Transcript Highlights:

• Lottery<01:51:02.840><c> preferences</c><01:51:03.520><c> are</c><01:51:03.920><c> established</c><01
• :51:04.760><c> for</c> Lottery preferences are established for Lottery preferences are established for
• </c> defined preference categories. defined preference categories.
• of dollars for care provided to patients awaiting<03:47:39.080><c> approval</c><03:47:40.480><c> for
• ><c> will</c><03:55:38.120><c> lose</c> Without this bill, patients will lose Without this bill, patients

Transcript Highlights:

• I would rarely see uninsured patients.
• Uncertainty for our patients leads to harm and even death when our patients cannot get access to care
• , but as uninsured self-paying patients.
• For rural hospitals, that means fewer insured patients and more uninsured patients.
• For rural hospitals, that means fewer insured patients and more uninsured patients.

Transcript Highlights:

• I would rarely see uninsured patients.
• Uncertainty for our patients leads to harm and even death when our patients cannot get access to care
• , but as uninsured self-paying patients.
• For rural hospitals, that means fewer insured patients and more uninsured patients.
• For rural hospitals, that means fewer insured patients and more uninsured patients.

Summary: The joint informational hearing focused on the cost of uncertainty in California health care, especially the effects of federal policy changes on coverage, access, and affordability. Opening remarks from committee leaders and members emphasized that California’s uninsured rate had fallen to historic lows under the Affordable Care Act and state policies, but that the expiration of enhanced federal subsidies, H.R. 1, and other federal regulatory changes could reverse those gains. Members repeatedly cited rising premiums, skipped care, medical debt, and the strain on low-wage workers, families, clinics, hospitals, and public programs. The first panel reviewed the federal landscape and state response. A federal policy analyst described the ACA’s coverage gains and consumer protections, then outlined current threats: H.R. 1’s Medicaid and marketplace cuts, the end of enhanced premium tax credits, shorter open enrollment, more verification requirements, and changes affecting preventive services and vaccines. Covered California reported that the loss of subsidies is expected to nearly double average monthly premiums, reduce enrollment, and push more consumers into bronze plans with higher deductibles; it also noted that California’s $190 million affordability fund is helping the lowest-income enrollees. HCAI’s Office of Health Care Affordability explained its work on spending targets, market consolidation review, and primary care investment, saying the goal is to slow spending growth rather than impose price caps. Committee members pressed witnesses on the practical effects of bronze plans, administrative burdens, immigration-related disenrollment, provider taxes, uncompensated care, and whether California can sustain current coverage levels without new revenue. Witnesses said bronze plans preserve essential benefits but shift more costs to consumers, and that H.R. 1’s verification and auto-renewal changes will likely reduce enrollment. They also said provider tax reductions could significantly weaken state financing over time, and that higher uninsured rates may increase uncompensated care and pressure premiums elsewhere in the system. The second panel, featuring UC Berkeley Labor Center and California Health Care Foundation experts, highlighted broader affordability problems across job-based coverage and Medi-Cal, citing medical debt, skipped care, and the role of underlying system costs, administrative waste, and lack of competition. They pointed to medical debt relief efforts such as Los Angeles County’s program as a short-term mitigation strategy while the Legislature considers longer-term policy and budget responses.

Transcript Highlights:

• We are are um not<00:58:51.040><c> benefiting</c><00:58:51.599><c> patients.
• </c><00:58:52.079><c> We</c><00:58:52.319><c> we</c><00:58:52.480><c> are</c> not benefiting patients
• We we are not benefiting patients.
• While my preference would be to move the other amendment and get this going as soon as possible, I do
• </c> I'm my preference is to go in order. I'm my preference is to go in order.

