Transcript Highlights:

• That would presumably emerge from the study itself.
• The motion is due pass to Emergency Management. No one else has voted yet.
• No, it is due pass to the Committee on Emergency Management. Oh, no. Yeah.
• And next go to file item six, SB 1079 by Stern, do pass to Emergency Management.
• Do pass as amended to Emergency Management. Please call the absent members.

Committee: Senate Natural Resources and Water

Transcript Highlights:

• Across our great state, calls have hit historic highs, with firefighters responding to emergencies at
• Across our great state, calls have hit historic highs, with firefighters responding to emergencies at
• He waited on scene for first responders to arrive.
• They respond to the deficiencies.
• Then they respond to that.

Summary: The committee heard a series of bills focused on environmental policy, public infrastructure, housing, and energy. AB 1812, dealing with compostable plastics and compost contamination, drew strong support from farmers, composters, counties, cities, and waste companies, while manufacturers and compostable-product companies opposed it unless amended, arguing it would undermine compostable packaging and SB 54 goals. AB 2216 to expand the Delta Conservancy’s service area also received broad support and no opposition. AB 2481, which would allow leftover glass quality incentive funds to support recycled glass used in fiberglass insulation and other products, was supported by insulation manufacturers, recyclers, and waste advocates and passed with no opposition. AB 2152, streamlining fire station construction and tying CEQA relief to project labor agreement requirements, was supported by firefighters and construction trades but opposed by contractors and wildlife groups over the PLA mandate and environmental review provisions; the committee discussed amendments and sent it forward. AB 1536, the Save Our Shores Act, aimed at offshore oil and gas safety and decommissioning, was supported by coastal and environmental groups and opposed by the petroleum industry, with members debating pipeline safety, drilling risks, and carbon intensity before advancing the bill. AB 1849, a study bill on decarbonized gaseous fuels, split supporters from hydrogen, bioenergy, and propane interests against environmental and justice groups who said it favored biomethane and hydrogen without clear definitions; the author said it was only a study measure, and it moved ahead. AB 1732, which would expand CEQA streamlining for public university and community college housing projects, was backed by students, UC representatives, housing advocates, and labor, with no opposition heard; members raised concerns about environmental impacts and evacuation planning, but the bill was approved. Several measures were taken on consent and others were held open for absent members or quorum issues, with multiple bills receiving due pass recommendations as amended.

Transcript Highlights:

• Every day across California, people walk into emergency rooms: parents, teenagers, first responders,
• It impacts the emergency departments, decreases access to emergency and hospital care, and it ends up
• emergency.
• responders arrive.
• in how communities respond to emergencies.

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

Transcript Highlights:

• to emerging issues.
• </c><01:00:07.840><c> to</c><01:00:07.960><c> emergence</c> and respond to emergence and respond to emergence
• </c> emerging issues. emerging issues.
• </c> emergency hire permit. emergency hire permit.
• </c> as an emergency hire. as an emergency hire.

Bills: HB1890 , HB1888 , HB1676

Committee: Senate Education

Summary: The committees heard three measures, beginning with HB 1890 HD3, which would provide automatic step increases and a COVID-era retention bonus for teachers. Supporters included HSTA, the Democratic Party’s Education Caucus, and a student who said higher pay and predictable salary growth would help retain teachers in Hawaii. The Department of Education supported the intent but asked that the bill be expanded to cover all department employees. The Attorney General’s office said the draft needed clarification to avoid conflict with Chapter 89 and to make clear any funding was subject to legislative appropriation. The Office of the Public Defender and B&F testified in opposition, and committee members questioned whether the step increases were already in the current contract and whether the bill was needed. HSTA said the current contract includes automatic step increases subject to funding, but argued the bill was still needed because funding is not guaranteed and the measure would codify the policy. HSTA also said the COVID bonus would apply only to active teachers who worked during the pandemic and estimated the total cost at roughly $150 million to $200 million over four years. No vote was taken in the portion provided. The committee then took up HB 1888 HD3, which would require DOE and charter schools to report harassment incidents and strengthen penalties for harassment of educational workers from a petty misdemeanor to a misdemeanor. DOE supported the bill and suggested narrowing language about assisting workers with temporary restraining orders, saying that function would be better handled through the Attorney General’s pilot program. The Office of the Public Defender opposed the bill, arguing the harassment language was overly broad, vague, and potentially unconstitutional, and that existing assault and terroristic threatening statutes already protect educational workers. HSTA, the State Commission on the Status of Women, and several individual testifiers supported the measure, describing increased intimidation and harassment of teachers and other school staff, especially since COVID. The Special Education Advisory Council opposed the bill’s language on “disrupting and interfering” with school functions, saying it could chill parents of students with IEPs from advocating for their children. Testimony was split, with the chair noting 20 in support and 16 in opposition in the portion shown. A final witness, Michelle Pestana, testified in opposition based on her family’s experience with special education services, describing alleged seclusion and restraint of her daughter and expressing concern that DOE testimony in prior hearings had targeted special education parents. Her remarks were cut off as time expired. The transcript ends before any committee action or vote on HB 1888 was taken.

