Transcript Highlights:

• Uh, in addition, about a year and a half ago, we executed a memorandum of understanding and a contract
• Uh, and then, you know, I just contract.
• And so that I guess we would, between the—I don’t know if we’re going to have a whole lot of contract
• And so that I guess we would, between the—I don’t know if we’re going to have a whole lot of contract
• contract between July 1st and October. contract between July 1st and October.

Bills: SF0007, SF0008, SF0009, SF0010

Keywords: theft, penalties, larceny, criminal offense, felony, Wyoming, absconding, law enforcement, criminal justice, fentanyl, controlled substances, minors, drug distribution, enhanced penalties, mental health, detention, competency evaluation, treatment, contractual agreements, 916

Transcript Highlights:

• The short answer is it depends on the managed care plan contract and agreed-upon rates.
• of their negotiating or contracting process, they may negotiate rates with CBAS providers.
• simply never establishing a contract at all.
• Only 16% of IHSS providers get health benefits through their contracts with the counties.
• Only 16% of IHSS providers get health benefits through their contracts with the counties.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• When your company received this contract, was there any kind of bidding process for you to get that contract
• So all of the vendors that work with FDEM have been awarded competitively bid contracts under a master
• Bid contracts under a master services agreement for various services, including what I do, which is health
• And do you know if those contracts have been published the way they're supposed to be?
• As she mentioned, her company was contracted by the state to provide health care services during COVID

Summary: The Committee on Ethics and Elections met to consider several executive appointments, beginning with Matthew Walsh, Secretary of the Department of Juvenile Justice, for confirmation. Walsh outlined his long law-enforcement career, social work background, and priorities at DJJ, including staff wellness, reclassifying juvenile detention and probation officers as officers under statute, adding beds to move youth from detention into residential programs, and increasing per diem funding. Members asked about detention “dead time” and the need to get adjudicated youth into programming sooner. Public testimony included support from Barney Bishop and Christian Minor, and the committee voted unanimously to approve Walsh’s nomination and forward it to the full Senate. The committee then heard from Tina Vidal-Duarte, nominee for the Florida Atlantic University Board of Trustees. She described her business background as CEO of CDR Health, her education, and extensive nonprofit and board service, including leadership roles with the Florida Grand Opera, the Homeless Trust of Miami-Dade County, FAU, and the Hope Florida Foundation. Senators questioned her about free speech issues involving FAU faculty, her relationship with the new FAU president, student diversity, AI and workforce planning, and her prior role on Hope Florida. She also answered questions about her company’s work at the Everglades detention center and the bidding process for state contracts. Public testimony opposed her nomination, citing concerns about her business ties, Hope Florida, and detention-center contracts. Debate split largely along partisan lines, and the committee approved her nomination on a recorded vote. Afterward, the committee took up the remaining nominations in Tabs 2 through 15, excluding Tab 10, and approved them as a group by voice/recorded vote for forwarding to the full Senate. The meeting then concluded with no further business.

Transcript Highlights:

• So this would allow us to expand the Cass County Fargo area drug court by contracting with the treatment
• to keep... ...that they provide to us and to pay our vendors, our vendor contracts to keep our systems
• We are anticipating right now, based on the match, it was about $3.4 million, and we have contracted
• I contracted most of that.
• And so the majority of that funding is contracts with providers to stand up.

Keywords: 908, all

Summary: The HR division continued work on the behavioral health budget, with members revisiting several funding items and generally agreeing to hold provider inflation increases until the full division picture is clearer. They tentatively supported additional funding for Community Connect and Free Through Recovery, as well as increases for the drug court program and peer support, while clarifying that some items were already in the House version and others were one-time or grant-related expenditures. The committee spent considerable time on a proposed $2 million behavioral health services program for nursing homes and basic care facilities. Senator Mathern brought revised language to describe a capitated payment model for training, consultation, and direct patient care for residents with medically based behavioral disorders and disruptive behaviors. Some members remained skeptical and wanted to see the amendment before deciding, but the discussion centered on whether the funding would help nursing homes accept patients who otherwise end up in state hospitals or acute care settings. Members also discussed several one-time funding items, including electronic health record and legacy system upgrades, network redundancy for the state hospital, partial hospitalization/intensive day treatment expansion, and a bathroom remodel at the Southeast Human Service Center. The committee restored the bathroom project to the original $972,000 estimate after concerns that the House reduction would not cover the needed ADA and plumbing work. They also debated a $12.96 million behavioral health facility grant for Altru in Grand Forks, with some members opposing it and others supporting it as a regional service expansion, but ultimately set it aside for later consideration. The meeting ended with staff flagging other sections of the bill, including the opioid settlement advisory language, the state hospital steering committee, behavioral health education grants, and the system of care grant. The chair announced that medical services would be taken up the next day, and members agreed to adjourn after planning to revisit unresolved behavioral health items and vote on the held bill later.

