Transcript Highlights:

• Third, the expectation that Jewish studies or Holocaust history educators should be evaluated on their
• You can be evaluated in a negative way by your peers. ...and there are too many disciplines that have
• You can be evaluated in a negative way by your peers. ...and there are too many disciplines that have
• You can be evaluated in a negative way by your peers. ...member without tenure, where you can be dismissed
• You can be evaluated in a negative way by your peers and fail to attain that brass ring.

Keywords: 995, all

Summary: The Special Commission on Anti-Semitism met for its 11th meeting and approved the minutes from its August 7 meeting. Co-chairs said the commission had recently completed preliminary K-12 recommendations and would continue work on higher education, with additional topics such as workplace issues, the medical sector, and the arts to be addressed before the November 30 reporting deadline. They also said another public comment meeting would be held this fall. The first testimony came from Dr. Mark Posnansky of Harvard Medical School, who described anti-Semitism affecting STEM, research, and higher education. He said Jewish and Israeli students and faculty reported ostracism, gaslighting, intimidation, discrimination, and hiding Jewish identity, and he urged clear leadership statements, mandatory anti-Semitism education, and stronger reporting and discipline procedures. Commissioners asked about Harvard training, spillover into teaching hospitals, and whether anti-Semitic climates were causing students to leave; he said some students had turned down opportunities because of the environment and that concerns also affected healthcare settings. Lindsey Gabbo, a Harvard Law student and mother, testified that campus discourse after October 7 had made Jewish and Zionist students feel isolated and unwelcome, with protests, defaced hostage posters, and a student council BDS vote contributing to the climate. She said Harvard had sent some emails acknowledging anti-Semitism but that she had not seen meaningful steps to restore dialogue, and she argued the school needed more structured venues for conversation. Commissioners also asked about campus security, the effect on students’ mental health, and the impact of chants and protests that she said many Jewish students understood as calls to violence. A panel of concerned Jewish faculty and staff then offered contrasting views. Professor Jeremy Menchick argued the commission should use data carefully, include non-Zionist Jews in its analysis, and avoid reinforcing divisions within the Jewish community. Professor Hilary Lustick described restorative-practice approaches and said structured dialogue could address conflict without immediate punishment. Professor Jonathan Feingold warned that anti-Semitism was being weaponized by the Trump administration and right-wing groups to attack universities and DEI, and he urged the commission not to adopt approaches that could be used to undermine civil rights institutions. Commissioners pushed back on claims that the problem was being exaggerated or reduced to a “problem” rather than a “crisis,” and the discussion ended with continued debate over data, context, and how to balance anti-Semitism concerns with broader civil-rights protections.

Transcript Highlights:

• Many of my patients in the gastroenterology world benefit from pelvic floor health evaluation.
• We RNs evaluate patients' vital signs, color, demeanor, and level of energy, and other factors, calling
• and held accountable for all aspects of medication delegation, decision-making, supervision, and evaluation
• Examiners evaluate whether the future clinicians possess those hand-eye coordination and fine motor skills
• “In medical settings, where the psychologist may have performed a fairly extensive evaluation of the

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• having conversations with our federal partners and made the clear decision that we needed a NEPA re-evaluation
• In the re-evaluation, there was recognition that the issues that the Columbia River Crossing sought to
• Also, the range of alternatives that were initially evaluated in CRC were still valid.
• The traffic and revenue team will look at that, evaluate those.
• those proposals using an independent evaluation team, and the highest-scoring proposal would be the

Keywords: 904, all

Transcript Highlights:

• And then continue to evaluate those site-specific analyses.
• And then continue to evaluate those site-specific analyses.
• ultimately package all of that up into a final report by December of this year and have it to you all to evaluate
• , you all and your colleagues, to evaluate as the 227 legislature convenes.
• Okay, yeah, but we can take it back to the team and see if there's, that's a use case we can evaluate

Keywords: 908, all

Transcript Highlights:

• protections to existing laws and additional parameters on how the reports on privacy impacts must be evaluated
• The bill is tailored to address gaps and requirements by establishing specific criteria to be evaluated
• a comprehensive plan with annual benchmarks to cut child poverty in half over the next 10 years, evaluate
• The bill requires the California Council on Science and Technology to evaluate the efficacy and cost
• CalVet must also evaluate progress and report to the Legislature every three years.

