Transcript Highlights:

• But I also want to be respectful of our speakers' time and try to stay on schedule as much as possible
• bit, I will respectfully and gently bring you back to the questions so that we can stick to our schedule
• Largest now being the one for prescription drugs, oxygen, and medical cannabis as of 2024.
• I mean, we use it quite a bit and we're scheduling throughout with AI, right? And taking.
• So, just to keep you apprised of that, we're going to stick to our schedule today.

Committee: House Revenue Stabilization & Tax Policy Committee

Transcript Highlights:

• Um, the, uh, the second item for work, uh, we've got an hour and we're on schedule.
• We do have federal funding, of course, for other initiatives, drug trafficking and, um, it's juvenile
• So I just wanted to flag that as we put together the travel schedule and the overall agenda.
• We need to be talking about drugs. I think drugs across the board.
• Chair, I just wanted to say, uh, regards to the schedule and maybe trying to find the, the.

Committee: House Courts, Corrections & Justice Committee

Transcript Highlights:

• She traveled to New Mexico. for an appointment she had already scheduled but did not go through with
• and underserved communities, have a safe, simple way to dispose of expired or unused prescription drugs
• pharmacies by covering the cost of one collection receptacle per site, the destruction of collected drugs
• reactions. is related to experimental and investigational or emergency use authorized vaccines or drugs
• The FDA approval process is cumbersome, in part because it classifies sunscreens typically as drugs instead

Bills: SB670 , SB1388 , SB627 , SB912 , SB269 , SB528 , HB2711 , HB4819 , HB5248 , HB4175

Committee: House Public Health

Keywords: SB 670, investigational sun protection products, sun protection, sunscreen, FDA approval, clinical trial, phase one trial, patient access, informed consent, physician prescription, Texas Health and Safety Code, Texas Medical Board, compassionate use, experimental treatment, medical freedom, patient autonomy, healthcare regulation, dietitian, dietitians, licensed dietitian

Transcript Highlights:

• adding the Department of Juvenile Justice to the eligible and importers of the Canadian prescription drug
• Thank you to date and you know how many drugs we've imported from Canada. It's just I was 6 years.
• It's a felony to buy drugs. It is only a misdemeanor to buy a human being for sacs.
• Substance is included in this designation or schedule one substances such as cocaine, be a methadone,
• But if that same 16 year-old distributed deadly drugs like fentanyl normally put lives at risk poisoning

Keywords: 999, senate, all

Transcript Highlights:

• There are currently elections scheduled for this fall.
• Nicotine is a drug. But they often contain nicotine.
• Nicotine is a drug that can harm your brain and make you addicted.
• Nicotine is a drug that can harm your brain and make you addicted.
• Nicotine is a drug. But they often contain nicotine.

Committee: House Judiciary

Summary: The committee met with a quorum and took up House Bill 911 by Rep. McMakin, which proposes a major restructuring of Orleans Parish courts into a single judicial district with one clerk of court and a consolidated system, while keeping current judges in place through the end of the year and allowing them to run in scheduled elections. The committee first adopted a three-minute debate rule, then later rejected a motion to suspend it. The bill was then amended with a large set of mostly technical changes, and the amendments were adopted without objection. Supporters argued the bill would modernize Orleans’ court structure, reduce duplication, and align Orleans with other judicial districts. They cited Supreme Court data, prior studies, declining population and caseloads, and the state’s direct funding of Orleans criminal court as reasons to consolidate and reduce judgeships. Opponents, including local legislators and attorneys, said Orleans is not comparable to other parishes because of complex litigation, multiple-defendant criminal cases, jury-trial volume, tourism-related cases, and the need for specialized dockets. They also criticized the process as rushed and said local judges, legislators, and practitioners were not adequately involved. Testimony from ACLU and defense-side witnesses emphasized that case counts are not uniform across parishes and that Orleans has a high number of jury trials and a large workload per judge. They warned that eliminating judgeships could increase delays and create transition costs, while supporters countered that other districts manage similar or heavier work with fewer judges. White-card witnesses from Orleans Civil District Court, including Judge Kernan Reese, Judge Sidney Cates, and Clerk Chelsea Richard Napoleon, testified that Orleans handles complex and time-sensitive matters, that the clerk’s office relies on self-generated funds, and that the bill’s funding and office references contain inaccuracies. No final vote on the bill was taken in the portion of the transcript provided.