Summary: The House Finance Division 3 work session opened with routine announcements, including new and absent members, a tribute to former chair Rep. Jess Edwards, and an explanation that Division 3 is advisory and will make recommendations to full Finance. Chair Mooney also distributed a self-created index to the budget binder and reviewed the committee’s options under House Rule 45. Members discussed scheduling a future visit to the Veterans Home in Tilton, with several October dates unavailable, and the chair said she would circulate possible dates. The committee also reviewed the second-year budget context and sources of funding, including surplus monies, existing and new revenue streams, grants, reappropriations, and the rainy day fund. The committee then took up several retained bills and repeatedly heard that their substance had already been addressed in the budget. House Bill 519, funding the Waypoint Youth and Young Adult Shelter, was moved ITL and passed 10-0. House Bill 547, county reimbursement funds, was also moved ITL and passed 10-0 after members noted the reimbursement had been included in HB 2. House Bill 570, repealing the prescription drug affordability board, was moved ITL and passed 10-0, with minority members saying they still believed the board had value but acknowledging the repeal had already occurred in HB 2. House Bill 704, concerning caregiver respite and senior volunteer programs, received the most discussion. Mr. Ripple explained that most items were already funded or suspended in the budget, leaving only the senior volunteer grant program unfunded. Chair Mooney offered amendment 2963H to fund the RSVP program at $180,000 for one year, contingent on surplus funds, and DHHS witnesses explained that RSVP is a federally funded AmeriCorps program that would be added to existing state licensing structures. The amendment was adopted unanimously, and the bill was reported ought to pass as amended on a 10-0 vote. The committee then heard House Bill 751, which would require licensure of outpatient substance use disorder treatment facilities and create an ombudsman-related complaint process. DHHS witnesses said the bill had been narrowed substantially from an earlier certification model with multiple positions and IT costs to a licensing model using existing department infrastructure, reducing the fiscal note to $211,000 for one position. They also said the ombudsman section was no longer needed because licensed facilities would fall under existing oversight. Members questioned how many facilities exist and whether licensing fees would cover costs; DHHS said it did not know the full provider landscape and that licensing revenue across the board does not cover the department’s costs. Rep. Daniels then proposed amendment 2964H to form a study committee because of the remaining questions and lack of a clear revenue stream, and the committee was still discussing that amendment when the transcript ended.

Transcript Highlights:

• This bill is about giving those patients notice.
• Lackey, you've been waiting very patiently.
• The MADY fund reimburses the complex and acute patient is only $108.
• We have 29 beds, but we routinely see 350 patients a day.
• Even our chapel and our gift shop are used for patient care.

Summary: The Senate Public Safety Committee met without a quorum and operated as a subcommittee while hearing a long agenda of bills. Early items included AB 2605, which would require statewide reporting on public defense services; supporters said California lacks basic data on how indigent defense is delivered and that the bill would help identify under-resourced counties, while no opposition appeared. AB 1650 would require rental vehicles used in law enforcement operations to display agency identification; supporters framed it as a transparency and community-trust measure in response to immigration enforcement tactics, while sheriffs and police groups opposed it unless amended, arguing it could compromise undercover and task-force operations and raise legal and indemnification concerns. AB 1930 would require notice to the Attorney General before business entities respond to subpoenas involving legally protected abortion or gender-affirming care information; supporters said it protects patient privacy and provider safety, while opponents raised constitutional, law-enforcement, and business-burden concerns. The committee also heard AB 458, directing state procurement guidelines for firearms and accessories so agencies buy from responsible vendors, with support from police chiefs, gun-violence prevention groups, and local officials, and no opposition testimony offered. The committee then heard AB 1588 on sideshows and street takeovers, which would update the definition of sideshows, include motorcycles and dirt bikes, and align penalties with street racing. Supporters, including police, city, transportation, and road-safety advocates, said the bill responds to dangerous events, property damage, and injuries; opponents from civil liberties and public defender groups argued higher fines and criminal penalties are ineffective and disproportionately harm low-income people, favoring roadway design and community-based prevention instead. AB 910, the Survivors Act, would expand affirmative defenses and vacature relief for survivors of trafficking, intimate partner violence, and sexual violence; supporters, including a survivor who described decades of abuse and wrongful conviction, said the bill gives survivors a chance to tell their stories and seek relief, while district attorneys opposed expanding relief to violent offenses and warned it could erase restitution and undermine victims’ rights. AB 2624 would expand Safe at Home confidentiality protections to immigrant service providers, employees, and volunteers; supporters described threats, doxxing, and harassment against immigrant-serving organizations, while opponents claimed the bill was prompted by investigative reporting on fraud and would chill journalism and transparency. The committee also heard AB 31, making the tribal police pilot program permanent and creating a missing and murdered Indigenous persons task force, which drew strong support from tribal representatives and no opposition. Later, AB 1959 sought to close a resentencing loophole tied to a 2001 Santana High School shooting case by restoring judicial discretion in resentencing for certain juvenile offenders; supporters said the current process can lead to automatic release even after parole denial, while opposition testimony began with concerns that the bill was responding to one case and lacked broader evidence. Throughout the hearing, members repeatedly noted they supported several bills but could not formally vote because the committee lacked a quorum, so motions were held for later action.

Transcript Highlights:

• </c> practice in helping patients. practice in helping patients.
• </c> necessary to care for those patients. necessary to care for those patients.
• So, a mix of folks, and I think everyone on the list is a patient, so we also heard from patients.
• </c> directly about uh patient information. directly about uh patient information.
• I'd much prefer a shall here.