Keywords: 988, house, all

Summary: The Assembly met on May 7, 2026, after an initial delay due to lack of quorum, then proceeded through a long House of Origin deadline session focused mainly on floor votes for dozens of bills. The day opened with prayer, a moment of silence for victims of a hate-motivated shooting at an Islamic Center in San Diego, and a warning to visitors about disrupting proceedings. Leadership repeatedly urged members to be on time and at their desks as the chamber worked through a large daily file. The bills considered covered a wide range of topics, including artificial intelligence, community college trustee compensation, transit camera enforcement and privacy, taxation and excess proceeds claims, HOA rules, hepatitis C treatment access, child care planning, greenhouse energy standards, consumer lending, housing and homelessness, pet spay/neuter access, local financing for workforce housing, student financial aid, DUI penalties, senior housing, foster youth, behavioral health licensing, transit stop data, disaster response for child welfare, elections notices, safe surrender for infants, college enrollment and leave policies, insurance regulation, fair funding, school safety, environmental labeling, cash rounding, park passes through libraries, grocery access, pregnancy protections in education, swatting, domestic violence protective orders, farmworker housing, juvenile justice, cervical cancer screening, Medi-Cal transitions, disability certification, and home protection products. Most authors described their bills as cleanup measures, consumer protections, access expansions, or targeted fixes to existing law. Testimony from authors and supporters emphasized access, safety, affordability, and administrative simplification, while a few bills drew policy concerns or opposition, especially AB 1751 on townhome development and labor standards. That bill prompted extended debate over wages, prevailing wage, and stakeholder engagement, but it ultimately passed. Other notable discussion included AB 1628 to extend California’s safe surrender window for infants, AB 1902 on juvenile detention extension hearings, and AB 1925 on permanent disability certification, each framed as addressing difficult real-world gaps in current systems. The chamber took many roll-call votes, with most measures passing overwhelmingly and several by unanimous or near-unanimous margins. A few bills were temporarily passed, retained on file, or moved to the inactive file, and AB 1534 required the call to be lifted and then passed on a 54-8 vote. Overall, the session was dominated by floor action on the daily file rather than committee reports or gubernatorial messages, and the Assembly advanced a large number of bills on a deadline day.

Transcript Highlights:

• The bill is tailored to address gaps and requirements by establishing specific criteria to be evaluated
• investment, California currently lacks a unified structure to align poverty reduction programs, evaluate
• a comprehensive plan with annual benchmarks to cut child poverty in half over the next 10 years, evaluate
• The bill requires the California Council on Science and Technology to evaluate the efficacy and cost
• This requires CalVet to also evaluate progress and report to the Legislature every three years.

Summary: The Assembly met on May 7, 2026, after an initial delay caused by the absence of a quorum, then proceeded with prayer, a moment of silence for victims of a hate-motivated attack at the Islamic Center in San Diego, and the Pledge of Allegiance. The Speaker pro tempore then moved through the daily file, repeatedly urging members to be on time and at their desks as the House of Origin deadline approached. Procedural actions included dispensing with the journal, deferring some items, and moving AB 1667 to the inactive file. The bulk of the session was devoted to floor consideration of many bills, most of which passed with little or no opposition. Measures approved included bills on artificial intelligence provenance information (AB 2713), community college trustee compensation (AB 2528), transit camera enforcement and privacy (AB 1837), excess proceeds claims in taxation (AB 2705), HOA technical cleanup (AB 1892), hepatitis C treatment access (AB 1843), child care planning in local general plans (AB 1914), greenhouse energy code flexibility (AB 2200), rent-now-pay-later consumer protections (AB 2350), housing cleanup and density bonus measures (including AB 2390, AB 2480, AB 1567, AB 1751, and others), spay/neuter access (AB 2010), workforce housing financing tools (AB 2110), supportive housing and homelessness-related changes (AB 2146), mental health and health plan notification measures (AB 1598, AB 2613), student aid and education bills (AB 1534, AB 1636, AB 1669, AB 1728, AB 1784, AB 1871), public safety and criminal justice bills (AB 1546, AB 1572, AB 1872, AB 1877, AB 1932), and several health and social services measures (AB 1602, AB 1628, AB 1680, AB 1825, AB 1845, AB 1906, AB 1907, AB 1925). Most bills were described as support measures, often with bipartisan backing and no opposition, and passed by wide margins. A few bills drew more discussion, especially AB 1751, a housing/townhome bill that sparked extended debate over wages, prevailing wage, stakeholder engagement, and whether the measure could depress pay for construction trades; despite concerns and an opposition speech, it ultimately passed 44-0. AB 1793, which would allow symmetrical rounding of cash transactions to the nearest nickel in light of the penny’s phaseout, also drew light debate and passed 47-1. AB 1932, an urgency measure expanding community-based crisis response, passed with one no vote on both the urgency and the bill. Several urgency or 54-vote bills, including AB 1534 and AB 1932, required later roll calls or calls to be lifted, but all measures described in the transcript were ultimately approved.

