Transcript Highlights:

• Two, approved waiver requests from school districts for cooperative purchasing and construction services
• emergency actions taken May 18, 2026, as authorized with the Executive Subcommittee concerning a waiver
• been reported to the members and alternates of ALC in accordance with ALC rules, and two, approved waiver
• Concerning a waiver request under Act 929 for Jonesboro Water and Light.
• I know that we've applied for a waiver. Is that what this is for? No, ma'am.

Committee: All ARKANSAS LEGISLATIVE COUNCIL (ALC)

Summary: The Arkansas Legislative Council met and first adopted the previous meeting minutes, then honored Lori McDonald of the Department of Human Services for nearly 28 years of state service. Members read a resolution recognizing her legislative, constituent, and leadership work at DHS, and the council adopted it unanimously. McDonald thanked members for their support, and the Senate also presented her with a citation, a flag flown over the Capitol, and a commemorative coin. The council then received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and net available for distribution of $6.36 billion. The Bureau of Legislative Research noted collections were running above last year and that the updated forecast reflected a surplus. The Executive Subcommittee report was adopted after members were told it had approved captive insurance premiums and deductibles, a claims administration contract, emergency DHS rules, waiver requests, committee fund allocations, and the cancellation of the regular July ALC meeting in favor of only meeting for urgent matters. Several subcommittee reports were then adopted, including Administrative Rules, Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel. During the Administrative Rules discussion, members questioned the Department of Education about delays and vendor performance under the ClassWallet contract; department officials said they were meeting regularly with the vendor, keeping expense review in-house, and would consider other options if needed. In Personnel, the Department of Commerce clarified that a reallocation request was part of a broader departmental realignment and shared services move, not the Arkansas Workforce Connection waiver. The council also reviewed and took action on several communications, including filing retirement system investment summaries as reviewed, approving rural community grant funding, giving favorable advice for state park acquisitions/expansion, approving special maintenance funding for state parks, and filing proposed Office of State Technology service rates as reviewed before adjourning.

Transcript Highlights:

• been reported to the members and alternates of ALC in accordance with ALC rules; and two, approved waiver
• emergency actions taken May 18th, 2026, as authorized with the executive subcommittee concerning a waiver
• been reported to the members and alternates of ALC in accordance with ALC rules, and two, approved waiver
• Concerning a waiver request under Act 929 for Jonesboro Water and Light.
• I know that we've applied for a waiver. Is that what this is for? No, ma'am.

Committee: All ARKANSAS LEGISLATIVE COUNCIL (ALC)

Transcript Highlights:

• Will you grant us a waiver?
• And we've had developers and local jurisdictions apply for those waivers.
• And we've had developers and local jurisdictions apply for those waivers.
• been waivers granted.
• There are some waivers that can be requested, which our partners are trying to do. Okay.

Committee: Senate Director Nominations

Transcript Highlights:

• This bill would expand the conditions of that waiver.
• We would need to amend our current traditional healing waiver to allow...
• Access independently submitted a waiver to allow traditional healing.
• We got approval of the waiver in 2024. I apologize if my tone is coming across some other way.
• It amends the statute that was created for our original waiver last year.

Bills: SB1112 , SB1517 , SB1537 , SB1584 , SB1673 , SB1776

Committees: House Appropriations , House House Appropriations Committee of Reference

Keywords: mental health, hearings, acquaintance witnesses, patient rights, treatment evaluation, barbering, cosmetology, appropriation, funding, licensing, board operations, peace officer, training, public safety, traffic offenses, judicial system, corrections, recruitment, state budget, crime victims

Transcript Highlights:

• The House amendments strike the prohibition on disallowing paid incentive compensation or tuition sharing
• paid incentive on disallowing paid incentive compensation<00:10:00.000><c> or</c><00:10:00.080><c> tuition
• </c><00:10:00.880><c> sharing</c><00:10:01.360><c> by</c><00:10:01.520><c> a</c> compensation or tuition
• sharing by a compensation or tuition sharing by a contracting<00:10:02.280><c> entity</c><00:10:02.560

