Transcript Highlights:

• By funding the Community University Health Care Center, mobile clinic, and One Health Clinic, we are
• </c><01:31:08.119><c> we</c> health clinic and one Health Clinic we health clinic and one Health Clinic
• </c> from Veterinary students with clinical from Veterinary students with clinical faculty<01:46:42.360
• </c><01:47:13.080><c> validated</c> companions this pilot Clinic validated companions this pilot Clinic
• </c> side by side the one Health Clinic side by side the one Health Clinic service<01:47:23.040><c> as

Committee: Senate Higher Education

Keywords: 1187, senate, all

Transcript Highlights:

• This issue is repeating itself at clinics across the state, This issue is repeating itself at clinics
• Our objective is that clinical nurse specialists should be included in the bill.
• There are more than 3,000 clinical nurse specialists in California.
• And our objective is that clinical nurse specialists should be included in the bill.
• That there are more than 3,000 clinical nurse specialists in California.

Summary: The Senate Committee on Health heard several bills focused on Medi-Cal access, HIV prevention, death certificate amendments, caregiver certification, advance care planning, and sugar-sweetened beverage labeling. SB 1422 by Senator Durazo would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. The author and many supporters argued the enrollment freeze shifts costs to counties and hospitals, worsens health outcomes, and undermines California’s prior coverage gains. County, labor, health, immigrant-rights, and provider groups testified in support; there was no opposition. Committee members generally expressed support but also raised concerns about funding and the need for new revenue sources. The bill was discussed while the committee lacked quorum, so no vote was taken at that time. The committee also heard SB 1023 on PrEP access, SB 1071 on death certificate amendments after homicide findings, SB 1057 on criminal-history review for CNA and home health aide certification, and SB 1088 on POLST and advance care planning updates. SB 1023 would require insurers that cover injectable PrEP under the medical benefit to also cover it through the pharmacy benefit; supporters said this would reduce administrative barriers and improve access, while health plans and insurers opposed it as an unnecessary mandate that could blur benefit design lines. SB 1071 would allow next of kin to amend a death certificate’s manner of death to homicide after a final court determination; families and law enforcement supported it as a matter of truth and closure, while coroners opposed it as blurring medical and legal findings and potentially distorting public health data. SB 1057 would replace automatic denial with individualized review for certain convictions in CNA and home health aide certification, and SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clarifying who may sign; both drew support, though clinical nurse specialists opposed SB 1088 because they were not included as authorized signers. Several of these bills were heard without quorum, so no votes were taken during the discussion. After quorum was established, the committee heard SB 869 by Senator Weber-Pierce, which would require large chain restaurants to display a clear added-sugar icon next to beverages exceeding 50% of the daily recommended limit. The author and supporters, including the American Diabetes Association and an emergency physician, said consumers need simple, visible information at the point of purchase to better understand health risks tied to sugary drinks. The bill was framed as a public health transparency measure aimed at diabetes, obesity, and other chronic disease prevention. The transcript ends during testimony on SB 869, before any final committee action or vote is shown.

Transcript Highlights:

• clinical specialty when making medical necessity determinations.
• clinical specialty when making medical necessity determinations.
• In order to scale up, to get new clinics, right?
• You are a look-alike clinic, so you don't get that reimbursement.
• I mean, our clinic is a money pit right now.

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks from the subcommittee chairs emphasizing the importance of protecting transgender, gender-diverse, and intersex Californians and asking for decorum during public comment. The first panel from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services described existing state protections, including nondiscrimination rules, privacy protections, shield laws, and Medi-Cal and commercial coverage requirements for medically necessary gender-affirming care. State officials also outlined ongoing litigation against federal actions and against hospital decisions to end or restrict care, including the Rady Children’s case and challenges to federal proposed rules and declarations affecting Medicaid, Medicare, and provider participation. Members questioned state agencies about why some hospitals that had stopped providing care had not been sued, how network adequacy is measured, whether the state can track actual access to gender-affirming care, and what legislative changes might strengthen protections. DMHC said it monitors complaints and independent medical reviews but does not track gender-affirming care as a separate provider category or collect utilization data, while DHCS said Medi-Cal continues to cover medically necessary care and that the state is preparing for possible federal rule changes. Finance staff said the previously approved $15 million for gender-affirming care was still being implemented through Covered California. The second panel featured a physician, clinic leaders, a parent, and a transgender teen describing how care is delivered and the effects of hospital closures and federal pressure. Dr. Johanna Olson-Kennedy described the history and medical basis for gender-affirming care, said minors need parental consent for medical interventions, and argued that care should be individualized and supported by families. Providers and families testified that hospital closures and insurance barriers have disrupted continuity of care, forced patients to travel farther, and shifted demand to community clinics that lack sufficient funding and contracting support. Several witnesses asked the Legislature to provide new funding, strengthen insurance enforcement, and stabilize access to care for transgender youth and families.