Transcript Highlights:

• Moving forward, just in terms of the implementation, is there a way to evaluate that process?
• ways of doing things, whether that's centralizing certain processes into headquarters or really evaluating
• So we've been pulling all over to try to get resources to help support our data evaluation manager and
• So we've been pulling all over to try to get resources to help support our data evaluation manager and
• We have a contract with San Diego State University in order to do some research and evaluation on our

Keywords: 987, senate, all

Summary: The subcommittee heard a budget item on vehicle license fee backfill funding, where the Department of Finance said the administration was not proposing the requested $119 million for San Mateo County, Alpine, and Mono, arguing the payment is discretionary and that existing excess ERAF formulas should remain unchanged. Senator Becker and former Senator Jackie Speier testified that the money is owed under the VLF swap arrangement and that San Mateo County faces major service cuts without the backfill; Senator Cabaldon raised broader policy questions about county boundaries and the structure of the formula. The chair held the item open after public comment. The committee then reviewed Secretary of State budget proposals. The department requested funding for SB 851 implementation, including additional duties related to election litigation notice, voting system standards, and vendor reporting, with $1.1 million General Fund in 2026-27 and $807,000 ongoing for four positions and software. Members asked about election security, federal HAVA funding, staffing, and implementation timing; the department said current federal funds are expected to run out in 2027-28 and that it hopes to hire quickly once funded. The item was held open. The Secretary of State also presented the Cal Access Replacement System (CARS), seeking $11.8 million General Fund to finish the project and begin operations, and the notary automation replacement project, seeking $9.795 million in Business Fees Fund for continued development of the outdated notary system. Members focused on project delays, stakeholder input, and whether the funding requests matched prior plans; the department said both projects were still on their original funding tracks but had shifted timelines due to planning needs and election-related workload. Both items were held open. CalVet presented its department overview and then discussed the new 240-bed skilled nursing facility at Yountville, which is nearing completion and will replace the aging Holderman Hospital building. Members asked about the future of Holderman, other campus capital projects, and a payroll/fringe-benefit issue affecting some employees; CalVet said Holderman will continue to house some functions, the roofing and steam projects remain in progress, and the tax issue has been addressed with new procedures and repayment arrangements. The committee also discussed eliminating vacant positions under Control Section 4.12, with CalVet saying the positions were long-vacant CNA and related jobs and the LAO noting the Legislature had not concurred; Senator Cabaldon said he had no objection, and the item was held open. Finally, the California Arts Council gave an overview of its work and its cultural districts program, describing grants and technical assistance in all 58 counties and citing examples of local impact. Senator Smallwood-Cuevas strongly supported additional funding, including a proposed $50 million General Fund investment and a $10 million carve-out for cultural districts, arguing the program supports economic development, preservation, and community identity; council staff said the program is currently unfunded and has only been able to designate a fraction of applicants. Senator Cabaldon noted that many parts of the state still lack cultural districts and urged broader geographic representation. The item was informational and no vote was taken.