Transcript Highlights:

• In places where they would receive drugs, they would be kept there with no treatment, and they would
• Officers contacted the occupants, located drugs and drug paraphernalia, and also found a firearm, with
• Officers contacted the occupants, located drugs, and drug paraphernalia, and also found a firearm, with
• claim to the Arizona Health Care Cost Containment System that is subject to the cap fee-for-service schedule
• Thank you for hearing the bill, as well as making accommodations for some travel schedules. Mr.

Summary: The committee first took up SB 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate patient brokering in behavioral health and substance abuse treatment. Sponsor Sen. Werner described patient brokering as a continuing abuse tied to the state’s Medicaid fraud crisis, especially affecting Native Americans, and said the county attorney had the capacity to handle statewide oversight. The bill was moved and received a do pass recommendation on a 9-0-1 vote. The committee then considered SB 1111, as amended by a strike-everything amendment, to create statewide rules for automated license plate readers. Supporters from law enforcement said ALPRs are important for investigations, missing persons, stolen vehicles, and violent crimes, and argued the bill adds needed guardrails and training requirements. Opponents, including the ACLU, Institute for Justice, and private citizens, warned the systems enable mass surveillance, can be inaccurate, and raise Fourth Amendment and privacy concerns; they also objected to broad terms like “legitimate” law enforcement purposes and the lack of a clear retention limit. The committee adopted the amendment and then gave SB 1111, as amended, a do pass recommendation by a 7-2-1 vote. Next, SB 1116, as amended, was heard to require behavioral health claim denials and appeals at AHCCCS to be reviewed by someone with relevant clinical experience. Sen. Werner said the bill responds to improper denials and appeals handled by staff without behavioral health expertise; AHCCCS was neutral but said the bill could create compliance and staffing issues because “relevant clinical experience” is not well defined. The committee adopted the amendment and passed the bill 10-0. SB 1122, also as amended, would bar AHCCCS from requiring prior authorization or 100% prepayment review for certain behavioral health services under the American Indian Health Plan unless a provider is on a corrective action plan; Werner said it was aimed at ensuring providers are paid and reducing patient brokering. The committee adopted the amendment and passed SB 1122 10-0. Finally, the committee heard SB 1072, which would appropriate ongoing state and Medicaid funds to DES for rate increases for home- and community-based services and room-and-board services for individuals with intellectual and developmental disabilities, with reporting on workforce outcomes. Supporters from APAD and providers said the direct care workforce is in crisis, with large numbers of vacancies, overtime costs, and unassigned authorizations, and argued the funding is needed to retain staff and maintain care. Members discussed wage disparities, whether funds would reach caregivers, and the limits of legislative control over private provider pay, but no vote on SB 1072 was reached before the transcript ended.

Transcript Highlights:

• status, and ongoing General Fund savings associated with the elimination of specialty weight-loss drugs
• Effective January 1, 2026, the bill requires Medi-Cal members to obtain a drug removed from the contracted
• drug list through the prior authorization process.
• This deferral is scheduled for repayment in July 2026 and helps avoid cuts to community college base
• I think you're referring to the school vendor for the school fee schedule, and that is something that