Transcript Highlights:

• Yet many patients struggle to get the timely, specialized care that they need.
• if the patient were not enrolled in a clinical trial.
• on what she believed was best for each individual patient.
• Let that sink in for a second: over 6,000 patients and zero fatalities.
• That, members of science, each of these patients represents a family spared from loss.

Bills: HB75 , HB188 , HB199 , HB4029 , HB330 , HB507 , HB524 , HB1517 , HB 1065 , HB1375 , HB1630 , HB1398 , HB 1227 , HB689 , HB1814 , HB2160 , HB2140 , HB4897 , HB5600 , HB5489 , HB4188 , HB2881 , HB2048 , HB3900 , HB4074 , HB5568 , HB5528 , HB3811 , HB3726 , HB3382 , HB4507 , HB4775 , HB3626 , HB3569 , HB5212 , HB5248 , HB5178 , HB3453 , HB3231 , HB3941 , HB1571 , HB1969 , HB1865 , HB2879 , HB2643 , HB4799 , HB4891 , HB5567 , HB5549 , HB5187 , HB5118 , HB3191 , HB1730 , HB1687 , HB2192 , HB4511 , HB4805 , HB1863 , HB3195 , HB3199 , HB5562 , HB5551 , HB5169 , HB3290 , HB3712 , HB3996 , HB5098 , HB5097 , HB5089 , HB3897 , HB3868 , HB3829 , HB4840 , HB3753 , HB4368 , HB4142 , HB2841 , HB3457 , HB3784 , HCR46 , HCR109 , HCR10 , SB1844 , SB1833 , SB2284 , SB2052 , SB1666 , SB1265 , SB1146 , SB1921 , SB480 , SB1734 , SB296 , SB2039 , SB462 , SB1646 , SB2173 , SB2925 , SB682 , SB1173 , HB4535 , HB4520 , HB3824 , HB3066 , HB2442 , HB3863 , HB4773 , HB4327 , HB5115 , HB5515 , HB3372 , HB5659 , HB 127 , HB386 , HB 115 , HB2868 , HB 1249 , HB4766 , HB3720 , HB4879 , HB5383 , HB4621 , HB5431 , HB5678 , HB5534 , HB4212 , HB3954 , HB3966 , HB3918 , HB1422 , HB4765 , HB4732 , HB4742 , HB4518 , HB5084 , HB3986 , HB4144 , HB3976 , HB4473 , HB3425 , HB3641 , HB3642 , HB3475 , HB3424 , HB4744 , HB4539 , HB3159 , HB5228 , HB5370 , HB4359 , HB4443 , HB4466 , HB3849 , HB4240 , HB5141 , HB5686 , HB3629 , HB3554 , HB3567 , HB2015 , HB3575 , HB5381 , HB4398 , HB3514 , HB4614 , HB4546 , HB5681 , HB5663 , HB4271 , HB4350 , HB4035 , HB3812 , HB3540 , HB3715 , HB3664 , HB4233 , HB3333 , HB3510 , HB4222 , HB2070 , HB2854 , HB2347 , HB 113 , HJR218 , HB5623 , HB4921 , HB5673 , HB5520 , HB 105 , HB4685 , HB5354 , HB4683 , HB75 , HB983 , HB4847 , HB1449 , HB3833 , HB5151 , HB265 , HB1845 , HB782 , HB 108 , HB1960 , HB158 , HB1954 , HB1955 , HB2512 , HB605 , HB2581 , HB2803 , HB627 , HB2667 , HB1738 , HB636 , HB3679 , HB2638 , HB2655 , HB871 , HB2438 , HB 1107 , HB1765 , HB1822 , HB2153 , HB4099 , HB3732 , HB3171 , HB3178 , HB3182 , HB3749 , HB2814 , HB3977 , HB4204 , HB4207 , HB4449 , HB1820 , HB1876 , HB1939 , HB1347 , HB2593 , HB2136 , HB2132 , HB2658 , HB2413 , HB2757 , HB2080 , HB3154 , HB3063 , HB3009 , HB3448 , HB3006 , HB2844 , HB3241 , HB3680 , HB3169 , HB2078 , HB2507 , HB4559 , HB3946 , HB3460 , HB3405 , HB475 , HB3463 , HB3441 , HB3441 , HB3520 , HB2060 , HB4731 , HB4991 , HB1991 , HB5596 , HB2014 , HB2142 , HB2673 , HB2731 , HB2417 , HB2399 , HB2301 , HB2301 , HB3335 , HB3234 , HB3320 , HB5573 , HB5573 , HB4848 , HB4848 , HB4748 , HB4769 , HB4795 , HB2086 , HB2086 , HB2234 , HB2234 , HB2203 , HB4916 , HB5624 , HB4505 , HB139 , HB5093 , HB5302 , HB5402 , HB5606 , HB2333 , HB4630 , HB4701 , HB2583 , HB2983 , HB4924 , HB3339 , HB3339 , HB3793 , HB3631 , HB4882 , HB5509 , HB5499 , HB5430 , HB5561 , HB5561 , HB5611 , HB5043 , HB5064 , HB5064 , HB3733 , HB3733 , HB3781 , HB3219 , HB32 , HB4515 , HB5348 , HB3902 , HB4420 , HB3269 , HB469 , HB336 , HB316 , HB5396 , HB993 , HB1342 , HB1342 , HB5216 , HB2046 , HB2046 , HB2188 , HB2188 , HB2450 , HB2813 , HB2857 , HB4075 , HB4075 , HB2911 , HB4682 , HB4682 , HB3117 , HB3253 , HB3442 , HB4820 , HB4336 , HB5356 , HB3669 , HB3428 , HB5465 , HB3662 , HB2590 , HB2288 , HB2288 , HB1886 , HB3458 , HB3458 , HB5603 , HB5620 , HB1489 , HB1489 , HB4101 , HB4990 , HB5685 , HB5685 , HB4950 , HB4950 , HB4980 , HB5684 , HB3507 , HB3507 , HB3566 , HB4487 , HB4487 , HB4462 , HB4462 , HB4876 , HB4915 , HB4663 , HB5570 , HB2929 , HB5261 , HB2920 , HB4642 , HB4746 , HB1609 , HB5403 , HB5453 , HB3844 , HB2336 , HB1572 , HB 1226 , HB 1226 , HB2806 , HB2806 , HB2617 , HB2617 , HB2827 , HB3948 , HB3948 , HB3945 , HB4266 , HB4542 , HB3319 , HB1772 , HB2496 , HB1970 , HB3434 , HB5545 , HB5545 , HB5577 , HB5577 , HB31 , HB31 , HB279 , HB370 , HB370 , HB4768 , HB513 , HB875 , HB982 , HB 1085 , HB 1085 , HB2677 , HB2874 , HB5478 , HB4880 , HB4798 , HB4514 , HB4958 , HB4958 , HB4508 , HB4508 , HB3758 , HB3830 , HB3744 , HB3622 , HB741 , HB741 , HB2204 , HB2204 , HB2860 , HB4659 , HB4578 , HB813 , HB712 , HB712 , HB1551 , HB2790 , HB2698 , HB3365 , HB3504 , HB3118 , HB3118 , HB2959 , HB1862 , HB1862 , HB 1026 , HB4401 , HB4401 , HB4164 , HB4164 , HB3920 , HB4737 , HB4966 , HB4966 , HB4967 , HB1958 , HB4979 , HB4979 , HB5459 , HB3862 , HB1823 , HB1823 , HB4415 , HB4893 , HB2343 , HB 1228 , HB4337 , HB188 , HB199 , HB4029 , HB330 , HB507 , HB524 , HB1517 , HB 1065 , HB1375 , HB1630 , HB1398 , HB 1227 , HB689 , HB689 , HB1814 , HB2160 , HB2140 , HB4897 , HB5600 , HB5489 , HB4188 , HB2881 , HB2048 , HB3900 , HB4074 , HB5568 , HB5528 , HB3811 , HB3726 , HB3382 , HB3382 , HB4507 , HB4775 , HB3626 , HB3569 , HB5212 , HB5248 , HB5178 , HB3453 , HB3231 , HB3941 , HB1571 , HB1969 , HB1865 , HB2879 , HB2879 , HB2643 , HB4799 , HB4891 , HB5567 , HB5549 , HB5187 , HB5118 , HB3191 , HB1730 , HB1687 , HB1687 , HB2192 , HB4511 , HB4805 , HB4805 , HB1863 , HB3195 , HB3199 , HB5562 , HB5562 , HB5551 , HB5169 , HB3290 , HB3712 , HB3996 , HB5098 , HB5098 , HB5097 , HB5089 , HB5089 , HB3897 , HB3868 , HB3829 , HB4840 , HB3753 , HB4368 , HB4142 , HB2841 , HB3457 , HB3784 , HCR76 , HCR76 , HCR127 , HCR9 , HCR40 , HCR118 , HR559 , HCR59 , HCR59 , HCR135 , HCR141 , HCR46 , HCR46 , HCR109 , HCR10