Transcript Highlights:

• The motion is do pass to Emergency Management with commitment to take amendments in Emergency Management
• We all need that emergency preparedness.
• And I may respond, Madam Chair.
• And I don't know if you want to respond to that.
• I'll respond in part, and I'll allow my expert witness to respond.

Summary: The committee first heard SB 804, the Hydrogen Pipeline Safety Act, from Senator Arreguín. He said the bill would designate the State Fire Marshal as the safety regulator for intrastate hydrogen pipelines and require hydrogen-specific standards, while not mandating any pipeline construction or bypassing environmental review. Supporters included labor groups, utility employees, and the City of Burbank, while Air Products opposed unless amended, citing concerns about the bill’s specificity, fee structure, and the need for a hydrogen-specific rulemaking process. The committee discussed safety, fees, and regulatory certainty, and later passed SB 804 on a 9-0 vote to Emergency Management with commitment to take amendments. The committee then took up SB 905 by Senator Becker, aimed at reducing electricity rates by changing utility incentives. The bill would tie part of executive compensation to keeping rates below inflation, require more performance metrics, and allow the CPUC to consider lower returns on equity for certain lower-risk investments and alternative financing options. Support came from consumer, environmental, agricultural, and large energy user groups, while Southern California Edison, CalChamber, PG&E, and utility labor groups raised concerns that the bill could reduce investment, create regulatory uncertainty, and raise borrowing costs. After extensive discussion about utility affordability, wildfire costs, and capital markets, the committee passed SB 905 on a 7-1 vote to Appropriations. SB 913, also by Senator Becker, would create a clearer pathway for distributed energy resources such as batteries and smart thermostats to participate in the resource adequacy market and compete with utility-scale resources. Supporters said the bill would better use existing grid capacity, lower costs, and build on the state’s Demand Side Grid Support Program; PG&E opposed unless amended, saying the use case was not yet proven and was already being addressed in other rulemakings. After the committee accepted amendments, one opposition group moved to neutral and another said it might do so after reviewing the changes. The bill passed 8-0 to Appropriations and was placed on call. Several other measures were heard and advanced, including SB 1196 on faster utility hookups for small energization projects such as ADUs and EV chargers, SB 931 reauthorizing the Diablo Canyon Essential Services Mitigation Fund through 2028, SB 1158 reducing the frequency of joint reliability assessments from quarterly to twice yearly, and SB 1245 directing further study of California’s gasoline market and potential use of non-CARBOB fuel during supply disruptions. SB 1196 and SB 931 both passed with broad support and no opposition after amendments, SB 1158 passed without testimony, and SB 1245 drew strong support from consumer and environmental advocates but opposition from fuel industry and business groups concerned about costs, confidentiality, and fuel standards.

Transcript Highlights:

• AND LIFE THREATENING EMERGENCIES.
• CARE IN GENERAL HOSPITAL EMERGENCY DEPARTMENTS.
• AND WE HAVE THE FLORIDA COLLEGE OF EMERGENCY PHYSICIANS WAITING AND SUPPORT.
• THIS IT DEMONSTRATES THE IMPORTANCE OF HOSPITAL EMERGENCY DEPARTMENTS CONDUCTING THESE DRILLS.
• TO BETTER RESPOND PROACTIVELY WHEN MULTIPLE INDIVIDUALS SEEM TO BE HAVING THE SAME PROBLEM.