Summary: The Assembly Budget Committee held an informational hearing on the final three-party budget agreement and related trailer bills, with the Department of Finance outlining the major budget bill and omnibus measures. Finance described a package built around balancing the state budget amid economic uncertainty, preserving core health and safety-net programs, and making significant ongoing reductions in some state programs. The budget bill included major items such as shifting $1 billion from the General Fund to the Greenhouse Gas Reduction Fund for Cal Fire, funding universal transitional kindergarten, deferring some UC and CSU funding, supporting foster care and homelessness programs, providing Proposition 36 implementation funding, and achieving Medi-Cal savings through changes to benefits and eligibility. The committee also heard that votes on the budget bills were expected later in the week and the following Monday. Finance then walked through the trailer bills, including health, human services, early learning, education, resources, energy, transportation, labor, housing, tax, public safety, courts, general government, cannabis, and energy-related measures. Notable provisions included a Medi-Cal enrollment freeze for certain adults, new premiums and benefit changes for some immigrants, child care COLA changes, education funding for literacy, teacher support, universal meals, and community college student support, as well as resource and climate measures affecting Cal Fire staffing and energy permitting. The housing trailer bill drew the most discussion, with provisions on CEQA streamlining, a vehicle miles traveled mitigation banking program, a renters’ credit trigger, and a six-year moratorium on new residential building standards. Members also discussed a film tax credit expansion, cannabis enforcement funding, a tribal police pilot program, and changes to tax policy, including military retirement income exclusions and wildfire settlement payment exclusions. Committee members largely praised the staff and the budget process, but several raised concerns and asked detailed questions, especially about the housing trailer bill’s new wage standards, tribal consultation provisions, and possible effects on prevailing wage protections. Finance explained that the housing language was intended to set wage floors for market-rate projects receiving CEQA streamlining, with different county-based tiers and a notwithstanding clause preserving existing prevailing wage laws. Members also questioned the size and timing of funding for the Children and Youth Behavioral Health Initiative, Clean Cars for All, Proposition 36, and the film tax credit expansion. Other members highlighted support for public safety, veterans’ tax relief, child care providers, housing production, and higher education, while some expressed concern that the budget’s policy changes were being negotiated too quickly or without enough stakeholder input.

Transcript Highlights:

• If there's drug dealers around, they would go to the active drug users.
• These patients are getting off the drugs. They're tested usually every single day.
• If there's drug dealers around, they would go to the active drug users. case.
• If there's drug dealers around, they would go to the active drug users.
• Drug testing through urine samples was a relatively new technology then.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• But if you can imagine trying to get five people scheduled in a meeting and get them together at the
• We heard a presentation yesterday at our Medicaid oversight advisory board on the drug GLP-1, which is
• of that discussion, we had one of the manufacturers speak to us about how the retail price of this drug
• </c><01:39:21.119><c> was</c><01:39:21.280><c> around</c> retail price of this drug was around retail
• price of this drug was around $900<01:39:22.239><c> per</c><01:39:22.480><c> dose,</c><01:39:23.520>

Keywords: 958, all

Transcript Highlights:

• This is a 700-pound elk that was drugged onto this porch by a wolf that killed that elk on the front
• And we just scheduled that yesterday. So I have... ...going to be on May 4th.
• And we just scheduled that yesterday.
• I mean, that was a 700-pound elk that a wolf drug onto their doorstep.
• prices from drugs that are discovered as a result of this research for Californians.

Summary: The committee heard SB 1135, which would reestablish the California Wildlife Coexistence Program to reduce human-wildlife conflict through nonlethal strategies such as deterrents, conflict reporting, and outreach. The author and supporters said the program had been effective but lost funding in 2024, and they argued it would help communities, ranchers, and wildlife by preventing conflicts before they escalate. Support came from conservation, animal welfare, local government, and county groups, while the California Cattlemen’s Association and California Farm Bureau opposed unless amended, saying the bill needed clearer limits on when nonlethal measures are practicable and protections so compensation funds for livestock losses are not reduced. Members discussed wolf-livestock conflicts, compensation, and the need for continued collaboration. The committee voted 2-0 on call to send the bill to Appropriations. The committee then heard SB 1085, which would preserve water supply assessments for large housing and development projects even when those projects are exempt from CEQA. The author and sponsor EBMUD said the bill is needed to keep water planning tied to land-use planning and avoid “paper water” problems, especially as climate and drought conditions worsen. Supporters included water agencies, environmental groups, labor, and local governments. The California Building Industry Association opposed the bill, arguing that current law already requires verified water supplies, that the bill could add unnecessary process and litigation risk, and that it could slow housing production. Members raised concerns about duplication in cities that also operate their own water systems, but the author said the goal was better coordination, not more bureaucracy. The committee voted 4-1 on call to send the bill to Local Government. The committee also heard SB 1270, which would expand the state wildfire mitigation home-hardening pilot to the top 10 counties by wildfire risk and social vulnerability, adding Riverside, Calaveras, Los Angeles, and Tehama counties and prioritizing future funds for those areas. The author said the bill responds to recent destructive fires and aims to extend home-hardening assistance to more high-risk communities. There was no opposition, and members discussed how to scale funding, whether the program should be broader than the listed counties, and how to focus on cost-effective mitigation. The committee voted 5-0 on call to send the bill to Emergency Management. Finally, the committee heard SB 895, a major science funding measure that would place a $23 billion bond on the ballot and create a California Foundation for Science and Health Research to support research in the state. The author and supporters said California’s research sector is a major economic engine and that federal funding cuts and instability threaten jobs, talent retention, and scientific progress. There was broad support from UC, CSU, labor, health, and research organizations, with no formal opposition. Some members raised concerns about the role of sponsoring unions and the potential for politicization, but the author said the new foundation would operate under California law and that the measure is meant to protect science funding and collaboration. The committee discussion continued, but the transcript excerpt ends before a final vote on SB 895.