Transcript Highlights:

• Without clear data, it is nearly impossible to understand the full scope of the problem or evaluate the
• of<00:14:48.000> the<00:14:48.120> problem<00:14:49.000> or<00:14:49.200> evaluate
• <00:14:49.839> the of the problem or evaluate the of the problem or evaluate the solutions
• that when they do come to committee, they have the fiscal information in front of us so that we can evaluate
• that when they do come to committee, they have the fiscal information in front of us so that we can evaluate

Keywords: 1187, senate, all

Transcript Highlights:

• , at the end of that pilot period, give a great opportunity for all of the other call centers to evaluate
• It takes a follow-up... ...qualitative outcomes, evaluation.
• We're working on a USC research evaluation project, as well as building out a community advisory board
• It takes a lot of follow-up, qualitative outcomes, evaluation.
• We're working on a USC research evaluation project, as well as building out a community advisory board

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• So, we've completed year one of the evaluation on the actual program.
• The evaluation continues, and we are starting our year two of the program to ensure that what we're doing
• Behind that, the documentation, the reporting, the rest, and support for the ongoing evaluation.
• They are tasked with implementing those activities, monitoring, and evaluating the program that they
• numbers of how many referrals they do in a year so that you can kind of keep track of that for evaluation

Transcript Highlights:

• Because each electric cooperative has a different way of evaluating attachers and calculating rental
• think every co-op and every pole owner would charge a different amount, yeah, based on how they evaluate
• Open and transparent, and subject to evaluation by all parties to the negotiation.
• Under the other bill heard this morning, the PUC's evaluation will be limited.
• Adding these new caps... ...particularly one evaluating potentially never-ending litigation at the PUC

Bills: HB3445, HB3448

Keywords: telecommunications, electric cooperative, rights-of-way, infrastructure, provider access, right-of-way, pole attachment, regulatory access, 1184, house, all

Transcript Highlights:

• Additionally, low-performing and certificate programs will undergo regular evaluation by presidents and
• If we can re-evaluate the way that recalibrate the way that we look at the core curriculum, bring in
• One, to propose that faculty, for example, we go under to seek for tenure. we are evaluated by our peers
• students' skills. in critical thinking, quantitative or qualitative reasoning, writing and the evaluation
• Faculty teaching is assessed regularly, and students offer evaluations for each course and. instructor

Bills: SB37, SB1489, SB452, SB724, SB1067, SB1741, SB1273

Keywords: higher education, curriculum review, governing board, faculty council, ombudsman, faculty governance, decision-making, transparency, public meetings, department head, employment approval, public institutions, institutional oversight, education, funding, accountability, state budget, school performance, employment, Texas legislation

Transcript Highlights:

• So if I can just add a quick follow-up to the group: how are departments measuring and evaluating if
• How are departments measuring and evaluating if previously funded projects are having the intended effects
• has a 20-year grant agreement, and our staff are working with the grantee to regularly assess and evaluate
• We may want to hold some of that back and try to be able to evaluate programs.
• We may want to hold some of that back and try to be able to evaluate programs.

Summary: The Assembly Budget Subcommittee on water and coastal resilience heard an overview of the governor’s Proposition 4 spending plan, with presentations from the Department of Finance, the State Water Resources Control Board, the Department of Water Resources, the Legislative Analyst’s Office, and later coastal agencies. Members discussed the water chapter’s major allocations for drinking water and wastewater, recycled water, tribal water infrastructure, groundwater recharge and SGMA implementation, dam safety, flood protection, integrated regional water management, Salton Sea projects, and water data/stream gauges. The LAO noted that many programs are established and have clear funding processes, but some newer or less-defined programs may warrant more detailed future budget requests and reporting. No votes were taken on the agenda items. Members raised concerns about groundwater subsidence, water deliveries from the Delta, the pace of water storage investments, instream flows, and whether bond dollars were being used to backfill General Fund reductions. Administration witnesses said groundwater recharge spending is being paced because prior years already funded substantial SGMA work, that Delta operations are governed by water quality, salinity, and species requirements, and that Proposition 1 storage projects have moved slowly because they are locally led and require permitting and financing. The Water Board and DWR said they use public needs assessments, annual plans, and existing grant processes to prioritize projects, and Finance said some General Fund programs were shifted to Proposition 4 to help balance the budget. Members also asked for clearer public tracking of bond spending and more concise future reporting. In the coastal resilience portion, the Ocean Protection Council and Coastal Conservancy described Proposition 4 funding for sea level rise adaptation, coastal flood management, habitat restoration, public access, and San Francisco Bay projects, with a multi-year rollout based on project readiness and recent large state investments. The Conservancy said it would use its existing rolling grant process, while OPC said its sea level rise grants would build on existing programs and new technical assistance. The Department of Fish and Wildlife explained its proposed use of bond funds for climate-ready fisheries, hatchery modernization, salmon monitoring, whale- and turtle-safe fishing gear, and a specific hatchery operations request tied to the Friant settlement. The LAO said the coastal chapter’s proposed first-year spending is relatively modest but generally reasonable given staffing and project readiness, while members emphasized oversight, transparency, and coordination across agencies and jurisdictions.