Keywords: magistrate, criminal procedure, probable cause, written findings, law enforcement, Texas STRONG defense fund, severance tax revenue, oil and gas revenue, constitutional transfers, rainy day fund, economic stabilization fund, state highway fund, oil and gas production, qualifying county, county grants, water infrastructure, first responders, public safety, DPS staffing, commercial motor vehicle safety

Transcript Highlights:

• Therapy ensures patients can go home from the hospital.
• We do prefer the Senate position.
• These are essential to our rehab patients.
• Without Medicaid coverage, patients will lose access to this critical care.
• Without skilled therapy services, patient health outcomes will worsen.

Summary: The House Appropriations Committee held a public hearing on proposed substitute House Bill 2289, the House operating budget. Budget staff Mary Monroe gave a detailed overview of the proposal’s near general fund outlook, reserve levels, major revenue assumptions, and major spending and savings items. She highlighted assumed revenue from capital gains and a proposed “millionaires tax,” a transfer from the budget stabilization account, administrative reductions across agencies, and several major policy shifts, including changes affecting Working Connections Child Care, K-12 education, higher education, long-term care, behavioral health, wildfire response, and state employee compensation. Members then asked questions, including about the higher education building account/operating fee swap and its interaction with the capital budget and Climate Commitment Act funds. The committee also announced amendment deadlines for the budget process. The bulk of the meeting was public testimony, with many speakers generally supporting or opposing specific parts of the budget. Supportive testimony praised funding for wildfire prevention, public health, reproductive health, civil legal aid, the Poison Center, some higher education institutions, and certain disability and child welfare services. Many speakers urged restoration or protection of funding for K-12 education, especially transition to kindergarten, local effort assistance, bus depreciation, and Running Start; others opposed cuts to child care, early learning, public defense, long-term care, adult day and home care services, occupational/physical/speech therapy for Medicaid patients, and community and technical colleges. Several local government, health, and nonprofit representatives also asked the committee to preserve public works, homelessness, energy assistance, environmental justice, and recovery/diversion programs, while some business and public safety groups sought continued funding for organized retail crime prevention and related initiatives. No votes were taken during the hearing. The committee recessed briefly and later resumed with virtual testimony, where additional witnesses repeated concerns about education cuts, long-term care, health care access, disability services, dispute resolution, early childhood programs, and the need for ongoing or increased funding in those areas.

Transcript Highlights:

• Each patient must make two verbal requests, must submit a written request signed by two witnesses, make
• SB 403 merely removes the sunset, making the end-of-life option permanent, giving patients, advocates
• To demonstrate it was a good faith effort and avoid a fine for nurse-to-patient ratio violations, it
• Nurse-to-patient ratios are about safe care.
• Hospitals that violate these laws are putting patients and our community at risk.

Summary: The Assembly convened after initially lacking a quorum, completed the roll call, and opened with prayer and the Pledge of Allegiance. Members then moved through a long daily file and concurrence calendar, with many items passed without debate and several bills taken up for final votes. The chamber also handled procedural motions, including re-referring AB 1152 to the Public Safety Committee, suspending rules for guest introductions, and later a roll-call vote on a motion to print a journal letter, which passed 41-16. Among the major Senate bills considered on third reading, SB 385, SB 753, SB 838, SB 643, SB 645, SB 761, SB 774, SB 400, SB 24, SB 37, SB 258, SB 364, SB 403, SB 770, and SB 22 all passed, with debate focused on topics such as shopping cart recovery, housing and land use, carbon removal grants, jury selection rules in civil cases, student CalFresh access, real estate licensing sunsets, renewable energy tax incentives, utility spending transparency, attorney advertising ethics, spousal rape protections for disabled spouses, freeway advertising placement, medical aid in dying, EV charging access in HOAs, and gift certificate redemption values. SB 596 on hospital nurse staffing drew the most extended debate, with supporters arguing it enforces existing law and protects patient safety, while opponents warned it could worsen rural hospital closures; the bill ultimately passed 59-0. The Assembly also concurred in numerous Senate amendments to Assembly bills, including measures on service of process, firearms, workers’ compensation, family leave for crime survivors, solid waste, water reporting for data centers, student information privacy, Diwali recognition, wildfire workforce recovery, educational equity, civic education, office-to-housing conversions, cannabis tax relief, browser privacy, housing element transparency, landlord-tenant appliances, code enforcement, homelessness, DEIA in state government, inmate firefighter wages, children’s health, real estate, rehiring protections for laid-off hospitality workers, hazardous materials, housing covenants, aging, care facilities, species protection, CalWORKs modernization, cannabis access for seriously ill patients, foreign labor contractors, and downtown revitalization financing. Most of these concurred with broad bipartisan margins; AB 247 on inmate firefighter wages drew especially extensive bipartisan support and passed 74-0, while AB 93 on data center water reporting and AB 766 on state DEIA planning drew some opposition but still passed concurrence.

