Transcript Highlights:

• The top performing plans also will get preferred assignments to the auto assignment.
• county as of April. 1st, like does Medicaid and how would you incentivize hospitals to take Medicaid patients
• In addition to ensuring that patients are receiving Medicare Medical Care, the program ensures each patient's
• to mention as part of the BH impact program, as we also have a referral source for providers, for patients

Transcript Highlights:

• <00:11:58.880><c> listened</c> patiently listened patiently listened as<00:12:00.160><c> I</c><00:12:
• <04:35:06.480><c> and</c> patients and patients and parents<04:35:08.600><c> why</c><04:35:08.760><c>
• So the majority of the committee preferred the all-inclusive language.
• So the majority of the committee preferred the all-inclusive language.
• So the majority of the committee preferred the all-inclusive language.

Summary: The House opened with prayer, the Pledge of Allegiance, the national anthem, leaves of absence, guest introductions, and memorial remarks honoring former Representative Carolyn Gargas of Hollis, who was remembered for her long House service, work on child and family issues, and community involvement. The House then adopted a consent calendar and approved a motion to withdraw House Bill 431, which would have created a commission to review draft rules on minimum standards for public school approval and state academic standards; the motion failed after a roll call vote, so the bill remained in play. The House next took up House Bill 109-FN, relative to false reports to law enforcement. The majority supported the bill as a way to add penalties for knowingly false reports about law enforcement officers, arguing officers deserve protection from false accusations and that the knowingly standard is a high bar. The minority opposed it as duplicative of existing law and warned it could chill legitimate complaints against police. After debate and a division vote, the majority committee report of ought to pass was adopted, 198-173. The House also considered House Bill 218-FN, which would provide victims of crime a free police report. The committee amendment changed the bill so victims would receive a written confirmation that a crime occurred rather than the initial police report, to avoid conflicts with right-to-know law and active-investigation confidentiality. Supporters said the change was a small but important clarification agreed to by law enforcement and domestic violence advocates, while opponents argued the original language was already workable and that the floor amendment was unnecessary. A division vote was requested on the amendment, and the transcript ends during that debate before the final outcome on HB 218 is shown.

Transcript Highlights:

• Such scenarios would confuse the public and jeopardize patient safety, which leads to a brief discussion
• Such scenarios would confuse the public and jeopardize patient safety, which leads to a brief discussion
• a wait and see approach again prefer a wait and see approach again I'll<00:23:02.200><c> defer</c><00
• to know and understand who patients to know and understand who they're<00:23:40.000><c> seeing</c><00
• So by changing the title of the profession, we'd give greater clarity to patients and communicate what

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• </c><00:09:14.400><c> who</c> member per month cost of patients who member per month cost of patients
• Patient satisfaction data?
• have data on patient satisfaction?
• Um, it's mostly in the new patients because, you know, we have patients that have now been with us for
• because you know, we have patients because you know, we have patients<00:16:06.760><c> that</c><00:16

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the July 15 minutes, and heard a presentation from Dr. Matthew Holder and Dr. Henry Hood of the Lee Specialty Clinic in Louisville. The clinic serves people with complex intellectual and developmental disabilities through a transdisciplinary model that combines medical, dental, behavioral, psychiatric, therapy, and other services under one roof. The presenters argued that this population is large-cost but small in number, often receives little provider training, and is vulnerable to diagnostic overshadowing, overmedication, and missed medical or dental problems. The clinic reported that in Tennessee, payer data showed average costs of about $5,200 per member per month before clinic involvement, with a 44% reduction in overall health care spending after patients were seen, including lower emergency room use, inpatient admissions, and prescription use. They said those savings were measured by the payer, not the clinic, and that the savings accrued to Medicaid or managed care payers rather than the clinic itself. They also shared a case example of a patient who had been placed on hospice but improved after diagnosis and treatment at the clinic. Patient and parent satisfaction were described as very high, generally above 95%. The clinic asked for roughly $5 million to expand into Northern Kentucky, estimating 500 to 700 patients would use the new site and projecting annual savings of about $13 million to $19 million once mature. Members asked about the budget, startup and operating costs, where the savings go, and whether the clinic had considered taking full risk or another value-based model. Senator Meredith and others encouraged the clinic to explore an accountable care or risk-based arrangement, while the presenters said they were open to that discussion but had not pursued it yet. The exchange ended with follow-up questions about the clinic’s overall budget structure and public-private funding mix.

Transcript Highlights:

• And Representative Dawson has been so patiently waiting, and we appreciate that very much.
• Representative Lopez has been equally patient, okay? She's here in support of the shrimp bill.
• We would prefer to go with the language that other states have adopted.

Bills: HB2226 , HB2269 , HB2343 , HB2760 , HB3621 , HB4079 , HB4204 , HB4518 , HB4531 , HB4555 , HB4850 , HB4876 , HB4903 , HB4996 , HB5122

Committee: House Trade, Workforce & Economic Development

Keywords: construction trust funds, Property Code, Chapter 162, construction payments, mechanics lien, contractors, subcontractors, laborers, material suppliers, materialmen, real property improvement, assignment of payment rights, unpaid trust funds, trust fund beneficiaries, construction industry, payment protection, Texas construction law, property owners association, landscaping, grass maintenance

Transcript Highlights:

• But I don't think one surgical patient or any patient who needs narcotics to help with their chronic
• The patient was monitored by federal agents for about a month.
• Khalsa shared, providers want to support their patients.
• These patients have limited ability to advocate on their own behalf.
• This obviously instills fear in patients and health care professionals and interferes with patients from