Summary: The Senate first outlined its plan to clear pending concurrence items, focusing on Senate bills with House amendments and not taking up unamended House bills. Members then approved several motions not to concur with House amendments, including Senate Bills 514, 626, and 866, with the clerk reading the formal Senate messages in each case. The chamber also addressed an excused-vote question, with the presiding officer explaining that excused votes do not count as missed votes. The Senate then concurred in House amendments and passed a series of Senate bills, including SB 11 on campaign finance reporting and the Fair Campaign Financing Fund, SB 164 on the Pamela J. Kelly Tree Maryland program, SB 266 on local regulation of invasive trees, SB 509 on workforce Pell Grant implementation, SB 553 reestablishing the lithium-ion battery safety commission, SB 581 on statewide technology master plan reporting, SB 670 on polling-place authority, SB 848 on municipal election reporting, and SB 940 on water quality testing. Most of these House amendments were described as technical, clarifying, or conforming changes, and each bill received the required constitutional majority on final passage. The chamber also took up House Bill 862, a rail safety bill requiring certain freight trains to have crews of at least two under specified interstate conditions. After questions from the minority leader about the bill’s trigger conditions and effect on an Eastern Shore rail line, a senator explained support for the measure and the bill passed with 33 affirmative votes. Additional special-order House bills passed as well, including HB 497 on protective order durations, HB 552 establishing a commission on the House of Reformation and Instruction for Colored Children, and HB 573 on fair housing and discriminatory effect standards. Later, the Senate continued with more concurrence items from Finance, including SB 22 on Department of Disabilities housing programs, SB 412 on forensic review boards and community forensic aftercare, SB 413 on morticians and funeral directors board operations, SB 496 on Medicaid coverage for obesity treatment, SB 555 on dementia services and brain health resources, and SB 579 on no-cost preventive cancer screening for retired volunteer firefighters. These bills were generally amended in the House with clarifying or conforming changes, and the Senate adopted the amendments and passed the bills by constitutional majority.

Transcript Highlights:

• Or maybe our students can pay tuition to go out of state.
• Or maybe our students can pay tuition to go out of state.
• to the original intent of the colleges, where it was through charities, through donations, through tuition
• So I don't think this is going to harm... ...through tuition.

Transcript Highlights:

• Who pays that tuition? Ed Fellows pay their tuition.
• So the Ed Fellows Program is not a tuition reimbursement program.
• And then where the Grow Your Own program comes in is to help cover that tuition cost.

Summary: The committee first heard a presentation on strategic resource management in public education. LESC staff and PED officials argued that New Mexico has increased school funding, but local budgeting and planning remain fragmented and overly compliance-driven. They described long-term pressures including declining enrollment, rising special education costs, falling cash balances, changes in federal funding, and leadership turnover, and said schools need more intentional multi-year planning tied to student outcomes. They also outlined the many disconnected planning requirements schools must complete, compared New Mexico’s current approach with Ohio’s three-year budget forecasting model, and recommended continuing multi-year appropriations, adding $2.5 million for state grants in the unified application, and directing LESC, LFC, and PED to develop a long-term financial planning proposal. PED said it is working to reduce administrative burden through school accreditation, a unified application for federal and state funds, and internal alignment of guidance and coaching, with pilot schools reporting time savings and better alignment. Members raised concerns about four-day school weeks, the burden on small districts, the need for outcomes and return on investment, and whether the state should move toward a two-year or three-year planning cycle; staff clarified that the proposal was to streamline or eliminate redundant requirements, not add another layer. The committee then received an update on the Educator Fellows program. PED described it as a Grow Your Own pipeline that employs candidates as supplemental educational assistants while they work toward licensure, providing salary, benefits, paid leave, mentoring, and coursework support. Officials said the program helps address teacher shortages, improves student-to-teacher ratios, increases workforce diversity, and supports the Martinez-Yazzie action plan. They reported 370 current fellows across 86 LEAs and about 180 schools, with many fellows being people of color, first-generation college students, or second-career educators; roughly 85 are expected to become certified this year. A local HR director from Belen testified that the program has been especially valuable in small communities, where fellows are already rooted in the community and several have moved into teaching roles. Members asked about high school recruitment, tuition, retirement and benefits, the relationship to the Higher Education Department’s Grow Your Own scholarship, and the role of university partners. PED said fellows choose among accredited higher education partners, the program is separate from the scholarship but complementary, and the state is also building an apprenticeship model and seeking to expand the program to more LEAs, though some districts are on a waiting list because of funding and local match requirements.

