Spoil Island water body designation. Several senators requested to be recorded as voting in the affirmative on specific bills, and the committee adjourned without objection.

Transcript Highlights:

• Representative Persons-Mulicka. Representative Persons-Mulicka: Thank you, Mr. Speaker.
• I can speak personally in my hometown how we've taken care of that.
• I can speak personally in my hometown, how we've, Those things are well taken care of.
• I can speak personally in my hometown how we've taken care of that. Representative Hart.
• How are they going to take care of security? How are they going to take care of maintenance?

Summary: The House convened on the final day of session, observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, and for Representative Rosenwald’s father, then swore in and seated new members Boyles and Hodgers. The Speaker also outlined the chamber’s end-of-session priorities, including action on the budget and related conforming bills. The House then took up H.J.R. 5019, a constitutional amendment to expand Florida’s budget stabilization fund by raising the cap, requiring annual transfers, and allowing withdrawals for critical state needs. After sponsor explanations and questions about what would qualify as a critical need and how the fund might respond to possible federal funding cuts, the House adopted an amendment that added more flexibility for suspending transfers and withdrawals. The joint resolution then passed on final passage. Members next considered HB 7031, the tax package conference report. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or extends several sales tax exemptions and holidays, and makes changes affecting property taxes, local taxes, pari-mutuel taxes, and revenue distributions. Debate focused heavily on the new permanent exemption for ammunition and hunting-related items, the elimination of recurring housing trust fund and transit-related distributions, and the shift of some funding from recurring to nonrecurring status. Supporters argued the package provides tax relief and preserves annual budget flexibility, while opponents criticized the ammunition exemption and the reductions in recurring housing and transit support. The conference report was adopted and the bill passed. The House then passed HB 5017, which creates a debt reduction program funded by a recurring transfer from general revenue to retire state bonds early, and HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment. Finally, the chamber began explanation and questions on the General Appropriations Act conference report for fiscal year 2025-26, described as a $115.1 billion budget that is down from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major budget areas, including K-12 education, health care, transportation and economic development, agriculture and natural resources, higher education, state administration, justice, and information technology, highlighting funding for school choice, Medicaid, housing, transportation infrastructure, Everglades restoration, workforce programs, cybersecurity, and technology modernization.

Transcript Highlights:

• Like you said, they do have a personal story. I have a personal story.
• and reproductive health care.
• I believe we can live in a state where a person in crisis is met with care, not force, where the first
• question is, how can we help this person, and not how do we control this person?
• But it was a person of color.

Summary: The committee heard several bills, with most of the discussion focused on public safety, consumer protection, and youth harms. AB 1557 by Assemblymember Papin would clarify e-bike motor power limits and set lower speed-related standards for Class 1 and 2 e-bikes. Supporters, including the California Police Chiefs Association, cities, the California Medical Association, and the American Academy of Pediatrics, argued the bill would reduce severe injuries and deaths among young riders. Opponents from People for Bikes warned it could conflict with federal law, create legal uncertainty, and disrupt the bicycle market. The author and committee members acknowledged industry concerns and urged continued work on the bill. AB 1770 by Assemblymember Garcia would place large health care service plan arbitration under California Department of Justice oversight and require compliance with the California Arbitration Act. Supporters described cases where patients were forced into private arbitration with little transparency or accountability, arguing the bill would make the process fairer and more neutral. Kaiser Permanente and the Civil Justice Association of California said they were still reviewing amendments and had not settled on a final position. Committee members expressed sympathy for the personal stories shared and encouraged continued negotiations. The committee also heard AB 2075, which would require fire suppression equipment to be kept closer at hand during brush work, and AB 1864, which would require screening of gene synthesis orders to prevent misuse for bioterrorism. AB 2075 was presented as a response to a Ventura County wildfire, with support from the Ventura County District Attorney’s office and no opposition heard. AB 1864 was backed by the author, Stanford biosecurity expert Dr. Milana Trout, and Encode AI, while Biocom opposed unless amended and California Life Sciences remained neutral. Members discussed implementation details and the role of the Department of Public Health. A major portion of the hearing was devoted to AB 1709, which would set a minimum age of 16 for social media accounts on platforms with harmful features and create an e-safety advisory commission. Supporters, including youth advocates, parents, medical groups, and Common Sense Media, said addictive design features are harming children’s mental health and safety. Opponents, including EFF, the ACLU, TechNet, and other civil liberties and industry groups, argued the bill is overbroad, raises First Amendment and privacy concerns, and could limit access to important online communities. Despite those objections, the bill was moved forward after committee discussion, with members emphasizing the need to protect children while continuing to work on carveouts and implementation details.

