Transcript Highlights:

• PROGRAM.
• SEE HOW THE PACE PROGRAM COMPARES FOR LONG TERM CARE PROGRAMS.
• LORENA, YOU ARE THE ASSISTANT DIRECTOR OF OPERATIONS PROGRAMS FOR PERSONS WITH DISABILITIES.
• BY SHIFTING THE MEDICAID MANAGED MEDICAL ASSISTANCE PROGRAM MMA TO THE STATES DENTAL PROGRAM THAT – AND
• BENEFIT AND ASSISTANCE PROGRAM. ABOUT $8.000000. 5 PERCENT OF MY OVERALL AGENCY BUDGET.

Transcript Highlights:

• , Double Up Food Bucks, the Supplemental Nutrition Assistance Program in farmers markets and things like
• Centers and also at farmers markets for our Supplemental Nutrition Assistance Program participants in
• To our federal school lunch program, the SNAP Supplemental Nutrition Assistance Program.
• Nutrition Assistance Program.
• Those are the seniors that actually apply directly for the Supplemental Nutrition Assistance Program.

Committee: House Federal Funding Stabilization Subcommittee

Transcript Highlights:

• This clarifies the commissioner's authority to make changes to the medical assistance program without
• . programs. programs.
• </c><00:14:34.880><c> program</c> to the medical assistance program to the medical assistance program
• </c> residents of assisted living facilities. residents of assisted living facilities.
• </c> staff of assisted living facilities. staff of assisted living facilities.

Committee: Senate Human Services

Transcript Highlights:

• of public assistance in their programs through detecting and deterring improper payments.
• of public programs.
• Each, each of the programs. Okay.
• And so this is going to be all of my direct leaders, so my assistant director and my two deputy assistant
• And so this is going to be all of my direct leaders, so my assistant director and my two deputy assistant

Committee: Senate Senate Health and Human Services COR

Summary: The committee continued its fourth hearing on fraud, waste, and abuse involving Arizona’s Medicaid and behavioral health systems, with a major focus on Access/ALTCS eligibility, behavioral health licensing, and payment delays. Senator Shamp presented findings alleging large gaps in ABD Medicaid asset verification, including that only a portion of enrollees were checked and that many with substantial liquid assets remained on the program. She argued the state’s waiver and lack of asset limits created a compliance and fiscal risk, and urged referrals to law enforcement, tighter verification, and broader reforms. Heather Dukes, representing behavioral health and sober living operators, testified that ADHS and Access have become overly punitive toward licensed providers, often sending technical paperwork violations straight to enforcement instead of allowing correction plans, and that zoning and licensing delays are harming legitimate businesses. Reva Stewart testified that patient brokering and fraudulent recruitment of vulnerable people into behavioral health and sober living settings remain ongoing, especially through social media, and called for stronger accountability and enforcement against bad actors. ADHS Deputy Assistant Director Tiffany Slater said the department has received more than a thousand complaints about unlicensed sober living operations, which has diverted staff from routine oversight of licensed facilities. She said ADHS has expanded enforcement tools for sober living homes, is using a new licensing system to flag repeat bad actors, and is trying to make the application process easier, while acknowledging that inspections can tip off unlicensed operators. Access Director Virginia Roundtree described steps the agency has taken since the prior hearing, including daily staff huddles, live dashboards, added project management support, an external claims vendor, and an independent review of the Division of Fee-for-Service Management. She said Access is trying to balance fraud prevention with support for legitimate providers, and committed to follow up on a specific provider payment dispute by early the next week. Committee members repeatedly pressed Access and ADHS on delayed claims processing, prepayment review, and whether the current system is driving providers out of business. Roundtable testimony from Access staff described the new Provider Resolution Roundtables, which are intended to work with a small number of providers facing the most claims and authorization problems. Members questioned why claims are being denied or held for long periods, why some providers are still waiting on payments from 2023 and 2024, and whether the agency’s actions are sustainable. Access also explained the Targeted Investment Program, saying it is a federally approved Medicaid initiative with large dollar amounts still being paid out on a delayed schedule, and agreed to provide more information on provider participation and payment timing. No formal votes or committee actions were taken in the portion provided, but the chair indicated the committee would continue reviewing the issue and requested additional reports and follow-up information from Access and ADHS.