Transcript Highlights:

• <00:14:16.000> them looking at those ACEs re-evaluating them looking at those ACEs re-evaluating
• And when we evaluated some of our plans like the Rock Springs RMP, we realized we needed to also evaluate
• And when we evaluated some of our plans.
• And when we evaluated some of our plans<00:23:42.640> like<00:23:42.799> the<00:23:42.880
• it with that new lens of, you evaluate it with that new lens of, you know,<00:23:48.640> focused<

Keywords: 916, all

Transcript Highlights:

• >> So, if the child is referred to special education, they go through the process of the evaluation.
• And we don't um we of the evaluation.
• So each individual district has to have a plan on how they will find, identify, and evaluate students
• to see where they have you re-evaluate to see where they were<03:50:41.120> at.
• As long as they were showing progress, they re-evaluate after 60 days or 90 days.

Keywords: 1189, house, all

Summary: The commission met to approve the May 18, 2026 minutes and then focused on how SB 57’s special education cost study should inform HB 1099, which creates a separate study committee on residential placements and related education costs. Members discussed sending the commission’s minutes and findings to that new committee, noting the short timeline for its work and the need to be specific about unresolved issues so the new group does not duplicate the same questions. A major topic was the cost and responsibility for students placed at Spalding and similar residential programs, especially transportation and whether costs are paid through the Department of Education’s episode-of-treatment (EOT) fund, local districts, DHS, or Medicaid. Staff explained that for students with disabilities, EOT funds cover special education and transportation costs tied to the placement, while students without disabilities are handled through DHS care-management and best-interest meetings. Members raised concerns about whether some students at Spalding are receiving no schooling, whether transportation costs are substantial, and whether Medicaid reimbursement could offset some expenses. The commission also discussed confusion over district responsibility when students placed in residential programs attend school in another district, using Winnisquam as an example. Several members said the receiving district was not notified that DHHS-approved programs could bring in additional students and costs, and they suggested DHHS or its care-management entity should notify both the district of residence and the receiving district when a program is approved. The group agreed this notification issue, along with transportation funding, privacy concerns in Medicaid-to-schools billing, and the distinction between special education placements, EOT placements, and other voluntary residential placements, should be passed to the HB 1099 study committee for further work.

Transcript Highlights:

• process or pep portfolio evaluation process or pep pathway<03:46:29.000> 27<03:46:29.640>
• recognized this portfolio evaluation recognized this portfolio evaluation Pathway<03:46:35.159><
• Only five states again allow the portfolio evaluation process as a pathway to licensure.
• states allow the portfolio evaluation states allow the portfolio evaluation process<03:51:38.840
• mentioned the portfolio evaluation mentioned the portfolio evaluation process<03:55:41.279> pep

Keywords: 910, house, all

Transcript Highlights:

• A lot of veterans don't realize they can do that after they make their evaluation.
• A lot of veterans don't realize they can do that after they make their evaluation.
• do that after they make their evaluation do that after they make their evaluation they'll<02:19:
• You only have it, and the VA re-evaluates you periodically, and you can lose that rating.
• you only have it and the VA re-evaluates you only have it and the VA re-evaluates you<02:26:27.640

Keywords: 1189, house, all

Transcript Highlights:

• We send our information, We send our information once it is evaluated or discussed to the CDC on what's
• If we look at two years' evaluation, 2022 and 2023, we see the Asian population with a significant decrease
• Deaths per 100,000 births: Montana, 40.7; Wyoming, 37.5; and South Dakota, over a decade of evaluation
• that occur out at a home, at a farm, rural area, or even in town, that are not being adequately evaluated
• We talk about evaluating females 16 through 45, and we're not talking about that many people, so the

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• And then there are many steps that they have to go through, including a mental health evaluation, concurrence
• analyzing 25 years of the Oregon Death with Dignity Act found that it was impossible to make a sound evaluation
• some individuals being deemed capable even though they should not have been after a more thorough evaluation
• MGH neurologists evaluated Doug in May, but we opted to wait until after our eldest daughter's June wedding
• I beg for a re-evaluation. Hospice and palliative care are not what they were designed to be.