Transcript Highlights:

• I serve as the chief of the drug prosecution unit there.
• </c> schedule of meetings? schedule of meetings? Yes.<02:13:31.920><c> Yes.
• We have a pretty busy schedule this afternoon.
• We have a pretty busy schedule I can.
• We have a pretty busy schedule this<04:08:55.199><c> afternoon.

Committee: Senate Executive Departments and Administration

Keywords: 1191, senate, all

Transcript Highlights:

• There are also an additional six drug- and alcohol-related incidents at Green Hill.
• There was a comment there about drug and alcohol issues within the facility.
• We are in a very nice position of being a little bit ahead of schedule, which is very rare here.
• It is scheduled to expire July 2031.
• This preference is scheduled to expire January 1, 2009.

Summary: The committee met on July 15, 2026, but initially lacked a quorum, so it could not adopt prior minutes. Chair Jerry Pollett welcomed new member Senator Victoria Hunt and new JLARC staff, and noted national recognition for recent JLARC reports. The meeting then moved into a series of preliminary audit presentations and an agency strategic management update, with committee members asking questions after each item. JLARC presented a preliminary audit of DCYF’s Juvenile Rehabilitation programs. Staff concluded that crowding, staffing shortages, weak risk assessments, and inconsistent programming combine to create unsafe conditions. The report found that most youth are housed in two large secure facilities operating near or above capacity, incidents rise as population rises, 47% of frontline staff leave within a year, current assessment tools are not valid for the population, and program access depends more on facility than individual need. JLARC made one recommendation to the legislature to address crowding and seven to DCYF, including improving retention, training, incident response procedures, validated assessments, program alignment, and data quality. DCYF Secretary Ross Hunter said the agency agreed overcrowding is a serious problem, described ongoing efforts to improve staffing and safety, and said a detailed response would be provided later. Committee members raised concerns about education access, retaliation against staff or youth who participated in the audit, and whether JR-25 has helped or worsened conditions. JLARC then presented a preliminary audit of Labor and Industries’ enforcement of farm worker labor laws. The audit found that L&I generally meets inspection timelines for health and safety complaints, but not for wage and hour or retaliation complaints, where delays are driven largely by time before assignment to an investigator. Staff said complaint volume exceeds capacity, though the agency has added staff, created screening processes, and reorganized workloads, and 2026 legislation now allows prioritization of complaints and broader investigations. JLARC recommended that L&I report back in December 2026 and December 2027 on backlog reduction and implementation of the new law. An L&I representative said the agency is hiring additional staff and will provide a formal response later. The committee also received a JLARC overview and Department of Health strategic management plan update on hospital data reporting, inspections, complaints, and adverse event reporting. DOH reported measurable progress on inspection compliance, new staffing and licensing systems, translated complaint forms, and plans for future work on language access, adverse event reporting, and financial data dashboards. After lunch, JLARC began its 2026 tax preference performance reviews. The first review covered the Main Street tax credit, which JLARC said has helped increase the number of Main Street communities and businesses, with positive growth near designated districts; JLARC recommended continuing the preference and improving business-count data. The second review covered the equitable access to credit program, which JLARC said appears to support underserved communities by funding loans through CDFIs; JLARC recommended continuing the preference beyond its 2027 expiration. The committee began questions on the program mechanics and the role of the Community Reinvestment Act, and the presentation was still underway when the transcript ended.