Transcript Highlights:

• </c> flood Hazard mitigation grant program flood Hazard mitigation grant program this<00:09:27.680><c
• program.
• program.
• And to Assistant Commissioner Kudelka, back to the capital assets program, I'm just going to want a little
• </c><01:08:19.239><c> that</c> assistance program are they doing that assistance program are they doing

Committee: House Capital Investment

Transcript Highlights:

• It took a while for our behavioral wellness program to put a program in place.
• and a lot of these residential treatment programs are 90-day programs.
• That's the exact same program.
• of neglect of the program.
• Hi, Jonathan Roberts, assistant director at Central California Appellate Program, speaking in support

Summary: The committee heard extensive testimony on Proposition 36 and its implementation, with judicial and budget officials describing it as a major shift from misdemeanor to felony processing for repeat drug possession and certain theft offenses. Witnesses explained that the law creates a treatment-mandated felony process that can lead to dismissal if a defendant completes treatment, but also requires evaluations, court monitoring, and potentially long, open-ended supervision. Judicial representatives said the new law is already generating large numbers of filings, creating workload, staffing, courtroom, and facility pressures, and that access to treatment beds, housing, and evaluation capacity is limiting participation. Several speakers emphasized that collaborative courts are effective but are not a perfect fit for Prop. 36 because those programs are typically probation-based and serve different risk/need populations. Court officials from San Bernardino and Orange counties said the impacts vary by county but are severe, with some counties seeing hundreds or more filings in a short period and others moving more slowly to build treatment infrastructure first. They argued that Prop. 36 is effectively an unfunded mandate unless the state provides more resources for judges, staff, facilities, treatment, housing, and supervision. The Legislative Analyst’s Office noted that Prop. 36 will reduce the Proposition 47 savings that fund mental health and substance use treatment grants, but said the near-term reduction is relatively modest and that the full effect will take time to appear because of the way those savings are calculated. Members of the committee repeatedly raised concerns that the state is underfunding the courts and counties needed to carry out the new law. The committee also reviewed the Governor’s proposed trial court operations budget, including a partial restoration of a prior $97 million cut and additional ongoing funding. Judicial branch officials said the restoration helped avoid furloughs, hiring freezes, and service reductions, and supported cybersecurity, technology, staffing, and records management. The LAO recommended that the Legislature seek more detail on how midyear restorations are handled and consider clarifying language for transferring unspent trial court trust fund monies to the General Fund. Finance said the flexibility in the ongoing funding was intentional and would be taken back for consideration. In a separate item, the committee heard testimony on a $6.3 million increase for Supreme Court and Courts of Appeal appointed counsel programs. Judicial officials and appellate project representatives said the system is facing a crisis because indigent appeals have risen sharply while the number of panel attorneys has fallen, leaving many cases waiting months for counsel. They argued the proposed increase would help but is still below what is needed to recruit and retain attorneys and prevent delays that affect criminal, juvenile, and child welfare cases. The committee also discussed the Tracy courthouse project in San Joaquin County, where local officials said reopening a courthouse closed since 2011 is necessary to serve a growing population and relieve overcrowding elsewhere. The LAO and Finance both noted the project is next in line under the facilities plan, though LAO suggested the Legislature could consider whether other facility priorities should come first.

Transcript Highlights:

• TEAM PROGRAMS.
• LAST ON THAT SCREEN THE EMERGENCY MANAGEMENT ASSISTANCE COMPACT OFFERS IMPACTED STATES ASSISTANCE DURING
• SO THAT'S A STATEWIDE MUTUAL AID PROGRAM, HOW DOES IT TRANSITION TO THE EMERGENCY MANAGEMENT ASSISTANCE
• AND WE HAVE ASSISTED GOING OUT.
• WE'VE ONLY HAD THIS PROGRAM UP AND RUNNING TWO MONTHS NOW.

Transcript Highlights:

• , or CARMA, program.
• A dedicated dementia program at MDH will have line of sight into the various programs and funding streams
• This is one of the programs that they're directly examining.
• That has been the program before; it's been going on for a while.
• My small business, we had three program areas.

Bills: HF2435

Committee: House Health Finance and Policy

Transcript Highlights:

• The family health programs include the California Children's Services Program, or CCS, the Genetically
• Yeah, I have a couple questions on the CCS program.
• and the Accountability Sanctions Program.
• , and the Accountability Sanctions Program.
• It's very early in this first-year program.

Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.