Transcript Highlights:

• health care needs.
• health care needs.
• Points of personal privilege.
• Points of personal privilege.
• cared deeply for his family and friends, and also the American veterans whom he cared for as an ICU

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior journal, and recognition of Dr. Pamela Murphy as Doctor of the Day. Members also introduced a number of guests, including Deacon Ernie Gonzalez, local Prescott officials, Arizona Game and Fish commissioners, and advocates from the Alzheimer’s Association. A proclamation was read designating January 26, 2026, as Arizona Aviation Day, with remarks highlighting the aviation industry’s economic impact and the presence of airport and aviation representatives in the gallery. The clerk then read a long list of bills that had been first read or referred for printing, and a second-reading calendar covering measures on water and energy, education, elections, taxes, housing, veterans, public safety, and other topics. No floor votes on those bills were taken during this segment. Representative Gress also read a resolution recognizing National School Choice Week and praising Arizona’s school choice programs, including charters and ESAs. Much of the remainder of the session consisted of members’ personal privilege remarks responding to violence and immigration enforcement actions in Minnesota and elsewhere. Speakers from both parties and several senators and representatives condemned ICE tactics, described constituent fear and family separations, and called for constitutional rights, due process, and accountability. Representative Sandoval requested and the House observed a moment of respectful silence in memory of Alex Pretty and Renee Good. The House then received committee and caucus announcements and adjourned until 1:15 p.m. Tuesday, January 27, 2026.

Transcript Highlights:

• In managed care, their support coordinators are called care managers, and I met my care manager exactly
• It's an absurd standard, and if you care even a whit about democracy, if you care even a whit about not
• because we all care.
• because we all care.
• They don't care.

Bills: S0042 , S0688 , S0762 , S1168 , S1296 , S1298 , S1300 , S1318 , S1332 , S1376 , S1548 , S1570 , S1574 , S1632 , S1634 , S1750

Committee: Senate Fiscal Policy

Summary: The committee first took up CS for SB 42 on specific medical diagnosis and child protective investigations. A late-file strike-all amendment was adopted that made only stylistic changes to align with the House version. Supporters said the bill would help DCF and child protective teams better identify rare medical conditions and give parents a chance to defend against mistaken abuse findings. The bill was then reported favorably. The committee also approved SB 1570, which restores a prior program to help locate missing persons with special needs through voluntary tracking devices and coordination with sheriff’s offices and CARD centers, with nonrecurring funding included. Members then advanced several education, disability, and public services measures. CS for CSSB 182 created a teacher training and mentoring program for high-performing current and retired teachers to mentor teachers in D- and F-rated schools, and CS for CSSB 794 required background screening for employees in residential and day training programs for people with developmental disabilities while directing APD to study support coordination quality, workforce issues, and service gaps. Testimony on SB 794 strongly supported better training, lower caseloads, and more consistent support coordination. The committee also favorably reported CS for CS SB 1168 on background screenings, CS for CS SB 214 to allow rural special districts to pay verified invoices directly, CS for SB 1376 to create grants for genetic counseling education, and SB 1574 (Maddie’s Law) to add newborn screening for biliary atresia; the latter drew emotional support and testimony that early screening could save lives and reduce transplant costs. The committee heard and passed a number of other policy bills, including CS for CS for SB 1510, the DEP agency package, after environmental groups warned that one provision could delay basin management protections and allow more septic systems in impaired watersheds; the bill still passed favorably. Members also approved CS for CS for SB 598 on funeral and cemetery regulation, SB 688 to license naturopathic doctors, SB 1318 on scholarship account reversion rules, CS for CS for SB 682 on domestic violence injunctions and penalties, SB 130 on workforce training for current and former inmates, and SB 1548, the latest Live Local affordable housing update. Several bills were briefly postponed or taken up later in the meeting. In the latter portion of the meeting, the committee approved CS for C.S. for SB 536 on criminal gang membership criteria, CS for C.S. SB 762 on assigning conflict capital cases across regional counsel offices, SB 1332 on career offender registration requirements, CS for CS for SB 1742 creating a new offense for indecent exposure of sexual organs to a child, and CS for SB 1750 increasing penalties for serious sex offenses and child sexual abuse material crimes. The committee also debated CS for SB 1226 on Public Employee Relations Commission procedures and union certification rules, including a late-file amendment setting a 60% threshold and 25% quorum for recertification; the discussion focused heavily on constitutional concerns, union rights, and differences between first responders and other public employees. The transcript ends while that bill’s debate is still underway, with the committee having already taken numerous favorable votes throughout the meeting.