Transcript Highlights:

• So you can see in the um timeline on the right, we are on like a every other year schedule.
• It is a little confusing, but that is we're on an every other year sort of schedule.
• , work, sleep schedules, um, as well as it also supports our direct support professionals when they're
• These are not, they are scheduled visits.
• Does he have to be on, I, I, I know he's homeless, I know he's old, uh, but does he have to be on a drug

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Senate Bill 433 deals with a very important topic: weight loss drugs and the ability for LDH to expand
• I think as the legislature moves through this process, we spend $20 million a month on these type drugs
• for those with... ...for these drugs in the Medicaid program, specifically for those with both obesity
• appropriation and then do our forecasting model in reverse so that we open up eligibility for these drugs
• We use these drugs called bisphosphonates that we use to prevent bony collapse.

Committee: House Appropriations

Summary: The House Appropriations Committee met on May 26, 2026, and first took up Senate Bill 433, which would provide Medicaid coverage for certain weight-loss medications. After adopting a House amendment adding customary subject-to-appropriation language, the committee heard from LDH Secretary Bruce Greenstein, who said the state currently spends about $240 million a year on GLP-1 drugs for Medicaid patients with obesity and certain other conditions, and that the bill would let the department expand coverage gradually while controlling costs and negotiating better pricing. Members spoke in strong support, and SB 433 was reported favorable as amended. The committee then considered Senate Bill 157, which creates paid parental leave for eligible public K-12 educators and staff. An amendment was adopted to adjust fund language and make the bill proper for Appropriations. Senator Jenkins and supporters, including the Louisiana Federation of Teachers, described the bill as providing six weeks of paid leave for birth, adoption, fostering, and related family-building events, while members discussed whether medical leave should also be included and confirmed the leave applies to fathers as well. The bill drew broad support and was reported favorable as amended. Senate Bill 250, requiring the Office of Group Benefits to offer a comprehensive weight management plan with employees paying the full premium and medication costs, was briefly discussed and reported favorable without objection. The committee then spent considerable time on Senate Bill 237, a child welfare measure from Senator Barrow that would expand notification, access, and investigative procedures for the Child Ombudsman and DCFS, including child-on-child sexual abuse cases and multidisciplinary fatality reviews. Members and agency officials debated the fiscal note, with estimates ranging from about $525,000 to $3.2 million and disagreement over whether some costs were already covered or could be absorbed; after a roll call, the bill passed 10-9 and was reported favorable as amended. Finally, the committee began Senate Bill 155, which requires insurance coverage for medically necessary dental care tied to cancer treatment. Senator Talbot and medical and cancer advocacy witnesses said the bill would remove a barrier to timely chemotherapy or radiation and could prevent more expensive complications later. Members expressed support and discussed a relatively small fiscal note, but the transcript cuts off before final action on the bill.

Transcript Highlights:

• So we're basically going to go into public hearing to help accommodate some conflicting schedules.
• purpose of this is that when local governments sue on behalf of their citizens, either manufacturers or drug
• dealers, drug manufacturers.
• dealers, drug manufacturers.
• We've had And, uh, drug dealers, drug manufacturers.

Committee: House Commerce

Keywords: 959, house, all

Transcript Highlights:

• So we're basically going to go into public hearing to help accommodate some conflicting schedules.
• purpose of this is that when local governments sue on behalf of their citizens, either manufacturers or drug
• dealers, drug manufacturers.
• dealers, drug manufacturers.
• We've had And, uh, drug dealers, drug manufacturers.

Committee: House Commerce, Consumer Protection, Energy and the Environment

Summary: The committee first heard Senate Committee Substitute for Senate Bill 1142, which would clarify the Secretary of State’s authority to issue certificates of good standing to series LLCs and make each series searchable on the Secretary of State’s website. The sponsor said the bill was needed to preserve a long-standing practice and keep Missouri business-friendly, and witnesses from the Missouri Chamber and a law firm supported it as a simple clarification. No opposition was presented, and the hearing concluded without a vote in the transcript. The committee then took up House Bill 3347, sponsored by Rep. Murphy, which had two parts: one establishing requirements for political subdivisions entering contingency-fee legal contracts, and another addressing a Kansas City ordinance restricting sales of small liquor bottles in certain areas. Supporters of the legal-contract portion argued that local governments should coordinate with the Attorney General on contingency-fee cases involving statewide issues, citing opioid, PFAS, environmental, and other multi-jurisdictional litigation as examples where attorney fees and fragmented local action created delays and inefficiencies. Opponents, including the Missouri Municipal League, Missouri Association of Counties, and private attorneys, argued the bill would add bureaucracy, delay cases, undermine local control, and potentially freeze out smaller communities; they also raised concerns about vague language, a 45-day review period, and retroactive effects on existing contracts. On the alcohol portion, industry witnesses supported the amendment, saying the Kansas City proposal was discriminatory, unsupported by data, and would hurt retailers and tax revenue. After the hearing, the committee moved into executive session and unanimously voted House Committee Substitute for Senate Bills 907, 1154, and 1272 do pass and do pass with consent, after adopting a technical substitute. The transcript then returned to HB 3347, where testimony continued on both the legal-contract and alcohol provisions, but no final committee vote on HB 3347 appears in the transcript.