Transcript Highlights:

• She includes emergency situations. If you have a medical emergency, you shouldn't be disqualified.
• person's body in a state of emergency?
• An emergency could be a natural disaster, or are there other declared emergencies we are not aware of
• emergency.
• AND PROCEDURES FOR PEDIATRIC EMERGENCY CARE, REQUIRING EMERGENCY DEPARTMENTS TO CONDUCT TRAINING ON THE

Bills: SB 2 , HB 2 , HB 2000 , HB 2196 , HB 213 , HB 222 , HB 645 , HB 1458 , HB 1022 , HB 141 , HB 502 , HB 643 , HB 3093 , HB 1700 , HB 117 , SB 503 , SB 2 , HB 120 , HB 20 , HB 150 , HB 6 , HB 100 , HB 210 , HB 215 , HB 1393 , HB 1151 , HB 1268 , HB 142 , HB 451 , HB 124 , HB 2 , HB 2000 , HB 2196 , HB 213 , HB 222 , HB 645 , HB 1458 , HB 1022 , HB 141 , HB 502 , HB 643 , HB 3093 , HB 1700 , HB 117

Transcript Highlights:

• You want to respond to that? Yeah, well, look at that.
• so nothing would change if an emergency were declared.
• So we continue to believe that a state of emergency is in order.
• and so nothing would change if an emergency were declared.
• So we continue to believe that a state of emergency is in order.

Summary: The Assembly Committee on Revenue and Taxation held its first regular hearing of the 2025-26 session, adopted its proposed committee rules on a 5-0 vote, and reinstated a suspense file for bills with fiscal impacts over the committee threshold. The chair explained that only AB 418 would be eligible for an immediate vote, while several other measures would be held for suspense consideration because of budget constraints. AB 330 was pulled by the author. AB 418 by Wilson, which would create a clearer process and administrative remedy for county Chapter 8 tax sales, received support from county tax collectors and housing and taxpayer groups. Supporters said the bill would add transparency, due process, and a noticed public hearing for negotiated sales of tax-defaulted properties, while helping counties dispose of low-value or problematic properties more efficiently. The committee voted 6-0 to send AB 418 to Appropriations. Several other bills were heard and then referred to suspense: AB 27 by Chau, which would exclude Chiquita Canyon landfill relief payments from gross income and protect recipients’ eligibility for public benefits, drew strong support from affected residents and environmental advocates; AB 258 by Conley would increase funding for California fairs, with supporters emphasizing fairs’ emergency-response role; AB 397 by Gonzalez would expand the California Young Child Tax Credit into a broader child tax credit for older children; and AB 398 by Aaron would set a $300 minimum refundable Cal EITC benefit. The committee also heard AB 231 by Tye, which would offer a tax credit to microbusinesses that hire formerly incarcerated people, and it too was referred to suspense after supportive testimony from reentry and small-business advocates.

Transcript Highlights:

• powers in Minnesota is that he can declare an emergency, and then that emergency can only be ended.
• That is an emergency.
• We have had a number of emergencies.
• very serious emergency.
• House File 21 is a bill that would undermine Minnesota's ability to respond to public health emergencies

Transcript Highlights:

• </c><00:28:43.679><c> situations</c> may be certain emergency situations may be certain emergency situations
• </c><00:28:51.640><c> care</c> practicable for the the emergency care practicable for the the emergency
• So, sorry, but just the emergency situations exception...
• </c> so um sorry um but just the emergency so um sorry um but just the emergency situations<00:37:46.280
• So let me respond to those questions in turn.

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• administer single-use, pre-measured epinephrine that does not require preparation from a vial to respond
• It makes non-substantive... ...is responsible for responding to suspected anaphylaxis.
• Representative Marshall urged a yes vote on the underlying policy to help save lives in an emergency.
• Representative Donagy said it is important that in a life-threatening emergency the correct tools are
• If there is an emergency, they can get it, but they are not getting interrupted with it.

Summary: The House Education Committee met in executive session to consider several Senate bills. On Substitute Senate Bill 5242 concerning anaphylaxis medication in schools, staff described the underlying bill as expanding school authority to administer epinephrine and related protections, and a striking amendment by Representative Marshall was adopted after a technical correction to fix an albuterol reference. Members spoke in support of broader access to life-saving epinephrine in schools, and the bill was reported out with a do pass as amended recommendation by a 19-0 vote. The committee also advanced Substitute Senate Bill 5346 on student use of mobile devices in public schools. An amendment sponsored by Representative Santos was adopted to update terminology, adjust reporting timelines, and clarify that districts may limit possession and use of mobile devices during instructional hours while considering OSPI research and recommendations. Supporters said the bill balances local flexibility with guidance to reduce classroom disruption and bullying; it passed 17-1 and was reported out as amended. Substitute Senate Bill 5841, which strengthens high school and beyond plan requirements related to financial aid information, was amended to add College Bound Scholarship identification and more explicit review of financial aid application completion. Members supporting the bill said it would help students understand scholarship and grant opportunities and improve college-going rates, though one member noted the added burden on school counselors. The committee also passed Substitute Senate Bill 6268, requiring OSPI to keep a freely accessible 20-year online record of final special education complaint decisions, and Senate Bill 6278, which codifies ongoing review of teacher and principal preparation programs by the Professional Educator Standards Board. Both bills were reported out unanimously, and the committee adjourned after reminding members about amendment deadlines for future executive sessions.