Transcript Highlights:

• Is that what I understand, another program? Not necessarily. I mean, the program already exists.
• So I think that's where my question was lying is developing a secondary emergency food assistance program
• So I think that's where my question was lying is developing a secondary emergency food assistance program
• program.
• Every day, our program works directly with residents of residential care facilities, also known as assisted

Summary: The committee heard several bills focused on disability services, food security, veterans, aging services, and child care. SB 969 by Senator Reyes would make permanent the option for Californians with intellectual and developmental disabilities to receive certain regional center services remotely; supporters said remote services improve access, continuity, safety, and choice, and there was no opposition. The committee initially lacked a quorum, so action on the bill was delayed until later in the hearing, when it was moved on a 4-0 vote to Appropriations. SB 1025 by Senator Hurtado would create an Office of Food Security and Affordability to coordinate state food programs, improve CalFresh enrollment, reduce duplication, and support a 24-hour hunger hotline; supporters framed it as a coordination and strategic-planning measure, while some members questioned whether existing programs should be evaluated first and whether the bill needed stronger reporting and accountability. It passed 3-0 to Governmental Organization. The committee also heard SB 1052 by Senator Gonzalez, which would allow the State Council on Developmental Disabilities to appoint contingent authorized representatives so people with developmental disabilities are not left without support if a parent or other primary helper becomes unavailable. Supporters, including families and disability advocates, described emergencies, immigration enforcement fears, and service interruptions as reasons for the bill; members asked about the current approval and renewal process and whether the annual renewal requirement could be streamlined. The bill passed 3-0 to Appropriations. SB 1077, also by Senator Gonzalez, would require the Department of Social Services to prepare for future federal shutdowns by creating a communications and contingency plan for CalFresh disruptions and a state-backed emergency benefits mechanism; supporters cited the 43-day federal shutdown and delays in benefits, and the bill passed 4-0 to Appropriations. Other measures discussed included SB 1201 by Senator McNerney, the No Hungry Heroes Act, which would seek waivers and direct referrals to protect veterans from federal SNAP changes and job-search-related income calculations; it passed 3-0 to Military and Veterans Affairs. SB 1261 by Senator Laird would let aging and disability resource connections continue operating during partner transitions so people do not lose access to “no wrong door” services; it passed 3-0 to Appropriations. SB 1110 by Senator Becker would update child care subsidy funding and reimbursement structures to better reflect direct family services and stabilize providers; the author said a provision tied to the budget would be removed, and the bill passed 4-0 to Education. Finally, SB 991 by Senator Menjivar was presented to improve how abuse and neglect findings in residential care facilities for the elderly are categorized in the licensing database, so serious abuse is not lumped together with lesser violations; testimony described examples of sexual assault and restraint being recorded as generic residents’ rights violations.

Transcript Highlights:

• I'll start with AB 3099 and the Tribal Assistance Program.
• I'll start with AB 3099 and the Tribal Assistance Program.
• I'll start with AB 3099 and the Tribal Assistance Program.
• For example, the tribal assistance program supported the resolution of disputed tribal remains in Orange
• Police pilot program.

Transcript Highlights:

• It's going to improve the program and help more taxpayers stay in the program.
• And so we have a really robust program through those networks as well, but then also technical assistance
• and Prevention Program.
• and Prevention Program.
• and Prevention Program.

Transcript Highlights:

• AB 262, Calderon, California Individual Assistance Act: due pass as amended to establish the grant program
• AB 511, Chen, radiologist assistance: hold in committee.
• AB 532, Ransom, Water Rate Assistance Program: do pass as amended to strike Sections 1 and 3; out with
• AB 1042, Ransom, Managed Honeybee's Health Program: do pass as amended to make the new program discretionary
• AB 1049, Celeste Rodriguez, California Food Assistance Program: two-year bill.