Transcript Highlights:

• So, if clinical experience or a number of hours are lacking, then you still require here for them to
• and from clinicals is very difficult, right?
• 50 miles away, how do you get your student to that clinical location?
• I’m Roxanne Gould, representing the Association of Clinical Nurse Specialists.
• I'm Roxanne Gould representing the Association of Clinical Nurse Specialists.

Keywords: 987, senate, all

Transcript Highlights:

• I CLEVELAND CLINIC WE ARE CENTERING AROUND FOR STRATEGIC PRIORITIES.
• WE ARE GETTING THE OPTIMAL CLINICAL CARE.
• THAT'S WHAT WE PLAN TO DO IT CLEVELAND CLINIC. I WON'T GO THROUGH THESE BUT LESSONS LEARNED.
• SETTING IS DIFFERENT THAN ME AS A HUMAN MAKING CLINICAL JUDGMENT.
• THIS WOULD FREE UP SOMEONE MANUALLY HAVING TO COMPILE AND SUBMIT THE CLINICAL DATA.

Transcript Highlights:

• Any licensed clinic or payer may participate.
• Any licensed clinic or payer may participate.
• >> The clinics, that's an option for clinics. It's not that they don't, they shall.
• </c> been going to clinics. Is that correct? been going to clinics. Is that correct?
• :17:27.600><c> 5</c><01:17:27.840><c> million,</c> clinical, which is currently 5 million, clinical,

Keywords: MS House Floor - 21 January, 2026; 2:00 PM, 925, all

Transcript Highlights:

• State Society for Clinical Social Work.
• assess someone's clinical competence, in my opinion.
• That ultimately happens with clinical supervision. One of the things that we...
• That ultimately happens with clinical supervision.
• I'm a clinical supervisor for associate social workers.

Summary: The committee held its first meeting and heard four bills. HB 2286 would create an alternative route to social worker licensure by removing the exam requirement for advanced social workers and allowing enhanced supervision with supervisor attestation in place of the exam for independent clinical social workers. The sponsor and several social workers testified that the exam is a poor measure of clinical competence and can be a barrier to licensure, while opponents warned that removing the exam could affect public protection and Washington’s participation in the social work compact. Members asked follow-up questions about the compact, the exam format, and accreditation requirements, but no action was taken. HB 2363 would allow music therapy license applicants to practice under supervision for up to six months while waiting for exam verification. The sponsor described it as a technical fix to the new licensure system, and testimony from music therapists, educators, and a patient supported the bill as a way to avoid delays in hiring newly trained therapists while maintaining supervision and patient safety. The bill drew strong support in written testimony and no opposition in the hearing. HB 2324 would change tuition waiver rules for children of eligible veterans and National Guard members by giving eligible children eight years from the date of a parent’s disability determination to use the waiver when that determination occurs after the child turns 18. The sponsor said the bill is meant to align state law with federal dependency education benefits and prevent families from losing access because disability determinations can take years. The committee asked for clarification on how the new timing would work, and the hearing closed without a vote. HB 2098 would eliminate the cap on the advanced computing surcharge, expand Washington College Grant eligibility up to 100% of state median family income, and reduce resident undergraduate tuition by 10% for three years starting in 2027-28. Supporters, including students, labor, and advocacy groups, said the bill would improve affordability and access to higher education by asking large tech companies to pay more. Opponents from business and university groups argued the surcharge would be economically harmful, that the state already has substantial WEA funding, and that the bill would reduce tuition revenue without adequately backfilling institutional budgets. The committee heard extensive testimony and members raised questions about the surcharge cap, WEA spending, and the compacted funding structure, but no final action was taken.