Keywords: 995, all

Summary: The Joint Committee on Public Health opened its first hearing of the session and heard testimony on bills in three areas: emergency medical services/AED access, athletic training and student safety, and end-of-life options. Committee chairs outlined testimony rules and noted that written testimony would also be accepted. Some bills had no live witnesses, while others drew extensive testimony from advocates, professionals, and legislators. On AED-related bills, the American Heart Association supported requiring automated external defibrillators at sporting events and athletic fields, citing sudden cardiac arrest survival rates and urging cardiac emergency response plans as an added safeguard. A parks and recreation professional supported AED access but raised concerns about the cost, staffing, maintenance, and feasibility for municipalities with limited resources. Athletic trainers supported expanding their scope of practice and removing workplace restrictions, arguing it would improve injury prevention, reduce costs, and help retain professionals in Massachusetts. The committee also took extensive testimony on end-of-life options legislation. Supporters included legislators, physicians, hospice volunteers, clergy, patients’ family members, and advocacy groups, who described the bills as allowing terminally ill, mentally capable adults to choose a peaceful death with strict safeguards and self-administration requirements. They emphasized personal stories of suffering, public support, and the claim that other states have not seen abuse. Opponents, including faith-based, disability-rights, and family policy representatives, argued the bills amount to physician-assisted suicide, could pressure vulnerable people, and may be influenced by prognosis errors, coercion, or financial incentives. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• The final thing to consider for any future allocation is evaluating the relative size of the agency,
• This morning we released our analysis of the May Revision, now evaluating the condition of the General
• 2026-27 through 2028-29, for CDE to receive auditing support from the Office of State Audits and Evaluations
• CDSS is still evaluating all the other recommendations of the single rate structure policies and elements
• Currently, regional centers use the Client Development Evaluation Report, or what is referred to as a

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major topic was child care and early education, where the Department of Social Services and Department of Finance outlined proposed changes to absorb federal Child Care and Development Fund and Proposition 64 revenue reductions, shift some funding between child care programs, end funding for prospective pay implementation now that the federal requirement has been rescinded, adjust the alternative payment administration structure, and fund child care infrastructure grants and a Low-Income Investment Fund contract closeout. The Legislative Analyst’s Office said the budget makes progress on the structural deficit but recommended maintaining the administration’s solution level, making reserve deposits, and avoiding new ongoing commitments; it also raised concerns about shifting reductions to the California Alternative Payment Program and about the proposed administrative-rate change. Committee members strongly criticized the proposed loss of child care slots and said they would oppose eliminating those slots, while also expressing support for child care as essential infrastructure. The committee then reviewed California State Preschool Program proposals. Finance and CDE described reductions to the preschool COLA from 2.41% to 2.01%, removal of prospective pay funding, and increases for the QRIS block grant, audit support, and rate reform implementation. Trailer bill language would codify age-based rate categories, inclusion-rate documentation, family fee collection rules, portability, and excused absences. CDE supported the QRIS increase and some attendance and family-fee changes, but warned that aligning three- and four-year-old rates could reduce support for three-year-olds and that the budget does not fully cover enrollment growth. Members also questioned whether the preschool and child care slot reductions should be reallocated rather than terminated, and the administration said the reductions were intended to reflect current utilization and avoid harm to currently enrolled families. The hearing then moved to CalFresh and nutrition programs. CDSS said the May Revision includes a one-time CalFood augmentation, funding to cover federal SNAP administrative cost-share pressures, and additional staffing and technical assistance to implement HR 1 changes, including the able-bodied adults without dependents time limit and new non-citizen eligibility rules. The department estimated HR 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people, with roughly 806,000 adults potentially subject to the time limit and about 34,000 non-citizens expected to lose eligibility once fully implemented. Members pressed for stronger harm mitigation, including a $98 million backfill to protect families from losing food benefits, and raised concerns about county workload and the “chilling effect” on immigrant participation. The final portion of the transcript began the IHSS presentation, noting a revised budget of $33.7 billion total funds and $12.8 billion General Fund, with proposed reductions tied to Medi-Cal asset-limit changes and other federal conformity items.