Summary: The Assembly Appropriations Committee held its May 23, 2025 suspense hearing and opened by emphasizing the difficult budget environment, rising costs for constituents, and the need to make tough choices. The chair said many bills would be held, amended to reduce costs, or made two-year bills because the state could not afford broad program expansions this year. The committee also noted the agenda was organized alphabetically by author and that results would be posted later that day. The committee then acted on a large suspense file, taking up hundreds of Assembly bills across topics including housing, health care, education, labor, public safety, climate, water, transportation, elections, and technology. Many bills were held in committee, while many others were approved with cost-saving, clarifying, or author’s amendments. Examples included measures on CalABLE, Covered California enrollment, wildfire and insurance issues, reproductive health, school and college programs, prison and juvenile justice matters, AI and data privacy, and local government and utility regulation. Several bills were converted to two-year bills to continue discussion. Throughout the hearing, the committee repeatedly voted on bills by A roll call or B roll call, often with Republicans not voting on amended measures. Some bills were advanced with notable amendments, such as narrowing scope, removing appropriations, delaying implementation, or striking costly provisions. The committee also approved a number of committee bills and omnibus measures, including emergency management, judiciary, insurance, and water-related bills. At the end of the hearing, the chair stated that the committee had moved 435 bills to the Assembly floor, either as do pass or do pass as amended, and adjourned the meeting.

Transcript Highlights:

• AB 1708 seeks to improve the existing Homeless Housing Assistance and Prevention program, known as HHAP
• is supported by wraparound services through the Homeless Assistance Program.
• The debt reduction program was created to assist these low-income families who have become paralyzed
• This causes some parents to miss their opportunity to participate in a program that could assist them
• and California Food Assistance Program to prevent the use of these funds for sweetened beverages and

Summary: The committee heard a series of child and family services bills, with testimony from authors, county officials, advocates, and members of the public. AB 2083 would authorize a regional child care special district for Marina Valley and Paris; there was no public opposition, but a vice chair raised concerns about lack of outreach to Riverside County and possible added fees for residents. The bill was held pending quorum and later noted as enjoying a due pass recommendation, though no final roll was taken in the excerpt. AB 1579, which expands the Children’s Crisis Continuum Pilot Program to allow additional CDSS-approved residential models, drew strong support from San Francisco County, Seneca Family of Agencies, and several counties and advocacy groups, who argued the current crisis residential model is financially and operationally unworkable and leaves youth in hospitals or emergency departments. The Youth Law Center and allied organizations opposed the bill, saying it departs from the original small, community-based crisis model and could lead to more institutional care. The committee passed the bill 6-0 to Appropriations. AB 1628 would extend California’s safe surrender window for newborns from 72 hours to 30 days. The author and fire service supporters said the change would better reflect postpartum recovery and help prevent unsafe abandonment; there was no opposition, and the bill passed 6-0. AB 1634, dealing with the “Kids” specialty license plate program, sought to raise plate fees and revise distribution formulas to generate more revenue for child safety and child care programs. Supporters said the update would modernize outdated 1992 pricing and expand county access, while a committee member objected that the bill would reallocate funds away from state agencies and private nonprofits; the bill was moved on a 5-0 vote with some members not voting. AB 1643 would streamline child support enrollment by having courts transmit support orders directly to child support agencies unless a custodial parent opts out. Supporters said automatic enrollment would reduce poverty and remove paperwork barriers, while opponents warned it could undermine parent choice and create problems for families with sensitive circumstances. The committee passed the bill 6-0. AB 1708 would require regions receiving HHAP homelessness funds to more meaningfully engage smaller cities; many city officials supported it as a way to include jurisdictions that are doing local homelessness work, while Los Angeles’ mayor’s office opposed it. The bill passed 5-0. AB 2395 would standardize access to the child support debt reduction program; supporters described it as a way to help low-income obligors escape uncollectible government-owed debt, while receiving parents and child support agencies warned it could reduce money owed to families and needs more work. The bill passed 4-0. The committee then began AB 1914, which would require local governments to plan for child care in general plans; supporters framed child care as essential infrastructure, while at least one member raised concerns about state mandates on local jurisdictions, and the excerpt ends before any vote.

Transcript Highlights:

• assistance.
• assistance.
• assistance.
• assistance.
• assistance.

Committee: Senate Health and Human Services

Transcript Highlights:

• I'm not saying that anything like the social care assistance program you've done more of is not part
• I'm not saying that anything, like the social care assistance program you've done more of, is not part
• Exceptional Item 5 supports our state tuition assistance program.
• Prioritizing investment into the tuition assistance program is essential for ensuring that our service
• Exceptional Item 5 supports our state tuition assistance program with a request totaling $98.4 million