Transcript Highlights:

• NOW, WE PROACTIVELY LOOK AT PEOPLE'S PROCUREMENT AND THEIR CONTRACT BEFORE THEY EVER PUT IT OUT ON THE
• DISASTER HAPPENS AND HEY NOW THAT THIS HAS HAPPENED THAT LET ME LOOK AT YOUR PROCUREMENT AND YOUR CONTRACT
• THIS IS WHAT YOU DO, GIVE US THE FORM AND THE DOCUMENT IN THE POLICY PROCEDURE AND PROCUREMENT CONTRACT
• SO IF ONE VENDOR HAS A CONTRACT AT $12 A CUBIC YARD AND ANOTHER VENDOR HAS A CONTRACT THAT A DOG CUBIC
• BUT WHAT WE WERE ABLE TO DO ARTIFICIALLY IS EVERYONE CAME UP TO THE STATE DOT CONTRACT RATE AND IT LEVELED

Keywords: 999, senate, all

Transcript Highlights:

• There are some big contracts out there, and there are some nonprofits that are making a lot of money
• We don't contract any of our work out.
• I can pretty much assure you that DCFS contracts don't create an impediment to auditing.
• On behalf of the DCFS, the standards of confidentiality are spelled out in those contracts.
• And these are contracts with DCFS, you said? Yes. So they're government contracts? That's correct.

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the May 13 minutes. The committee quickly reported several bills favorably, including SB 1224, which requires DCFS review when a pregnancy involves a child under 17 and makes children under 12 a child in need of care; SB 1100, which repeals an old statute on unenriched bread; HB 1220, a continuation of prior work to codify certain provisions related to the Louisiana State Board of Medical Examiners; HB 1231, clarifying that continuous glucose monitoring is covered through Medicaid for any insulin-dependent diabetic, including gestational diabetes; and HB 198, setting reimbursement rates for ambulatory surgery centers for certain Medicaid procedures. The committee also adopted a personal privilege welcome for physicians on White Coat Day and repeatedly noted that several bills were being advanced with the understanding that further work might continue before floor debate. A major portion of the meeting focused on HB 1160, which would create a streamlined restricted license pathway for qualified international medical school graduates, especially for rural and shortage areas. Committee members pressed the Board of Medical Examiners about delays in promulgating rules under an earlier 2024 law and objected to rule language they said went beyond the statute. Board representatives acknowledged a misunderstanding about the original bill’s intent and said the program had been operating, but members warned against agencies writing rules that contradict enacted law. Despite the criticism, HB 1160 was reported favorably. The committee also reported favorably HCR 67, which creates a task force to study gaps in acute care for special-needs adults and children, following emotional testimony from the sponsor about her son’s death and the lack of appropriate care options. The committee then approved HCR 27, calling for a coordinated statewide evaluation of autism services by the Department of Health and Department of Education, with testimony emphasizing rising diagnosis rates, rural provider shortages, and the need for better data and coordination between medical and school-based services. HCR 28, which would study school nurse orientation and training, was also reported favorably after school nurses described the lack of standardized onboarding for new graduates and the risks of placing them alone in schools without adequate supervision. HB 469, which would have allowed pharmacy license renewal fees to be directed to Xavier University’s pharmacy school as well as public schools, was deferred after concerns about diverting funds from public institutions and the absence of testimony from affected schools. The committee also took up HB 223, which recreates DCFS, and adopted an amendment shortening the sunset date and requiring law enforcement reports to be accepted through a secure web-based platform; the bill was then reported favorably as amended. Another major discussion centered on HB 457 and HB 616, both tied to homelessness. HB 457, establishing minimum standards for shelters and related facilities, was reported favorably as amended after sponsor testimony and support cards. HB 616, which would allow the legislative auditor and local officials access to records and databases for audits of homelessness initiatives, drew extensive debate over privacy, federal funding, and accountability. Supporters cited a 2025 audit showing more than $216 million in federal homelessness spending in New Orleans and argued that auditors need access to performance data to detect waste and abuse; opponents warned about client privacy and the impact of funding cutoffs. The committee adopted an amendment changing permissive language to mandatory language for enforcement and then continued hearing testimony, with the discussion still centered on balancing oversight with confidentiality.