Transcript Highlights:

• Ian Kim, who is a family physician at Davis Community Clinic, an assistant clinical professor at UC Davis
• So these are clinical decision support systems.
• clinical decisions are not made by AI.
• However, these are all core functions of licensed clinical practice.
• Clinical practice, right?

Committee: House Health

Keywords: 988, house, all

Transcript Highlights:

• in specific clinical settings if they hold a limited physician and surgeon clinical... licensing examination
• in specific clinical settings if they hold a limited physician and surgeon clinical Supervision in specific
• clinical settings if they hold a limited physician and surgeon clinical experience license.
• So we already have the clinical experience license.
• We have heard directly from rural clinics across Washington State.

Summary: The committee heard public testimony on several health-related bills. SB 5904 would restrict nursing titles such as RN, NP/ARNP, and LPN to licensed human people and prohibit non-human entities, including AI chatbots, from using those titles. The sponsor and nursing advocates said the bill is meant to prevent confusion and protect public trust, while preserving the use of AI as a support tool. SB 5877 would add a $70 surcharge for certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and access HealWA resources; supporters said it closes a technical gap and aligns CAAs with other medical professions. SB 5185 would create a pilot pathway for certain international medical graduates with clinical experience licenses to obtain full primary care licensure; supporters from the medical commission, physicians, and IMG advocates said the program has worked well, has shown no patient safety issues, and could help address workforce shortages. The committee also heard extensive testimony on ESSB 6210, which would let the Health Benefit Exchange adopt additional market-factor certification criteria for exchange plans, including standards aimed at preserving access and affordability in underserved counties. Supporters, including the exchange, OIC, consumer advocates, tribal representatives, and patient groups, said the bill is needed to respond to federal policy changes, rising premiums, and disappearing coverage in places like San Juan County. Opponents from carriers and employer groups argued the timeline is too fast, the criteria are too discretionary, and the bill could reduce competition and raise costs. The committee then heard SB 5981, which would strengthen protections and reporting requirements for the federal 340B drug pricing program and limit manufacturer restrictions on contract pharmacies and data requests. Hospitals, clinics, and patient advocates said the bill protects safety-net care and rural access, while manufacturers, employers, and business groups argued it would expand a program that already raises costs and lacks transparency. In executive session, the committee took action on SB 5917, related to Department of Corrections distribution of abortion medications, rejecting five proposed amendments and then advancing the bill on a 10-6 vote with three excused. The committee also advanced SB 5988, which concerns Department of Health opioid treatment program accrediting activities, on a do-pass recommendation after brief discussion.

Transcript Highlights:

• </c> which blends the resources of clinical which blends the resources of clinical services,<00:08:40.320
• </c> of well-being is driven by the clinical of well-being is driven by the clinical efforts<00:09:44.160
• </c><00:11:21.440><c> inpatient</c> costs for 30 days of clinical inpatient costs for 30 days of clinical
• </c> it's clinical, social or a combination. it's clinical, social or a combination.
• </c> allows the kind of the yes and clinical allows the kind of the yes and clinical and<00:21:41.760

Keywords: 958, all

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:

• Clinical pastoral education is quite literally what it sounds like: education in a clinical setting,
• such as hospitals, clinics, and hospice centers.
• We are clinical. Dr.
• I am a licensed clinical professional counselor.
• I know it's more clinical, but in those fields, we've really learned a lot about the clinical field,