Transcript Highlights:

• The patient may recover up to two years of prejudgment interest in addition to a recoverable amount.
• The bill limits recovery by a patient against the personal income or assets of a health care provider
• We want a stable insurance market for patient access.
• It balances the need for affordable premiums and patient access to care with the moral imperative to
• Let's put the focus back on the patient where it belongs. Thank you, Mr. Speaker.

Transcript Highlights:

• And we're not asking for anything patient identifiable.
• It's not that you can't say anything about anything; it's about patients.
• It's about patients, and that's not what we're looking for.
• All of those states, our patients feel the most safe out of any state hospital.
• In regards to how many specific patients...

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• I would rarely see uninsured patients.
• Uncertainty for our patients leads to harm and even death when our patients cannot get access to care
• , but as uninsured self-paying patients.
• For rural hospitals, that means fewer insured patients and more uninsured patients.
• For rural hospitals, that means fewer insured patients and more uninsured patients.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the cost of federal instability for California health coverage, access, and affordability. Opening remarks from members of both houses emphasized that California’s coverage gains under the Affordable Care Act are now threatened by federal policy changes, including the expiration of enhanced premium tax credits, H.R. 1, and new federal regulatory actions. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk that low-income, immigrant, and working Californians could lose coverage or be pushed into less comprehensive plans. The first panel reviewed the federal landscape and state response. Don Joyce described the ACA’s coverage expansions and warned that H.R. 1, regulatory changes, and broader federal retrenchment could reduce coverage and weaken meaningful benefits. Covered California Executive Director Jessica Altman said the loss of enhanced premium tax credits is driving major affordability problems, with average monthly premiums projected to rise sharply and enrollment already down, especially among middle-income consumers. HCAI’s Elizabeth Lansberg explained the Office of Health Care Affordability’s role in slowing spending growth, monitoring consolidation, and setting spending targets, including lower targets for high-cost hospitals and new primary care investment goals. Members asked about bronze plans, high-cost hospitals, administrative burdens, provider taxes, and whether federal advisory changes could affect required benefits such as immunizations. The second panel examined population impacts and cost drivers. UC Berkeley Labor Center’s Miranda Dietz said most Californians get coverage through employers, Medi-Cal, or Covered California, and that affordability problems are widespread across all groups. She projected that California could have up to 2 million more uninsured residents by 2030, largely from Medi-Cal losses, and said higher premiums reduce wages and increase medical debt. Christoph Stremakis of the California Health Care Foundation highlighted survey data showing widespread concern about medical bills, skipped care, and medical debt, and argued that a large share of spending is wasted through administrative complexity, inflated prices, and underinvestment in prevention. Committee members pressed the panel on whether California can sustain coverage without new revenue, how cost-growth targets affect workers and families, how medical debt relief programs like Los Angeles County’s could be expanded, and how OCA can address uncompensated care, consolidation, and prior authorization burdens.

Transcript Highlights:

• intent is that the IPP is centered on the individual and their family and considers the needs and preferences
• For a little added context, I’m also the mother of former Regional Center patients.
• Both facilities have the capacity to treat their patients and more.
• And as we can see from the numbers, the majority of patients are under recommendations for stays far
• The patients who have been there for 5, 10, 25 years—who are they?

Transcript Highlights:

• I would like to introduce the amendments at this time, Speaker, if that's preferable.
• It ensures Louisiana patients have access to safe care close to home.
• It ensures Louisiana patients have access to safe care close to home.
• It gives patients better access to advanced treatments that are closer to home.
• This is a patient access bill.