Bills: SB 1

Committee: Senate Finance

Summary: The committee heard a Legislative Budget Board presentation and then testimony from the Department of Public Safety on the Article 5 public safety budget. LBB said DPS’s 2026-27 recommendation totals $3.7 billion, down from the prior base, while FTEs rise by 856.7. Major items included increased funding for driver license services and customer support, new trooper funding and recruit schools, crime lab operations, border security, and reductions tied to one-time facility, vehicle, and aircraft spending. The committee also discussed new riders, including one to lapse unused trooper funds and require reporting after recruit schools. Members focused heavily on driver license operations, questioning why prior staffing increases and a prior efficiency study had not solved long wait times, high call abandonment, and appointment delays. DPS and LBB said the agency receives about 22,000 calls per day, answers only about 9 percent, and is seeking more staff plus technology upgrades such as automation, kiosks, and better online processing. Senators also raised concerns about rural access, REAL ID document requirements, and whether the department should rethink its processes rather than simply add employees. DPS leadership then described needs for the Williamson County training academy, additional troopers, Capitol and Alamo security, border operations, aircraft and vehicle replacement, and regional headquarters in El Paso and San Antonio. Members asked about Operation Lone Star costs, overtime, pursuit safety, border crime, oilfield theft, and sexual assault kit and toxicology backlogs. DPS said border deployments remain focused on criminal threats, that overtime is partly driven by deployments and staffing shortages, and that the sexual assault kit backlog is down to 118 cases with a goal of zero by April. The committee later recessed and began the Texas Alcoholic Beverage Commission budget presentation, where LBB outlined a $115.1 million recommendation and noted ongoing costs for the AIMS technology project.

Transcript Highlights:

• Line 218 is for the local food purchasing assistance program.
• Line 224 is the farm down payment assistance grants program.
• Paragraph B is soil health financial assistance program.
• Paragraph B is soil health financial assistance program.
• Paragraph B is soil health financial assistance program.

Bills: HF2446

Committee: House Agriculture Finance and Policy

Transcript Highlights:

• And I'm a big fan of the ICAN program and the SNAP program. I've run early intervention programs.
• We do work on pathway programs and pipeline programs. And so, real quick, my apologies.
• One of the programs with our affiliation with NMSU is that pathway program, a seven-year program.
• We are going to focus on warm handoff programs and recovery services, as well as prevention programs,
• early on who may need assistance.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Likewise, Assistant Secretary Waniko is also unavailable today.
• When they get home, there are no... programs for them to do.
• The point is, how do we create programs in our communities?
• What can we do to move these programs forward?
• program. The other issue is accountability.

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• For brief background, the Aviation Assurance Funding Program is a temporary program created in 2023 by
• This program doesn't just help protect homes and farmland in our area.
• This program doesn't just help protect homes and farmland in our area.
• I truly believe this program has saved lives, protected...
• I'm acting assistant state geologist and assistant director of the Washington Geological Survey for the

Summary: The House Agriculture and Natural Resources Committee held public hearings on three bills. HB 2104 would make permanent the Aviation Assurance Funding Program, which lets DNR provide aerial wildfire response resources to local fire departments during initial attack. The prime sponsor, Rep. Tom Dent, said the program helps small rural districts avoid costly state mobilization and keeps fires small; DNR and local fire officials testified in strong support, citing rapid response times, major property protection, and even a rescue of a trapped civilian. No opposition testimony was heard, and the sign-in record showed 215 pro and one con. HB 2348, a DNR request bill, would streamline timber and land sale procedures by allowing more online notice, changing where sales may be held, permitting re-offering of no-bid sales, and clarifying appraisal and fair-market-value standards for certain land transfers. DNR said the bill would improve efficiency and reduce administrative burden, while the American Forest Resource Council and Washington Forest Protection Association supported it as a modernization measure that preserves fiduciary protections for trust lands. Committee members asked about the scope of the trust-land language and potential savings; the sign-in record showed 43 pro and one con. HB 2454 would raise the surface mine reclamation threshold from three acres to seven acres of disturbed area, reducing the number of small gravel and aggregate operations subject to DNR permitting. Rep. Andrew Engel argued the change would help small rural producers compete against larger corporations and lower burdens on local material suppliers. DNR opposed the bill, saying acreage alone does not determine environmental risk and that the permit process provides important review, technical assistance, and reclamation planning; the agency said it was open to discussing alternative approaches. A remote industry witness supported the bill, saying it would help small sources remain viable while county regulation would still apply. The sign-in record showed 143 pro and three con. After the hearings, the committee adjourned without taking votes on the bills.