Transcript Highlights:

• must perform a health care activity, AI should not be allowed to do that care in our place.
• level of care.
• And I'm a primary care doctor. And I'm a primary care doctor one day a week.
• There's not a person in this room, I'm sure, who hasn't had a nurse care for him or her in a way that
• I won't be personally offended.

Summary: The committee heard several bills focused on privacy, accessibility, labor, and public safety. AB 1798 by Assemblymember Wilson would bar life and disability insurers from using non-diagnostic genetic information, including direct-to-consumer test results, in underwriting. Supporters argued the bill would protect privacy and encourage genetic testing, while insurers opposed it as unnecessary and said genetic data should be treated like other predictive health information. The bill passed the committee on a 7-0 vote and was held open for absent members. AB 2190 by Assemblymember Wallace would create website accessibility standards based on WCAG guidelines and add affirmative defenses intended to reduce serial litigation while improving access for people with disabilities. Disability advocates supported the measure as a needed civil-rights update, while business groups warned it could increase liability and create unclear compliance obligations. The bill passed 9-0 and was sent to Appropriations. AB 2721 by Assemblymember Carrillo would require hotels to post notice when they know or should know that U.S. Customs and Border Protection or ICE are using the premises, with supporters saying workers and guests deserve transparency and safety. Hotel and business groups opposed it, citing privacy, liability, and concerns about interfering with federal operations. The committee voted 6-2 to pass the bill to Appropriations, with the roll left open. AB 2027 by Assemblymember Ward would restrict employers from using worker data to train AI systems that replace workers and limit sharing of worker data for automation; labor groups supported it and business and public-sector groups opposed it as too broad. The bill passed 7-2 to Appropriations, with the roll left open. The committee also heard AB 1837 by Assemblymember Mark Gonzalez, which would extend and tighten privacy rules for transit agencies’ use of forward-facing cameras to enforce bus-lane violations; supporters said the cameras improve transit flow and safety, and the bill was presented with amendments, though no final vote is reflected in the transcript excerpt.

Transcript Highlights:

• Care coordination is a practice where health care providers coordinate care with internal and external
• care, dental, or specialty care, providing health education and patient navigation, managing care and
• </c> by this this care. by this this care.
• </c><00:19:53.120><c> Um,</c> integrate care. Um, integrate care.
• </c> care, behavioral health, or chronic care care, behavioral health, or chronic care management<01:

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.

Transcript Highlights:

• Senators Weber-Person? Aye. Weber-Person, aye. Valaderas, aye. Caballero? Aye. Caballero, aye.
• Families are not denied care.
• She contacts us, asks to reschedule, and remains committed to her children's care, care that is already
• She contacts us, asks to reschedule, and remains committed to her children's care, care that is already
• In the autism community, they say, if you've met one person with autism, you've met one person with autism

Summary: The Senate Committee on Health met in Room 2100 and first handled its consent calendar, which included several bills and resolutions with amendments. The committee established a quorum, approved the consent calendar 6-0, and placed it on call. AB 2233 by Assemblymember Taw was then heard; the bill would clarify that authorized ABA therapy for autistic patients should remain usable across the authorization period rather than being effectively reduced by weekly utilization caps. Supporters, including behavior analysts, family advocates, and health organizations, described missed sessions caused by provider shortages, scheduling conflicts, and family disruptions. Health plans and insurers initially expressed fraud and utilization-management concerns but said they would remove opposition after the amendments preserved utilization management. The committee voted 7-0 to pass AB 2233 as amended and re-refer it to Appropriations, placing it on call. The committee next heard AB 96 by Assemblymember Jackson, which would remove the high school diploma or equivalent requirement for Medi-Cal peer support specialist certification. Supporters from county behavioral health agencies, nonprofits, and local governments argued that lived experience, communication, empathy, and cultural competency are the key qualifications for peer work, and that the current education requirement excludes capable candidates and worsens workforce shortages. One opposition witness from the California Consortium of Addiction Programs and Professionals raised concerns, but the bill’s proponents explained that peer certification still requires 80 hours of training, testing, and recertification on core competencies. The committee voted 7-0 to pass AB 96 and re-refer it to Appropriations, placing it on call. AB 1876, the Fair Care for All Act by Assemblymember Addis, was then heard. The bill would codify federal nondiscrimination protections into state law to ensure people are not excluded from health care coverage or services based on a protected class. Support came from transgender health advocates, psychologists, county and state health groups, and other organizations, who said the bill would help protect access to gender-affirming and other medically necessary care. Opposition testimony argued the bill would force coverage of sex-rejecting interventions and weaken insurer safeguards, while the author responded that the measure simply mirrors existing federal nondiscrimination law and does not expand coverage. The committee voted 7-1 to pass AB 1876 and re-refer it to Judiciary, placing it on call. After the roll was reopened for absent members, the committee also finalized votes on the earlier bills and adjourned after concluding its business.