Transcript Highlights:

• Preschool tuition normally helps offset the much higher cost of infant care.
• My current infant tuition... My current infant tuition is $1,900 a month.
• That's nearly a $400 co-pay that families have to pay to me to meet my current tuition.

Summary: The California State Assembly Select Committee on Child Care Costs held its first hearing to examine the state of child care access, affordability, and provider compensation. Chair Cecilia Aguiar-Curry and other members described child care as essential infrastructure for working families and the economy, noting that costs are unaffordable for many households and that providers are underpaid. Early testimony came from a San Francisco parent, Quinn Chung, who described the difficulty of finding safe care and the financial and career sacrifices caused by lack of child care, and from Tuolumne County provider Anita Viscini, who detailed her monthly costs, low margins, and the need to work weekends and teach CPR classes to make ends meet. Assemblymembers also emphasized the crisis in rural communities and the need for a long-term strategy. The first policy panel featured Jennifer Troia of the California Department of Social Services, Laura Pryor of the California Budget and Policy Center, and Alexa Frankenberg of Child Care Providers United. Troia said the state has nearly doubled child care funding in five years, expanded subsidy slots, and reached a new tentative three-year agreement with providers that includes cost-of-living adjustments, stabilization payments, and continued work on an alternative rate methodology and single rate structure. Pryor argued that despite funding gains, child care remains too expensive, only a fraction of eligible children receive subsidies, and provider wages remain far below comparable jobs, worsening racial and gender inequities. Frankenberg said the tentative agreement is progress but not enough, calling for a true cost-of-care system, fair wages, paid time off, better support for emergency and nontraditional care, and stronger integration of family child care into the mixed-delivery system. Members asked about why the crisis persists, how the alternative methodology will work, how family fees and sliding-scale help are being used, and why middle-income families still struggle. The panel said the problem reflects long-term underinvestment, a broken market, and a system that still leaves many families without access. The committee also heard an economic panel from Ashley Hoffman of the California Chamber of Commerce and Sarah Bone of the Public Policy Institute of California. Hoffman described employer child care benefits and public-private partnership models in other states, including shared-cost programs and local chamber efforts. Bone said child care costs reduce family financial security and labor force participation, especially for mothers of young children, and estimated that if mothers of young children worked at the same rate as mothers of older children, more than 80,000 additional women could be in the workforce each year. In the final panel, parent and provider advocates, including Jennifer Greppie and Black Californians United for Early Care and Education co-founder Keisha Doyle, argued for fully funding child care, ending waiting lists, protecting culturally affirming care, and addressing racial inequities and private equity’s role in the sector.

Transcript Highlights:

• line item in their operating budget reflecting estimated expenditures for open enrollment school tuition
• expenditures for open enrollment school expenditures for open enrollment school tuition<00:37:37.359>
• <c> and</c><00:37:37.599><c> offsetting</c><00:37:38.160><c> revenue</c> tuition and offsetting revenue
• tuition and offsetting revenue estimates.<00:37:39.040><c> That's</c><00:37:39.200><c> really</c><00

Committee: Senate Education Finance

Transcript Highlights:

• The high cost of tuition, coupled with California's high cost of living, forces two-thirds of CSU and
• for looking into creative ways to really continue to ensure ongoing affordability of system-wide tuition
• And over 60% of our students do not pay tuition and fees because of the state and institution aid that
• But by using the same UC short-term investment pool, ACA 3 won't have any impact on student tuition,