Transcript Highlights:

• When Missouri National Guard members are activated for state emergencies, whether responding to national
• Servicemember on state emergency duty.
• to disasters, emergencies, even things like WMD, weapons of mass destruction, or terrorist events.
• And then after that, I just had the state emergency duty after that.
• to deployments, training requirements, and emergency activations, often with little notice.

Committee: House Veterans and Armed Forces

Summary: The committee first heard House Bills 1993 and 2771, both sponsored by Reps. Irwin and Boykin, which would extend Servicemembers Civil Relief Act-style protections to Missouri National Guard members when they are called to state emergency duty. The sponsors and supporting witnesses said the bills would help Guard members with issues like eviction, lease termination, debt collection, and civil court proceedings while they are serving, and would align state law with federal protections already available to active-duty service members. Committee members generally expressed support, noting the financial strain on Guard members and their civilian employers, and witnesses from the Missouri National Guard Association and the Guard itself said the bills would provide clarity and stability. No opposition was presented, and the hearing ended without a vote in the transcript. The committee then heard House Bill 1869, which would create a grant program administered by the Missouri Veterans Commission to help repair and reset damaged veteran grave markers in private and public cemeteries when the damage is caused by natural events. Rep. Roberts explained the bill was prompted by a constituent’s experience with a deteriorated headstone, and members asked about eligibility, whether the money would go to families or cemeteries, and whether vandalism or non-cemetery graves would be covered. The sponsor said the bill was aimed at natural causes and family-member applications, though he was open to suggestions for expansion. The Veterans Commission director supported the concept but warned the agency lacked funding and staffing to take on another program without additional appropriations; members also raised broader concerns about underfunding the commission. No formal action or vote was taken in the transcript. After the bill hearings, the committee received informational testimony from Retrieving Freedom, a Missouri-based service dog organization, and from Compass Health on firearm suicide prevention. Retrieving Freedom described its training of service dogs for veterans and children with autism, including demonstrations of tasks such as grounding, retrieving items, and helping with mobility, and said it had a waiting list but was expanding its work in Missouri. Compass Health discussed its firearm suicide prevention grant work, emphasizing community-based education and conversations about safe access to lethal means rather than confiscation. These presentations were informational only and did not involve committee action.

Transcript Highlights:

• It's a core tenet of emergency management, which is responding to critical situations and emergencies
• the emergency management uh which<01:06:57.680><c> is</c><01:06:57.920><c> responding</c><01:06:58.319
• In short, Minnesota cannot prepare for, respond to, or recover from emergencies without its emergency
• prepare for, respond to, or recover recover<01:09:58.719><c> from</c><01:09:58.960><c> emergencies</
• </c> union emergency manager? union emergency manager?

Committee: Senate Judiciary and Public Safety

Transcript Highlights:

• House Bill 489 ensures that all first responders operating a vehicle during an emergency, whether the
• Thank you on behalf of all the emergency responders in our state.
• , the very men and women we all rely on to respond in emergency situations.
• Thank you on behalf of all the emergency responders in our state.
• </c><00:42:19.880><c> to</c> would be Vehicles responding to would be Vehicles responding to emergency