Transcript Highlights:

• We do not provide CNAs or personal care attendants.
• Personal privilege.
• Number two, taking care of the people that take care of veterans—that's all of us.
• Over the past year, our focus has been to strengthen a culture of person-centered care, grounded in accountability
• The DDS self-direction program is a central expression of person-centered and equitable care, allowing

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• I mean, I think we think about a person's health and well-being as whole-person care and everything that
• Enhanced care management launched in January 2022 to provide high-touch, in-person, comprehensive care
• Enhanced care management launched in January 2022 to provide high touch in-person comprehensive care
• We do know ECM and community supports are largely based on the prior Whole Person Care pilots and the
• It requires health care service plans, including Medi-Cal managed care and dental managed care plans

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• So some of the concerns were already taken care of.
• I personally think this is a good idea.
• And this is with the plan of safe care.
• We know that kids in foster care. care are very vulnerable to identity theft because of the passing around
• into care, regardless of their benefits status.

Committee: House House Judiciary

Transcript Highlights:

• , including transportation, lodging, meals, abortion care doulas, and child care and elder care.
• , including transportation, lodging, meals, abortion care doulas, and child care and elder care.
• workforce, such as private duty nursing, nurse providers, personal care agencies, et cetera.
• care.
• shortages of care, and improve quality of care.

Transcript Highlights:

• like SB 1095, when all they are wanting is access to health care, which is a private and personal decision
• Because when somebody sees what a person is donating to, they know who that person supports for offices
• And this targets that care based on who is seeking it, not based on the care itself.
• So doctors already follow a standard of care. Why are we interfering with a standard of care?
• You're depriving that child of psychological care. You may be killing that child without the care.

Summary: The Senate met in multiple Committee of the Whole sessions and later took third-reading votes on several measures, with the day dominated by election administration bills, immigration-related bills, public safety measures, and a series of bills affecting transgender youth and health care. The chamber also heard ceremonial remarks recognizing Lutheran Day at the Capitol, introduced the Doctor of the Day, and handled routine appointments, messages, and committee reports. Several bills were retained on the calendar, including SB 1431 and SCR 1005. Among the major policy items, senators debated and advanced SB 1049 on spousal maintenance, SB 1053 on concealed weapons permits, SB 1415 on insurance adjuster license eligibility, SB 1015 on health care actions related to gender transition procedures and provider liability, SB 1095 on gender transition care for minors, and SCR 1006 on school-related sex and privacy requirements. Members opposing the transgender-related bills argued they were discriminatory, harmful to youth, and an intrusion into family and medical decisions; supporters said the measures protected children, parental rights, privacy, and medical judgment. The chamber also considered election and campaign finance measures including SB 1003, SB 1006, SB 1037, SB 1040, SB 1057, SB 1168, SB 1237, SCR 1002, SCR 1010, SCR 1013, and SCR 1014, with debate centering on transparency, ballot procedures, voter registration, and disclosure thresholds. Additional bills addressed immigration enforcement and foreign influence concerns, including SB 1055, SB 1058, SB 1093, SB 1152, SB 1289, and SB 1308. Supporters framed these as public safety, election integrity, or enforcement measures, while opponents warned they would chill reporting to police, harm asylum seekers and immigrants, or expand punitive government power. The Senate adopted Committee of the Whole reports and assigned bills accordingly throughout the day, and several measures later received third-reading passage votes, including SB 1049, SB 1053, SB 1415, SB 1015, and SB 1095, with recorded roll-call outcomes and transmission of passed bills to the House.

Transcript Highlights:

• Um, we also have in person June. In person not have in person Shipta with written support.
• Um, we also have in person June. Um, we also have in person June.
• </c> health care costs and health care health care costs and health care services services services &
• </c> long-term care type facility. long-term care type facility.
• </c> &gt;&gt; most appropriate person? &gt;&gt; most appropriate person?

Bills: SB2479 , SB2557 , SB2861 , SB3204 , SB3324 , SB3325

Committee: House Human Services & Homelessness

Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.

Transcript Highlights:

• care organizations, that are providing in-person care coordination at the hospital.
• In the future, we're talking with the Health Care Authority about having in-person hospital presence.
• And it was DOH care navigators, some individuals from the Health Care Authority through the Division
• and prenatal care.
• He's going to require total care.

Committee: House Legislative Health & Human Services Committee