Bills: HR257 , HR258 , HR259 , HR260 , HR261 , HR262 , HR263 , HCR105 , HCR106 , HR252 , HR253 , HR254 , HR255 , HR256 , HCR103 , HCR104 , SB83 , SB143 , SB155 , SB228 , SB283 , SB295 , SB338 , SB388 , SB408 , SB431 , HR84 , HR188 , HR205 , HB302 , HB597 , HB819 , HB1257 , HB1258 , SCR24 , SB45 , SB58 , SB71 , SB81 , SB92 , SB100 , SB109 , SB141 , SB156 , SB181 , SB203 , SB204 , SB205 , SB207 , SB213 , SB214 , SB216 , SB229 , SB257 , SB274 , SB290 , SB304 , SB374 , SB379 , SB396 , SB410 , SB425 , SB427 , SB429 , SB479 , SB522 , SB357 , SB406 , HR171 , HCR49 , HCR65 , HCR72 , HR37 , HCR64 , HR170 , HR191 , HR206 , HR207 , HR208 , HR217 , HCR11 , HCR53 , HCR60 , HCR66 , HCR68 , HR9 , HCR27 , HCR28 , HCR50 , HCR62 , HCR67 , HCR71 , HCR78 , HCR81 , SCR19 , SCR3 , SCR6 , SCR18 , SCR11 , SCR22 , SCR2 , SCR20 , HCR6 , HB64 , HB68 , HB92 , HB130 , HB258 , HB633 , HB801 , HB61 , HB98 , HB102 , HB139 , HB142 , HB170 , HB185 , HB194 , HB199 , HB231 , HB247 , HB294 , HB336 , HB474 , HB661 , HB842 , HB852 , HB301 , HB359 , HB657 , HB675 , HB680 , HB727 , HB79 , HB251 , HB625 , HB769 , HB775 , HB783 , HB895 , HB1011 , HB1057 , HB1155 , HB1186 , HB1224 , HB1245 , HB1247 , HB1253 , HB1254 , HB1255 , HB1256 , SB41 , SB44 , SB64 , SB84 , SB87 , SB93 , SB98 , SB107 , SB118 , SB142 , SB192 , SB195 , SB199 , SB219 , SB222 , SB234 , SB241 , SB255 , SB275 , SB277 , SB292 , SB294 , SB306 , SB314 , SB482 , SB8 , SB10 , SB11 , SB12 , SB13 , SB14 , SB16 , SB17 , SB18 , SB20 , SB21 , SB22 , SB40 , SB48 , SB55 , SB69 , SB75 , SB77 , SB78 , SB85 , SB102 , SB115 , SB133 , SB140 , SB148 , SB151 , SB165 , SB169 , SB170 , SB185 , SB197 , SB200 , SB217 , SB235 , SB278 , SB280 , SB291 , SB300 , SB303 , SB315 , SB324 , SB330 , SB411 , SB416 , SB420 , SB436 , SB438 , SB449 , SB455 , SB456 , SB477 , SB489 , SB521 , HB646 , HB824 , HB341 , HB682 , HB766 , HB926 , HB998 , HB1051 , HB1080 , HB1201 , HB1223 , HB603 , HB940 , HB1191 , SB47 , HB901 , HR20 , HR74 , HB284 , HB306 , HB366 , HB393 , HB458 , HB577 , HB582 , HB605 , HB614 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1240 , SB82 , SB89 , SB149 , SB382

Keywords: condolences, memorial resolution, House Resolution, Shreveport, children, tragedy, sympathy, bereavement, tribute, mourning, schoolchildren, public charter school, elementary school, Head Start, family loss, Louisiana House of Representatives, condolence resolution, House resolution, victims, family support

Transcript Highlights:

• I would rarely see uninsured patients.
• Uncertainty for our patients leads to harm and even death when our patients cannot get access to care
• , but as uninsured self-paying patients.
• For rural hospitals, that means fewer insured patients and more uninsured patients.
• When coverage disappears, patients don't.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.

Transcript Highlights:

• Therapy ensures patients can go home from the hospital.
• We do prefer the Senate position.
• These are essential to our rehab patients.
• Without Medicaid coverage, patients will lose access to this critical care.
• Without skilled therapy services, patient health outcomes will worsen.

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• I would prefer that route. Across the world so that people are still forced to be on Medi-Cal.
• I would prefer that route.
• questions as a senator, but also someone who still practices in the health care space, still has patients
• through Proposition 35 implementation should remain focused on increasing resources to providers for patient
• We urge you to reconsider this proposal with the patients and safety net providers in mind.

Summary: The Senate Budget and Fiscal Review subcommittee heard four budget trailer bills: AB 110, AB 122, AB 125, and AB 177. AB 110 was described as a budget bill junior identifying budget-related legislation. AB 122 would extend sales tax to electronically delivered or remotely accessed prewritten software, extend and later limit business tax credits, reduce the annual LLC/LLP/LP tax for first-year businesses for three years, and impose a 100% tax on certain federal anti-weaponization fund settlements. AB 125 would renew the managed care organization (MCO) tax for three years beginning in 2027 to support Medi-Cal and targeted provider rate increases. AB 177 would require the Department of Finance to return by March 1, 2027 with options for assessing large employers for the Medi-Cal costs of employees enrolled in the program, including at least one employer-paid premium option for firms with 250 or more employees, and would appropriate $1,000 General Fund for implementation. Administration witnesses said AB 122 modernizes the tax system and helps create general fund revenue, while AB 125 is needed to preserve Medi-Cal financing and targeted rate increases under new federal constraints from H.R. 1 and to avoid a budget hole if the MCO tax expires. On AB 177, Finance said the bill is only a study and does not itself impose a tax, but would direct the administration to develop options for future consideration. Supportive members argued the package is part of a balanced approach to address the structural deficit, protect health care and other safety-net programs, and ensure large corporations pay more of their share. They also said AB 177 is a necessary step toward asking large employers to help cover public health care costs for workers who rely on Medi-Cal. Opponents, led by Vice Chair Niello and several other Republicans, argued the state does not have a revenue shortage but a spending problem, warning that the proposals would raise costs on consumers and businesses, discourage innovation, and expand taxes beyond their intended scope. They criticized AB 122 as potentially taxing labor-like services and limiting research and development credits, and said AB 125 would increase premiums for commercial enrollees and employers. On AB 177, they questioned the lack of definitions and specifics, saying the bill is too vague and could eventually burden employers, including hospitals and part-time workers, without clear standards. No votes were taken in the portion of the hearing provided; the committee heard testimony and questions before public comment and later action.