Summary: The Assembly Higher Education Committee heard a series of bills focused on expanding access to higher education, addressing workforce shortages, student housing, and labor standards on campus projects. AB 662 would create a South County Higher Education Task Force to explore a mixed-use, intersegmental institution in Chula Vista; supporters said South San Diego County is a “college desert,” while the bill passed on a due pass as amended motion to Appropriations. AB 885 would establish a College Access for All Fund to help make CSU and UC attendance more affordable; supporters cited student debt and affordability concerns, and it also passed to Appropriations. AB 730 would provide $15 million to help establish a medical school in the Central Valley to address physician shortages, and it advanced on a due pass motion. AB 1400 would let up to 15 community college districts pilot bachelor’s degrees in nursing; supporters argued it would expand affordable BSN access and keep students local, while CSU, UC, and other higher education groups opposed it as unnecessary and inconsistent with the master plan. The bill passed to Appropriations, with members raising questions about clinical placements, faculty shortages, and possible effects on associate-degree programs. The committee also considered AB 1235, which would require CSU design-build projects to use a skilled and trained workforce, aligning CSU with other public higher education construction standards. Supporters said it would improve safety, training, and local job opportunities, and the bill passed to Appropriations. AB 1247 would restrict contracting out of classified school and community college jobs unless workers meet training and qualification standards and would address pension and training concerns; supporters said it would protect students and classified employees, while school and college groups warned it would disrupt services and add unfunded mandates. The bill passed to Appropriations with one no vote. AB 1470, presented on behalf of Assemblymember Haney, would allow a portion of student housing revolving loan funds to be used for affordable student, faculty, and staff housing in downtown and commercial districts; it was discussed as a housing and downtown revitalization measure, but the committee held off on a motion pending more members. ACA 3, also on behalf of Haney, would require UC to offer limited down payment loans to eligible long-term support staff first-time homebuyers; it drew extensive support from UC workers and unions, while UC and business groups opposed it as costly and outside UC’s mission, and the measure was still under discussion at the end of the transcript.

Transcript Highlights:

• The high cost of tuition, coupled with California's high cost of living, forces two-thirds of CSU and
• for looking into creative ways to really continue to ensure ongoing affordability of system-wide tuition
• And over 60% of our students do not pay tuition and fees because of the state and institutional aid that
• But by using the same UC short-term investment pool, ACA 3 won't have any impact on students' tuition

Committee: House Higher Education

Summary: The Assembly Higher Education Committee heard several measures focused on access, affordability, workforce development, and campus operations. AB 662, by Assembly Member Alvarez, would create a South County Higher Education Task Force to explore a mixed-use intersegmental higher education institution in Chula Vista to address the lack of nearby public university access in South San Diego County. Supporters, including Southwestern College and the City of Chula Vista, described the region as a “college desert” and said the bill would help coordinate UC, CSU, and community college partners. The committee approved the bill on a due pass as amended motion. Members also heard AB 885, which would establish a College Access for All Fund to help address college affordability and student debt, and AB 730, which would provide funding to support development of a medical school in the Central Valley to address physician shortages. Both measures drew support from higher education and labor groups, and both were advanced to Appropriations. AB 1400 proposed a pilot allowing up to 15 community college districts to offer a bachelor’s degree in nursing; supporters said it would expand affordable BSN access and help meet the nursing shortage, while CSU and nursing education groups opposed it, arguing existing ADN-to-BSN pathways and clinical/faculty limits made the proposal unnecessary or harmful. The committee still moved AB 1400 forward on a due pass vote. The committee also considered AB 1235, requiring CSU design-build projects to use a skilled and trained workforce, which supporters said would improve safety, training, and local job opportunities; it passed on a due pass vote. AB 1247, aimed at limiting contracting out of classified school and community college jobs and requiring stronger training and retirement protections, drew support from labor groups but opposition from school and community college organizations concerned about flexibility, costs, and implementation; it advanced on a divided vote. Finally, the committee heard AB 1470, which would allow student housing loan funds to be used in downtown and commercial districts, and ACA 3, which would require UC to offer limited down payment loans to eligible support staff; both drew support from labor and housing advocates, while UC opposed ACA 3 as inconsistent with its mission and financially burdensome. The transcript ends during discussion of ACA 3, with no final action shown for that item.