Transcript Highlights:

• … …or allegations against companies that they have breached a contract.
• To the extent our concern is about claims against a corporation that they have breached the contract
• “Starbase is home to Starship, the world’s most powerful rocket, contracted by NASA for Artemis lunar
• Senate Bill 2584 by Schwertner, relating to the regulation of service contracts and service contract
• Senate Bill 2584 by Schwertner, relating to the regulation of service contracts and service contract

Bills: SJR12, SCR39, SB27, SB29, SB241, SB406, SB414, SB464, SB568, SB578, SB609, SB660, SB689, SB693, SB785, SB857, SB879, SB921, SB922, SB955, SB985, SB993, SB996, SB1008, SB1035, SB1036, SB1059, SB1098, SB1120, SB1122, SB1147, SB1188, SB1197, SB1209, SB1227, SB1245, SB1267, SB1307, SB1321, SB1332, SB1386, SB1396, SB1453, SB1484, SB1494, SB1536, SB1537, SB1596, SB1610, SB1664, SB1741, SB1814, SB1822, SB1841, SB1948, SB2065, SB2155, SB2188, SB2230, SB2406, SB2407

Keywords: parental rights, education, constitutional amendment, school choice, child education, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border, National Guard, state guard, border wall, border barriers

Summary: The Senate convened with a quorum present, heard an invocation, and approved the previous day’s journal. The chamber then adopted Senate Resolution 358 honoring the University of Texas Rio Grande Valley on its 10th anniversary, with senators highlighting the university’s growth, medical school, research expansion, and role in serving South Texas. The Senate also adopted Senate Resolution 368 honoring outgoing Texas A&M University System Chancellor John Sharp, with numerous senators praising his long public career, leadership in higher education, and statewide impact. Senate Resolution 361 recognizing Texas HBCU Day and Senate Resolution 362 recognizing Denton County Days at the Capitol were also adopted, along with other routine recognitions and gubernatorial appointments being read into the record. The Senate then took up several bills. Committee Substitute Senate Bill 27, relating to rights and support for public school educators, was debated and amended to shorten vacancy posting requirements, allow bilingual certification candidates to retake only failed test sections, give teachers more flexibility with paid leave, clarify classroom removal procedures, and ensure parents are informed of appeal rights. The bill passed to engrossment, the three-day rule was suspended, and it was finally passed unanimously. Senate Joint Resolution 12, proposing a constitutional amendment to establish a parent’s right to direct a child’s education, was also brought up and passed to engrossment after a contested suspension vote. The Senate next passed Committee Substitute Senate Bill 1741, which would require reporting of foreign funding at public universities, bar gifts from adversarial governments, and require training and reporting systems to prevent foreign influence and intellectual property theft in higher education. Committee Substitute Senate Bill 29, the so-called “Dexit” bill, was debated at length for its corporate governance changes, including codifying the business judgment rule and altering internal corporate litigation and records rules; it passed to engrossment, the three-day rule was suspended, and it was finally passed by a 30-1 vote. Senate Bill 857, allowing law enforcement discretion to tow vehicles driven by unlicensed or uninsured drivers, passed after discussion of towing abuses during flooding and disaster conditions. Committee Substitute Senate Bill 1536, requiring dementia and Alzheimer’s training for certain guardians, passed with broad support, and Senate Bill 922, addressing delayed electronic disclosure of sensitive medical test results so physicians can discuss them first, was taken up and passed to engrossment as the chamber continued through its calendar.

Transcript Highlights:

• silent in that contract. silent in that contract.
• Again, that's a private contract.
• It is a contract and you just that.
• Again, that's a a 90 99-year contract. Again, that's a private<03:35:25.200> contract.
• private contract. It was negotiated. private contract. It was negotiated.

Keywords: 1189, house, all

Transcript Highlights:

• <00:47:07.599> Is services were not contracted out? Is services were not contracted out?
• difference between contract out or not. difference between contract out or not.
• Again, they may contract it out.
• Again, they may contract it out.
• Again, they may contract it out.

Keywords: 1183, house

Transcript Highlights:

• They're contracting with the MCOs and then taking their cut. That appears to be what's happening.
• We represent all of the Medicaid managed care organizations that contract with the state of Texas to
• Y'all contract with the middleman who then pays, yes or no, or how does that all work?
• The smaller a plan, the more you see them outsource or contract out.
• Not owning your PBM or contracting that out.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Transcript Highlights:

• Does your bill preclude a women-owned contractor or company from getting a contract based on the fact
• It pertains to some of your minority building contracts and things that you all have.
• I'm not, I... a contract for me? Yeah.
• I'm not, I, a contract for me? Yeah.
• And every time I competed to try to get those contracts, I didn't get them.