Transcript Highlights:

• that pharmacists are dealing with on a pharmacy level only, like any kind of psychotic, antipsychotic drugs
• Well, I'm not in the leadership position to know what the schedule is for the special session yet.
• And the committee hearings will likely be scheduled for 10:00 a.m. on Wednesday. 10:30? 10:30.

Keywords: 908, all

Summary: The Health Care Task Force reconvened to hear reports from its divisions. The Appropriations Division reviewed a draft bill appropriating $198 million in federal grant funds for the current year and another $198 million for the next grant year, authorizing DHS to transfer funds within its budget, allowing OMB to adjust federal fund authority for related grants, speeding procurement and bulk purchasing, requiring grant recipients to acknowledge the temporary nature of the funding, and mandating periodic reporting. After questions were answered to the division’s satisfaction, the committee voted to forward the appropriations bill draft to Legislative Management. The Policy Division then reviewed four bills. One would require the presidential physical fitness test to be included in high school physical education; another would require physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle; a third would add physician assistants to the interstate licensure compact framework; and a fourth would authorize limited pharmacist prescriptive authority and therapeutic substitution. Members generally supported the first three measures and noted that the pharmacist bill had been amended in discussion but was left in its current form so stakeholders could comment before the special session. The division also discussed that all four policy bills were tied to the federal grant funding and that failure to pass them, or changing them in a way that reduced CMS scoring, could reduce or eliminate funding. Department officials confirmed that if any of the bills failed or were altered in a way that lowered the score, the state could lose money and could not make up the points elsewhere. Members raised concerns about the physical fitness bill, including possible exemptions for students with severe illnesses or physical limitations, and noted the need for DPI input. Leadership indicated the special session hearings would likely begin Wednesday morning. The committee then approved a motion for Legislative Council to prepare a committee report for Legislative Management and adjourned, noting the task force may need to remain available during the special session.

Transcript Highlights:

• facility, the physicians, the providers, lab services, anesthesia, preoperative services, prescription drugs
• Participating providers must obtain approval from the program administrator for scheduling procedures
• Providers are required to disclose the consolidated rate for the procedures to our employees before scheduling

Bills: HCR141 , SB438 , SB1495 , SB1964 , HB 1225

Committee: House Delivery of Government Efficiency

Keywords: HCR 141, House Concurrent Resolution, NASA, Houston, Space City, Johnson Space Center, Mission Control, Apollo 11, moon landing, aerospace, commercial space, space exploration, Texas Space Commission, space policy, federal resolution, memorial resolution, Congress, Washington D.C., headquarters relocation, space industry

Transcript Highlights:

• </c> requirements so the depart the drug requirements so the depart the drug enforcement<00:11:14.000
• </c> by federal HHS and the the drug by federal HHS and the the drug enforcement<00:21:53.120><c> agency
• </c><00:39:01.079><c> therapy</c> missing drug therapy missing drug therapy um<00:39:04.480><c> one</
• </c> switch off brand name drugs switch off brand name drugs onto<00:55:31.119><c> generic</c><00:55:
• </c> wholesalers in the country Cardinal drug wholesalers in the country Cardinal drug my<00:57:29.039

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• So all Prop. 35-supported investments will end as scheduled at the end of this year, except targeted
• So all Prop 35 supported investments will end as scheduled at the end of this year, except targeted rate
• The revenue limit under federal law is also scheduled to go down over time.
• Generic drugs somewhere in the neighborhood of $20 a script, but we'll follow up.
• Generic drugs somewhere in the neighborhood of $20 a script, but we'll follow up.

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.