Transcript Highlights:

• We use waivers here. Our PAST program is a 1915(c) waiver.
• We have 1115 waivers for the expansion program.
• We have nine clients that are living choices waiver clients in the facility.
• We have nine clients that are Living Choices waiver clients in the facility.
• There are nine clients under our waiver program at the facility. All right, thank you.

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• So because the department may have to ask for a waiver, Medicaid waiver, for this to work.
• And then we wanted to make sure that if they do ask for the Medicaid waiver, they really try really hard
• to get that Medicaid waiver passed.
• For the Medicaid waiver, they really try really hard to get that Medicaid waiver rather than just kind
• of saying, okay, yeah, we did a Medicare waiver and leave it at that.

Committee: House Health and Mental Health

Summary: The committee first heard public testimony on House Bill 2570, which would prohibit health insurers from limiting payment for anesthesia services based on the length of a surgical procedure. The bill sponsor said the measure was prompted by a prior Anthem policy that would not cover all anesthesia time if a surgery ran long, and argued that insurers should not create pressure to stop or rush procedures. Supporters from physician and nurse anesthetist groups said the bill would protect patients and providers from unfair time-based payment limits. An insurance industry witness raised concerns about unclear definitions, possible internal contradictions in the bill’s language, the use of time-based billing formulas, and whether dental anesthesia should be excluded; the sponsor responded that the bill was aimed at medical, not dental, anesthesia and that any wording issues could be worked out later. After the hearing, the committee moved into executive session on a combined committee substitute for House Bills 1945 and 2570. Members discussed an amendment rolling HB 2570 into the larger substitute and noted minor changes to the anesthesia language, including adding modifiers and clarifying billing terms, while also adjusting unrelated pathology language to make it workable with the department and possible Medicaid waiver requirements. Questions from members focused on whether the insurance industry’s concerns were addressed and whether dental anesthesia should be exempted; the sponsor said some concerns could be handled later and that dental situations involving separate anesthesia providers might still need careful drafting. The committee adopted the amendment and substitute and then voted the combined committee substitute do pass by roll call, with the motion approved unanimously by those present.

Transcript Highlights:

• No entity has requested a variance or waiver.
• Despite requested a variance or waiver.
• No nursing home has sought a waiver from that.
• No nursing home has sought a waiver from that.
• No nursing home has sought a waiver from that.

Transcript Highlights:

• </c><00:28:57.000><c> because</c> emergency and federal waivers because emergency and federal waivers
• :07.040><c> So,</c> waivers.
• So, waivers.
• </c> have to approve a waiver have to approve a waiver for<00:49:17.480><c> this</c><00:49:17.800><c>
• </c><00:52:45.520><c> So,</c> the waiver. So, the waiver.

Bills: HF2136 , HF4195 , HF4548 , HF4432 , HF4174 , HF3024 , HF4389 , HF3773

Committee: House Children and Families Finance and Policy

Keywords: youth intervention, grants, community support, early intervention services, nonprofit, Minnesota human services, forecast adjustment, budget forecast, appropriations, Medical Assistance, MinnesotaCare, Health Care Access Fund, general fund, behavioral health, housing support, General Assistance, Minnesota Supplemental Aid, MFIP, DWP, child care assistance

Transcript Highlights:

• It was updated throughout the emergency with updates on the waivers and federal approval of those waivers
• We requested 36 separate federal CMS 1135 waivers from the federal government.
• I mentioned that we already secured 36 other 1135 waivers from the federal government.
• We actually did request that and were denied staffing waivers.
• We actually did request that and were denied staffing waivers.