Summary: The committee first heard SB 1134, which would extend the use of qualified private providers in the building permit process to residential solar energy systems and certain single-trade inspections, and would allow computer-based plan review tools. The sponsor said the bill is intended to reduce long solar permitting delays and lower costs. A late amendment clarifying the word “application” was adopted, and after some discussion about local permitting problems and the need to work with municipalities, CS/SB 1134 was reported favorably, with Senator Pizzo voting no. The committee then took up SB 784, dealing with issuance of addresses and parcel identification numbers for plats. The bill sets a 14-day timeframe, and an amendment was adopted that would allow use of a private provider if the deadline is missed and would limit fee collection if verification is not completed. Members discussed whether the bill should include more flexibility and whether private providers are appropriate for this function, but the committee ultimately reported CS/SB 784 favorably. SB 1738, allowing counties that previously opted out of transportation concurrency to opt back in while maintaining current levels of service, was also reported favorably without significant opposition. Next, SB 1080 on local government land regulation was presented as a measure to speed up development permit and order approvals, limit repeated information requests, prevent hearing delays, and impose penalties for noncompliance. Local government testimony argued it would rush planning and weaken public input, while supporters called it common-sense streamlining. After debate, the bill was reported favorably, with several no votes. SB 1260, which clarifies county constitutional officer budget procedures and creates an appeal process for clerks and supervisors of elections similar to that used by sheriffs, was also reported favorably after members raised concerns about county budget timelines. Finally, the committee considered SB 420, as amended by a strike-all, which would prohibit counties and municipalities from adopting or funding DEI-related ordinances, programs, or policies, while carving out compliance with state and federal law and defining DEI-related terms. The amendment removed retroactivity and delayed the effective date, but members from both parties raised concerns about vague definitions, impacts on women- and minority-owned business programs, local commemorations, and the loss of attorney’s fees for prevailing counties. Public testimony was sharply divided, with many speakers opposing the bill as an attack on local control and inclusion, and a few supporting it as a merit-based standard. The amendment was adopted, but the bill drew extensive opposition in debate and was not yet reported in the portion of the transcript provided.

Transcript Highlights:

• Yes, it's a it's a it's a contract. It's a health plan. contract. It's a health plan. contract.
• that contract um that's what they that's contract um that's what they that's contract um that's what
• I mean the contract you have I agree a contract is contract you have I agree a contract is contract you
• of me also whatever is in the contract of me also whatever is in the contract contract confines contract
• First of all, the contract, the evergreen contract that contract, the evergreen contract that contract

Bills: SB 1, HB 500, SB 1, HB 1400, HB 1094, HB 365, HB 1109, HB 647, HB 500

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption

Transcript Highlights:

• > requires contracts between nonprofit requires contracts between nonprofit child<01:34:40.080> welfare
• This required by our state contracts.
• is already in our state contracts. is already in our state contracts.
• must<01:38:44.560> contractors Contracts such as PA must contractors Contracts such as PA
• Our current insurance crisis contracts.

Keywords: 910, house, all

Summary: The committee heard testimony on House Bill 1768, which would prohibit state and county law enforcement agencies and officials from entering into federal immigration-enforcement agreements under 8 U.S.C. 1357(g) and from assisting in certain immigration enforcement actions except in limited circumstances. The Office of the Public Defender, Hawaii Coalition for Immigrant Rights, the Legal Clinic, and the ACLU of Hawaiʻi all testified in strong support, arguing the bill would protect due process, reduce fear in immigrant communities, preserve trust in local police, and keep local resources focused on public safety. Testifiers said cooperation with immigration enforcement can chill court attendance, crime reporting, and cooperation with police, and they emphasized that the bill would not stop federal enforcement or affect other deputization agreements for environmental or other criminal matters. Committee members asked whether any 287(g) agreements currently exist in Hawaiʻi; testifiers said they were unaware of any and believed the bill would maintain the status quo. No vote was taken in the portion provided. The committee then took up House Bill 1548, which would reduce the maximum sentence for misdemeanors from one year to 364 days and allow people previously sentenced to one year to seek sentence modification. The Office of the Public Defender, Office of Hawaiian Affairs, the Legal Clinic, the Hawaii Coalition for Immigrant Rights, the ACLU of Hawaiʻi, and the William S. Richardson School of Law immigration clinic all supported the measure, saying the one-day change could prevent severe immigration consequences such as detention, removal, and bars to relief that can be triggered by a sentence of 365 days or more. Testifiers stressed that the bill would not change criminal liability or public safety, but would align Hawaiʻi law with similar reforms adopted in other states. Members questioned whether the change would affect citizens or create an automatic immigration process; witnesses responded that the issue is the federal immigration consequence tied to the maximum sentence, not actual time served, and that citizens would not face that consequence. The transcript ends during continued discussion of HB 1548, with no final vote shown.