Summary: The committee first heard House Bill 758, which would establish a study committee on airport operation hours and possible noise abatement measures, including whether New Hampshire should prohibit departures between midnight and 6 a.m. The sponsor said the committee would examine the pros and cons and consult stakeholders. The Bureau of Aeronautics testified neutrally, noting that New Hampshire has 25 public airports, 12 with federal funding and grant assurances that may require them to remain open during those hours, and that cargo operations, including at Manchester, commonly occur overnight. Members also discussed existing noise abatement programs and how mitigation is determined by noise contours and FAA funding decisions. No vote was taken; the chair closed the hearing after testimony. The committee then heard House Bill 489, allowing voluntary emergency workers to use rear-facing blue lights on private vehicles when responding to emergencies. The sponsor said the bill corrects an oversight in existing law, would not cost the state or towns money, and would improve visibility and safety, especially in rural areas. Supportive testimony from a volunteer responder emphasized that blue lights help cut through fog, snow, and nighttime conditions, and that the bill would only add a single rear-facing blue light to existing red, amber, and white emergency lighting. The New Hampshire State Police opposed the bill, arguing that expanding blue lights to private vehicles would confuse the public and desensitize drivers to blue lights, which are associated with law enforcement. The hearing closed without action. Finally, the committee took up House Bill 533, which the sponsor and State Police clarified is actually two separate changes: one authorizing civilian automotive equipment inspectors to assist with vehicle inspection work, and another expanding language in motor carrier enforcement to include new entrant safety audits and compliance reviews. The State Police explained that civilian inspectors are hired and trained through the department and that any findings of state-law violations would be referred to troopers; they also said the new motor carrier language was requested to satisfy federal audit concerns about right of entry. The New Hampshire Motor Transport Association said it had no position if the civilian inspectors were not doing commercial truck inspections, but would oppose the bill if they were. Members asked about the difference between audits and compliance reviews, and the State Police said audits are for newer carriers and are non-enforcement, while compliance reviews look for violations. The chair then closed the hearing on HB 533. After a brief reset, the committee opened House Bill 594, which would repeal an alternate definition of “way” for the driving-after-suspension statute. The sponsor said the change was requested by the Department of Justice. Representative Erica Leon opposed the repeal, explaining that the prior language was intended to avoid criminalizing people who mow lawns or perform similar work near property edges while suspended, but she worried the repeal could create a loophole allowing driving on places like highway medians. Members questioned whether the issue was limited to mowing or broader vehicle use on property edges, and Leon said she would work with agencies to clarify the language so it protects lawful mowing without allowing misuse. No vote was taken in the portion provided.

Transcript Highlights:

• So, you'll see some of 911 within our budget, but we don't access those funds for anything emergency
• Our current agency count for FTEs for emergency management is 44.25.
• That's for the Emergency Management Assistance Compact.
• That reimburses our responders that we send out of state.
• The million dollars, as I mentioned, is for the state hazard mitigation plan Emergency fund.

Transcript Highlights:

• </c><00:19:24.559><c> operations</c> services, and an emergency operations services, and an emergency
• pickup trucks to figure out how to integrate services and coordinate with emergency responders.
• </c> services and coordinate with emergency services and coordinate with emergency responders.<00:20:
• Uh the third phase is responders.
• </c><01:41:14.159><c> Thank</c> is an emergency. Have a nice day. Thank is an emergency.

Bills: HF2178 , HF942 , HF2470 , HF1043 , HF1287 , HF1229 , HF1230 , HF424 , HF571 , HF404 , HF910 , HF1055 , HF318 , HF319 , HF401 , HF609 , HF306 , HF1599 , HF1881

Committee: House Capital Investment

Transcript Highlights:

• funding for the state to respond to the catastrophic wildfires in Southern California.
• In my district in the last 48 hours we've had four fires break out and thankfully our first responders
• The 9-1-1 calls, diverting those precious resources, and let's also be clear, they have to respond to
• It goes out to all the first responders that have been fighting valiantly against these fires.
• First responders.

Transcript Highlights:

• I'm Director of the Emergency Management Division of the Washington Military Department, and with me
• The Department of Ecology responded to a number of hazardous materials events.
• So the governor will proclaim an emergency.
• So a couple of the things that WSDA does with emergency response: we are the lead and we coordinate Emergency
• We are the lead and we coordinate Emergency Support Function 11 for the state.

Committee: House Agriculture & Natural Resources

Transcript Highlights:

• Moving down to line 233, emergency communication networks.
• </c><00:15:33.920><c> Um</c> emergency communication networks. Um emergency communication networks.
• </c> the director of the office of emergency the director of the office of emergency medical<00:53:19.680
• </c> modifies provisions related to emergency modifies provisions related to emergency guardianships<
• <00:58:45.440><c> and</c><00:58:45.760><c> their</c> respondent and their respondent and their attorney

Transcript Highlights:

• Are they responding quickly? They have been. Okay.
• So again, that also provides opportunity to respond to emerging needs.
• So again, that also provides opportunity to respond to emerging needs.
• And in the emergency regs, you know, I apologize.
• Emergency department data.

Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.