Summary: The Assembly Health Committee held an informational hearing on the health impacts of wildfires and the effects on health care systems and access to care. The first panel focused on public health consequences, with testimony from UCLA and UCSF physicians, a community organizer, and an Altadena recovery leader. Witnesses described acute and long-term physical harms from wildfire smoke and ash, including asthma and COPD exacerbations, cardiovascular and stroke risks, pregnancy impacts, infection risk, and possible added hazards from lithium-ion battery fires. They also emphasized mental health effects such as anxiety, depression, PTSD, “firebrain,” and the need for psychological first aid, trauma-informed community networks, and youth-focused resilience programs. Community advocates stressed that Latine, Indigenous, undocumented, and Black communities face disproportionate harm because of language barriers, unsafe work conditions, lack of insurance, and exclusion from disaster aid, and they called for stronger language access, worker protections, permanent disaster relief, and better outreach. Committee members asked about air monitoring, masks, wind events, lithium-ion batteries, and how to reach communities with translation and emergency information. Panelists said AQI is useful but incomplete, that N95s help for smoke but P100 masks are needed for ash/asbestos exposure, and that communities should be warned to stay indoors and avoid windy dust-ups after fires. They also discussed the importance of building relationships during non-emergency periods, using text alerts and trusted community organizations, and providing culturally and linguistically appropriate information. Several members and witnesses highlighted the need for more research on long-term health effects, especially for people with chronic lung disease, workers who cannot stay indoors, and residents exposed to repeated disasters. The second panel addressed health care system response and access to care. DHCS and DMHC described emergency flexibilities used during the Southern California fires, including federal waivers, extended Medi-Cal renewal deadlines, reinstated coverage for some disenrolled members, suspension of prior authorization and prescription refill barriers, out-of-network access at in-network cost-sharing, and communication through websites, toll-free numbers, and social media. Hospital and community health center leaders described major operational strain: emergency room surges, canceled surgeries, dialysis disruptions, staff displacement, temporary housing needs, and financial losses. Huntington Health and AltaMed reported using incident command systems, temporary care spaces, bilingual and culturally tailored services, mobile clinics, infection control measures, and community health workers to keep care going. Members and witnesses also discussed the need for better disaster staffing pools, more flexible facility rules, stronger mental health coverage, child care planning, and statewide coordination for future emergencies; no formal votes were taken.

Transcript Highlights:

• And then I think there exists a waiver.
• Allows a permissible waiver process.
• The waiver is permissible in the statute, and at this time we have just decided not to put the waiver
• And we have a 1915(b), what's called the 1915(b) waiver, and what's called a Section 1115 waiver. 12
• to a waiver renewal.

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• It is specifically a demonstration waiver. I, um, I, uh,...
• It is specifically a demonstration waiver.
• , you know, but ultimately they will have to create the waiver and submit it.
• Also mentioned by the sponsor, there are 16 approved waivers and then three pending waivers, excuse me
• , 13 approved waivers, three pending.

Committee: House Health and Mental Health

Transcript Highlights:

• This bill addressed applying for a Medicaid waiver, and I'm supportive of the bill and the concept.
• Weeks is not here, I was just wondering how many Medicaid waivers we have out there right now, and I
• How long has it taken to get these waivers approved? I was wondering how long the process is.
• How long has it taken to get these waivers approved? I can try to answer that one.
• Chairman, and as you know, I have a couple of Medicaid bills that require waivers, And, Mr.

Transcript Highlights:

• Consumers also may want to purchase a damage waiver, which is offered by rental car companies to protect
• The tax code allows rentals up to 180 days, but the collision damage waiver statute in the Business and
• Limits rentals to 30 days or fewer, which prevents renters from obtaining collision waivers for rentals
• rental agreement from 30 to 180 days under the Business Code, to allow persons to obtain a damage waiver
• for the rental during that period, and ensure persons receive a pro rata refund for the damage waiver

Bills: SB 21 , SB21 , SB72 , SB140 , SB262 , SB370 , SB372 , SB495 , SB627 , SB703 , SB764 , SB842

Committee: Senate Business & Commerce