Transcript Highlights:

• has to specify that the the contract has to specify that the the contract with<01:35:43.520>
• <01:36:11.040> again for the duration of the contract again for the duration of the contract
• That gets us through the large load service contract.
• <01:39:42.360> And<01:39:43.280> uh service contract. And uh service contract.
• contracts in the state. contracts in the state.

Keywords: 927, senate, all

Transcript Highlights:

• , with regards to active contract management.
• contract um with regards to active contract management<01:35:14.199> and<01:35:14.440> through
• and the way we think about our contracts, the way we write our contracts, and then the way we manage
• exist in a contract, are our program intended performance metrics, right?
• that the people we are Contracting with that the people we are Contracting with can<01:42:28.080>

Keywords: 1189, house, all

Transcript Highlights:

• > that<00:34:17.960> does There's a contracting officer that does There's a contracting
• And they're in my um contract law.
• Because we keep giving out bad contracts, design-build contracts.
• contracts.
• The more design-build contracts.

Bills: SB2613, SB2543, SB2398, SB2046, SB2800, SB2818, SB2973, SB2367, SB2907, SB3067, SB3053, SB2944, SB2074, SB2596

Keywords: public school land transfer, Department of Education, DOE, land conveyance, fee simple title, tax map key, TMK, Act 307, Session Laws of Hawaii 2022, Act 139, Board of Land and Natural Resources, BLNR, Department of Land and Natural Resources, DLNR, Kauai, Maui, Honolulu, Kaimuki Middle School, Wilcox Elementary School, school property

Summary: The committee heard testimony on SB 2613, SD1, HD1, relating to public school land transfer. The Attorney General’s office and the Department of Education supported the bill’s technical cleanup of Act 307, but strongly opposed a new provision that would convey school parcels containing public and school library facilities to the Hawaii State Public Library System. They argued the added transfer language conflicted with Act 307’s purpose of consolidating school land for more efficient school operations, and said existing law already allows co-located library use through rights of entry, licenses, or other agreements. The library system supported the bill and said it was trying to resolve longstanding operational conflicts on shared school-campus libraries, especially where public access, construction, and campus safety issues arise. Members questioned whether the Board of Education should simply mediate the dispute, whether the bill was the right solution, and whether a formal memorandum of agreement might be a better approach than a land transfer. The library system described years of difficulty coordinating with DOE on projects and said it needed a clearer process to complete work and spend CIP funds. Discussion also touched on a Kauai parcel in the bill, identified as a tennis court, and whether resurfacing could be completed before any transfer. The Attorney General indicated that if the goal is to preserve library uses while keeping title with the state, DLNR or another documented arrangement may be more appropriate than transferring fee title to the library system. The committee then heard SB 2543 SD2 HD1, relating to state construction projects. DAGS supported the measure, and the Hawaii Ironworkers Stabilization Fund and Hawaii Building Construction Trade Council strongly supported it, saying the bill would help spot-check high-cost projects and reduce waste from overruns and delays. One testifier opposed the bill, arguing the proposed construction manager role was too limited and that DAGS needed more training, decentralized authority, and better internal decision-making rather than a new layer of oversight. Supporters said the bill was intended as a pilot program to address repeated cost overruns and improve accountability on state construction projects.

Transcript Highlights:

• Today, many benefit contracts are complicated and restrictive.
• It simply ensures that contracts place patient access and freedom of choice at their core.
• We're forced, and I've got several clinics that have closed, because a lot of these contracts that are
• I had been having contractions all day, and when my water broke, I knew I would soon meet my baby.
• I had been having contractions all day, and when my water broke, I knew I would soon meet my baby.

Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several Senate bills, beginning with SB 113 on the local health care provider participation program in Calcasieu Parish. The committee adopted a technical amendment and heard that the bill would shift the local sponsor from the parish to the city if needed by a June 1 deadline. After brief discussion and no opposition, SB 113 was reported favorably with amendments. The committee then approved SB 23, which exempts certain assisted living facilities licensed by LDH from the definition of food service establishment, and SB 150, which would allow LDH to scan and electronically store vital records supporting documents and return originals to citizens. SB 221 also advanced after testimony that it would allow EMS providers to be reimbursed by Medicaid for emergency responses where treatment is provided on scene but the patient is not transported. Members discussed that the bill could reduce unnecessary ER use and likely would require some rulemaking, but it was reported favorably. A major portion of the meeting focused on SB 404, a broad vision benefit plan reform bill. Supporters, including optometrists, said the measure would improve transparency, patient choice, and access to eye care by limiting restrictive plan practices; opponents from the vision care plan industry argued it was an unprecedented, provider-driven overhaul that could raise costs and reduce flexibility. After extensive testimony and an agreed amendment clarifying network participation, the committee reported SB 404 favorably with amendments. The committee also reported SB 32 favorably with amendments after emotional testimony from parents and advocates about perinatal bereavement care, cooling devices, and training for hospitals to give grieving families more time and dignity after infant loss. Finally, the committee heard SB 43, which would create a psychedelic-assisted therapy initiative within LDH for clinical research and treatment involving ibogaine and psilocybin, with testimony from veterans, researchers, and advocates describing potential benefits for PTSD, substance use, and traumatic brain injury. The bill was reported favorably with amendments and set to pass a courtesy sheet. The committee then began SB 253, a bill regulating peptides and compounding pharmacies, adopted technical amendments clarifying provider liability, and continued discussion as the transcript ended.

Transcript Highlights:

• So, if you did know someone who was interested in contracting, they could reach out to us, that will
• We have asked every fiscal year since the launch of this program for additional contract funding.
• We haven't received that contract funding.
• We've had to terminate a guardianship provider contract.
• So, we do have a lot of contract attorneys.

Keywords: 996, all

Transcript Highlights:

• Washington, Minnesota, Kansas, and Texas, for example, all use state-owned or contracted transitional
• Did you talk to any homeowners who walked away from the placement contracts that they signed?
• DSH contracts with Liberty Health Care to operate the CONREP SVP program, and both the department and
• We also have other contracts. We have a presence here in the state for SVPs.
• We also have other contracts in the state.

Summary: The Joint Legislative Audit Committee held an oversight hearing on the state auditor’s October 2024 report on California’s Forensic Conditional Release Program (CONREP) for sexually violent predators. Members and witnesses discussed public safety, the long delays in finding community housing, the role of local housing committees, and the Department of State Hospitals’ oversight of Liberty Healthcare, which operates much of the program. Several legislators from rural and high-desert districts said their communities have been disproportionately affected by placements and questioned why many placements end up in remote areas. State Auditor Grant Parks said the audit found that CONREP participants were convicted of new offenses less often than sexually violent predators who were unconditionally released, but that 18 of 56 participants had been revoked and returned to state hospitals for noncompliance. He said it took an average of 17 months to place current participants in the community, with 20 additional people awaiting placement for an average of 20 months, and that the program incurred significant pre-placement costs. Parks also said local officials were often unclear about their role, DSH had not given clear guidance at the time of the audit, and California lacks a transitional housing option used in some other states. He reported that DSH had implemented four of the five audit recommendations, while declining the recommendation to explore state-owned transitional housing. DSH Director Stephanie Clendendon and Liberty representative Ken Carabello defended the program as a court-ordered, highly supervised treatment model intended to reduce reoffending and support reintegration. They said DSH is actively involved in placement review, that Liberty searches countywide under statutory restrictions, and that community feedback and court approval are part of the process. DSH said it has now implemented guidance for housing committee designees, formal program reviews, an outcome tracker, and an analysis of whether to separate some Liberty services into different contracts. DSH continued to oppose transitional housing, arguing it would not solve the core siting and statutory problems and would add cost. Several members remained critical, arguing the program is broken, costly, and unfairly concentrated in certain communities, and some called for major statutory changes or suspension of the program.

Transcript Highlights:

• This new revision does not have a set timeline in the contract.
• It's not only binding state law, but it's a contract between the party states.
• And so as a contract, no state can unilaterally act in conflict with the terms of that compact.
• Um, and that's 3 different contractors under our TMHP contract and um our enrollment broker.
• The TMHP contract has two contractors in it, and they, they are divided those costs.

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services