Transcript Highlights:

• We've also tried to make various network arrangements through preferred... ...prices.
• We've also tried to make various network arrangements through preferred providers like we have today.
• The first one we referred to as the About the Patient program.
• The first one we referred to as the About the Patient program.
• We work in conjunction with the pharmacy association on that About the Patient program.

Summary: The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts. After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.

Transcript Highlights:

• Also, as you get sick patients, and we're paying the MCOs to manage patient care, if they keep switching
• patients every three years, they can't change Representative Miller: ...manage patient care, but if
• they keep switching patients every three years, they can't truly manage long-term health.
• All of those patients were dispersed to other MCOs.
• They don't want to leave, but they want some assurance that they can invest in the patients.

Bills: HR265 , HR266 , HR267 , HR268 , HR269 , HR270 , HR271 , HR272 , HR273 , HCR107 , HCR108 , HCR109 , HCR110 , HCR111 , HR257 , HR258 , HR259 , HR260 , HR261 , HR262 , HR263 , HCR105 , HCR106 , SCR30 , SB57 , SB157 , SB202 , SB237 , SB276 , SB450 , SB465 , SB501 , SB525 , HR3 , HR80 , HR197 , HR243 , SCR5 , SCR35 , HB4 , HB623 , HB944 , HB986 , HB1098 , HB1222 , SB34 , SB164 , SB172 , SB198 , SB208 , SB232 , SB281 , SB286 , SB317 , SB322 , SB334 , SB380 , SB385 , SB409 , SB417 , SB421 , SB430 , SB439 , SB447 , SB458 , SB510 , SB398 , HB646 , HR84 , HR188 , HR205 , SCR19 , SCR3 , SCR6 , SCR18 , SCR11 , SCR22 , SCR2 , SCR20 , SCR24 , HCR6 , HB301 , HB359 , HB657 , HB675 , HB680 , HB727 , HB302 , HB819 , HB1257 , HB1258 , SB8 , SB10 , SB11 , SB12 , SB13 , SB14 , SB16 , SB17 , SB18 , SB20 , SB21 , SB22 , SB40 , SB48 , SB55 , SB69 , SB75 , SB77 , SB78 , SB85 , SB102 , SB115 , SB133 , SB140 , SB148 , SB151 , SB165 , SB169 , SB170 , SB185 , SB197 , SB200 , SB217 , SB235 , SB278 , SB280 , SB291 , SB300 , SB303 , SB315 , SB324 , SB330 , SB411 , SB416 , SB420 , SB436 , SB438 , SB449 , SB455 , SB456 , SB477 , SB489 , SB521 , SB45 , SB58 , SB71 , SB81 , SB92 , SB100 , SB109 , SB141 , SB156 , SB181 , SB203 , SB204 , SB205 , SB207 , SB213 , SB214 , SB216 , SB229 , SB257 , SB274 , SB290 , SB304 , SB374 , SB379 , SB396 , SB410 , SB425 , SB427 , SB429 , SB479 , SB522 , HCR72 , HB633 , HB603 , HB940 , HB251 , HB775 , HB998 , HB1191 , HB625 , HB1255 , HB901 , HR20 , HR74 , HCR65 , HCR71 , HB284 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB582 , HB605 , HB614 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1240 , SB82 , SB89 , HB258 , HB842 , SB149 , SB382 , SB441

Keywords: Pineville High School, Lady Rebels, softball, LHSAA, Louisiana High School Athletic Association, Class 5A, state championship, high school sports, student athletes, commendation, resolution, athletics, girls softball, championship team, Pineville, school recognition, sportsmanship, coach Allison Frye, Louisiana legislature, House Resolution

Transcript Highlights:

• SB8 is intended to apply to public hospitals and their patient care areas.
• care spaces where patients are often in a state of undress, separated by curtains.
• designed to serve patients based on need, not sex.
• The same New York doctor also mailed abortion pills to patients in Texas.
• I'm here today speaking for myself and for my patients, the women of Texas.

Bills: HB7 , SB 8 , HB7 , SB 8

Committee: House State Affairs