Committee: House Business

Summary: The committee first heard House Bill 702, which would amend Idaho’s Uniform Commercial Code provisions governing securities entitlements. The sponsor and a guest attorney argued the bill would restore investor priority over banks in the event of a major Wall Street failure, saying current law gives secured lenders priority when brokers or custodians pledge customer securities without consent. Several members questioned whether the bill was broader than described, whether it mainly affected margin accounts, and whether it should be handled at the state level at all. After discussion, a motion to send the bill to the floor with a due pass recommendation failed 8-7, and the committee then moved to hold the bill in committee at the call of the chair while members sought more information and further discussion. House Bill 562, sponsored by Representative Sauter, would extend the notice period for property insurance nonrenewals and cancellations from 30 days to 60 days for both residential and commercial policies. The sponsor said the bill was intended as a consumer protection measure to give policyholders more time to find replacement coverage or resolve issues with their current carrier, and he noted it would not change the 10-day notice for nonpayment or the separate timeline for rate changes. Committee members asked about existing contract language and whether a longer notice period could discourage insurers from writing policies in Idaho; the sponsor said he had not heard that concern from carriers and was open to adjusting the effective date. The committee approved a motion to send the bill to general orders. The committee then considered House Bill 585, which would impose “shot clocks” on mechanical, electrical, and plumbing inspections, similar to last session’s building inspection timelines. The sponsor said local governments would have 48 hours to complete inspections or refund the fee so a private third-party inspector could be used, and would have to provide written reasons for a failed inspection within three business days. Testimony from a third-party inspector and the Idaho Associated General Contractors supported the bill, saying it could save time and money and help keep projects moving. The committee adopted a due pass motion and sent the bill to the floor. Finally, the committee heard House Bill 545, which would create a pathway for certain military chaplains to become licensed professional counselors in Idaho based on their Master of Divinity, military counseling experience, and related clinical pastoral education. The sponsor and supporters said chaplains already provide substantial counseling in military settings and should be able to serve Idahoans, including veterans, while critics from the counseling profession argued the bill would bypass important counseling coursework, the national counselor exam, and existing gatekeeping standards. After extensive testimony from both sides, including questions about training, testing, supervision, and public protection, the committee had not yet reached a final disposition in the portion of the transcript provided.

Transcript Highlights:

• The maze of this can be mind-numbing in a community clinic.
• The maze of this can be mind-numbing in a community clinic.
• The maze of this can be mind-numbing in a community clinic.
• Between each clinic and each health plan, each patient in each clinic and each health plan, we're spending
• 42:25.440><c> each</c> each patient in each clinic and each each patient in each clinic and each Health

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• It's prevention, it's clinical assessment, diagnosis, or clinical assessment.
• They're employed in hospitals and clinics and so on.
• So is that how the clinics are currently? There are ways to do it.
• I thought that was—I wasn't sure—is that athletic clinics diagnosed?
• So is that how the clinics are currently? There are ways to do it.

Committee: House Health and Mental Health

Keywords: 959, house, all

Transcript Highlights:

• be transported to this clinic.
• hospital-owned rural health care clinics.
• to keep rural health care clinics open.
• these hospital-owned clinics.
• hospital-rural health clinics.

Bills: HB165 , HB175 , HB198 , HB272 , HB457 , HB488 , HB566 , HB603 , HB763 , HB902 , HB909 , HB971 , HB981 , HB1066 , HB1125 , HB1154 , HB1231

Committee: House Appropriations

Keywords: HB165, lottery proceeds, Lottery Proceeds Fund, Veterans Service Grant Fund, constitutional amendment, veterans, military veterans, veterans' benefits, veterans services, family support, state lottery, education funding, Minimum Foundation Program, problem gambling, compulsive gaming, state treasurer, ballot proposition, constitutional referendum, lottery revenue, Louisiana resident veterans

Transcript Highlights:

• 04:12.800><c> and</c> in our clinics, hospitals, and in our clinics, hospitals, and physicians.<00:04
• and medical clinics.
• </c> clinics and medical clinics. clinics and medical clinics.
• </c> Clinic from 1985 to 2022. Clinic from 1985 to 2022.
• meaningful clinical impact. I meaningful clinical impact.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• What they are doing at the clinic.
• um and and set up this clinic um and and set up this provider-based<01:26:40.000><c> clinic.
• </c> provider-based clinic. provider-based clinic.
• </c><01:39:03.360><c> for</c> a clinic that's a standalone clinic for a clinic that's a standalone clinic
• This is a prohibition on clinics.

Committee: Senate Finance

Keywords: 1187, senate, all

Transcript Highlights:

• And I see this regularly inside my class and inside my clinics. I think about Mr.
• not been able to fully maximize the community health clinics... up.
• Generally speaking, during our clinic visits, half of our time is trying to navigate Thank you.
• been able to fully maximize the community health clinics.
• Uncompensated care costs for UC's hospitals and clinics.

Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.

Transcript Highlights:

• Is there an option to administer this in a clinical setting to recreate a clinical setting?
• Three days later she shows up in my clinic. She still can't breathe, right?
• I know during COVID there were many clinics offering antiviral medications and IVs.
• This seems interesting to me, and we talk about clinical training. I think Ms.
• This seems interesting to me, and we talk about clinical training. I think Ms.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard several bills related largely to Arizona’s behavioral health and Access system, plus a fertility coverage mandate, a state hospital admissions bill, and a naturopathic scope-of-practice bill. SB 1114 would appropriate $1 million to the Maricopa County Attorney’s Office for investigations into behavioral health patient brokering; the sponsor described ongoing fraud involving vulnerable Native American patients, while some members questioned why the Attorney General was not handling the work. The bill passed 10-1 with one present. SB 1116 would require claim denials and appeal determinations for American Indian Health Program behavioral health services to be reviewed by someone with at least two years of relevant clinical experience; Access said it was neutral but raised concerns about vague language and added staffing needs, and the bill passed 7-4 with one present. SB 1346 would require Access to notify providers of claim deficiencies within 72 hours and approve or deny corrected claims within 10 business days; supporters said it would reduce long delays and unpaid claims, while Access said it would need more staff and system changes. The bill passed 7-5. The committee also approved SB 1347, which requires insurance coverage for fertility preservation services for cancer patients of reproductive age whose treatment is likely to cause infertility, with a religious-employer exemption. Supporters, including cancer survivors and an advocacy representative, said the bill protects patients who must make rapid decisions before treatment begins; insurers were neutral. The bill passed unanimously 12-0. SB 1813 would require the Arizona State Hospital to admit patients based on clinical need rather than county of residence, effectively ending the Maricopa County cap tied to the Arnold v. Sarn settlement. Supporters argued the cap leaves seriously ill patients waiting in other facilities for long periods, while ADHS warned of possible litigation and rural access concerns; the bill passed 9-2 with one present. Finally, the committee began hearing SB 1178, which would allow naturopathic physicians to administer certain antibiotics, antivirals, and antifungals intravenously. The sponsor argued naturopaths should be able to practice to the full scope of their training amid physician shortages, while the Arizona Medical Association and osteopathic representatives opposed the bill, saying IV antimicrobials are high-risk therapies that require hospital-level training, monitoring, and stewardship. Testimony focused on patient safety, appropriate setting, and whether the bill should be narrowed or amended; no vote on SB 1178 was taken in the portion provided.

Transcript Highlights:

• clinical specialty when making medical necessity determinations.
• We need funding in order to scale up to get new clinics, right?
• You are a look-alike clinic, so you don't get that reimbursement.
• to this new clinic, and their insurance plans covered them.
• I mean, our clinic is a money pit right now.

Summary: The joint hearing focused on access to gender-affirming care in California, with members of the Senate and Assembly budget subcommittees hearing first from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services. State officials described California’s legal protections against discrimination, privacy protections, shield laws, and Medi-Cal and commercial plan coverage requirements for medically necessary gender-affirming care. They also outlined ongoing litigation and advocacy against federal actions and proposed rules that could restrict care, including challenges to executive orders, HHS declarations, and federal reimbursement rules, as well as a temporary restraining order protecting care at Rady Children’s Hospital. Committee members pressed the agencies on why some hospitals that had stopped providing care had not been sued, how the state measures network adequacy and equitable access, whether the $15 million previously allocated for gender-affirming care had been used, and what additional statutory changes might be needed. DMHC and DHCS said they regulate health plans rather than providers directly, rely on complaints and independent medical review to address denials or delays, and do not track utilization or have a specific provider category for gender-affirming care. DOJ said it is focused on the federal government as the source of pressure on hospitals and providers, while members discussed possible shield-law expansions and, if federal rules are finalized, the possibility of state-only funding to preserve access. The second panel featured a physician, clinic leaders, parents, and a transgender teen describing how families navigate care and the effects of hospital closures and insurance barriers. Dr. Johanna Olson-Kennedy gave a history of transgender health care, described puberty blockers and hormones as established treatments, and said minors need parental consent for medical interventions. J.M. Jaffe of Lyon Martin Community Health Services said community clinics are absorbing patients after hospital programs closed and asked for $26 million in state funding to expand capacity. Parents and youth testified about delays, out-of-network referrals, lost coverage, and the emotional strain of uncertainty, while also urging the Legislature to stabilize access and protect continuity of care.

Transcript Highlights:

• clinical specialty when making medical necessity determinations.
• We need funding in order to scale up to get new clinics, right?
• Rady Children's had no reason to preemptively close their clinic.
• to this new clinic, and their insurance plans covered them.
• I mean, our clinic is a money pit right now.

Keywords: 987, senate, all