Summary: The committee heard SB 1377, which would change California’s medical exemption process for school immunizations. The author and supporters argued the bill would restore physician discretion, reduce fear of audits and discipline, and help families with medically vulnerable children obtain exemptions. Opponents, including pediatric, medical, and public health groups, said the current system created by SB 276 and SB 277 is working, that valid exemptions are still being issued, and that loosening oversight could undermine immunization rates and public health. Members debated the data behind claims of a chilling effect, the number of exemptions reviewed or revoked, and the bill’s amendments, which narrowed the measure to current exemptions and added a small additional threshold. Because there was no quorum at the time, action on SB 1377 was delayed until a quorum could be present. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and enforcement framework for large voluntary residential facilities, including private immigration detention centers. The author and supporters described alleged neglect and abuse in detention facilities, including denial of medication, unsafe food and water, and inadequate oversight, and argued the state should ensure humane conditions and accountability. The California Hospital Association expressed concern about duplicative oversight and possible overlap with existing regulation, while the author said the bill was being refined to avoid constitutional problems and duplication. The committee voted to do pass and re-refer SB 995 to Judiciary, with the roll call showing five votes and the bill placed on call. SB 1089 was also heard, proposing expanded access to GLP-1 medications for state and local government employees through CalPERS and encouraging broader affordability efforts through CalRx. The author framed the bill as a response to chronic weight disease, diabetes risk, and high costs, and described his own experience obtaining and paying for GLP-1 treatment. Supporters from the American Diabetes Association and medical groups said GLP-1s are effective tools for preventing and managing type 2 diabetes and could reduce long-term health costs. No opposition was heard, and the committee voted do pass and re-refer the bill to Labor, Public Employment, and Retirement, with the vote placed on call. The committee also began SB 1221 on Murphy conservatorships, with supporters and opponents debating whether district attorneys should have a larger role in these proceedings and whether the bill would improve public safety or disrupt the civil mental health process; the transcript cuts off before final action on that bill.

Transcript Highlights:

• And while all of us would much rather prefer that we had a $20 billion windfall or something of that
• Cross actively contributes to the state trauma system improvement and patient care excellence through
• improvement, with a passion for advancing nursing practice through nurse advocacy while optimizing patient
• was a senator from rural Oklahoma, but it was rejected by some who are in their caucus who would prefer
• idea behind this bill that the dentist will be able to negotiate that cash settlement with their patients

Bills: SB1177 , HB3705 , SB1942 , SB2026 , SB1533 , SB1327 , SB2065 , SB2155 , SB2159

Summary: The House convened, completed the roll call, received an invocation focused on grief and remembrance, and heard several special presentations recognizing a brave child, visiting groups, and multiple student-athlete teams and school groups in the galleries. The chamber also introduced the Doctor of the Day and Nurse of the Day. The main business was consideration of the Joint Committee report on Senate Bill 1177, the general appropriations bill, presented by Chairman Caldwell-Trey. Most of the floor time was spent on extended questions about the budget’s major features. Caldwell-Trey explained the bill as a largely flat or modestly increased budget that includes a $200 million transfer to a new sovereign wealth fund, $225 million in set-asides, a $12.5 million “dream accounts” program for newborns, and funding tied to teacher pay, education, workforce, public safety, agriculture, and health agencies. Members questioned the use of one-time funds for recurring expenses, the reduction in state contributions to the OPRS pension system, Medicaid assumptions, emergency management funding, veterans’ services, child care, school counselors, and the lack of funding for some requested items such as National Board Certified Teacher stipends and veterans’ facility maintenance. Caldwell-Trey defended the budget as transparent, early, and designed to preserve cash reserves while supporting core services. No final vote on the appropriations report is reflected in the transcript excerpt. The House also heard explanations that the limits bills would be run later in committee, and that the budget negotiations were still ongoing with the Senate and governor on some related items. The session ended with the queue closed after the budget questioning, and the transcript cuts off during additional remarks from Representative Timmons.

Transcript Highlights:

• So, as a pediatrician, I often see patients for the very first time because they were sent and referred
• Thank you, Representative Way, for being patient on that. Mr.
• This measure would prevent the state from giving BIPAC-owned businesses any preference in state contracts
• I think I can speak for most legislators: we highly prefer electronic in many cases, right, because,
• So the goal here, obviously, is that electronic is preferred; however, we did want to make sure that

Committee: Senate Senate Government Committee of Reference

Summary: The committee approved the minutes from the prior February meetings and then took up several measures. HCR 2013, designating June 2026 as “Celebrate Life Month” in Arizona, drew emotional testimony from Crystal Cooper and Bella Stockton about their lives with spina bifida and support for the resolution. Senator Kennedy and others questioned the purpose of the resolution, arguing the state should focus on concrete supports for families, but the motion passed 4-1 with two not voting. Members then advanced HB 2327, which clarifies protections for eligible persons’ identifying information in county recorder records, with an amendment excluding voter registration records; it passed 5-0 with two not voting. HB 2258, adding La Paz County to the Tourism Advisory Council’s geographic area, also passed unanimously among those voting. HB 2397, expanding HOA/COA disclosure requirements for prospective buyers, was amended twice and passed 5-1; supporters said it would improve transparency about assessments and defects, while opponents warned about cost and administrative burdens, especially for smaller associations. HB 2015, imposing penalties for late federal/state financial reporting by state organizations, passed 4-2 despite concerns that the automatic penalties were too harsh and could be out of agencies’ control. The committee also approved HB 4049, allowing DCS to hire its own counsel and directing the Attorney General to represent the state’s interest in certain cases involving alleged DCS misconduct, though some members argued current law already addresses conflicts and that DCS had not been consulted. HB 4087, authorizing placement of a Barbara Love memorial in the governmental wall, passed without opposition. HB 2100, allowing counties to authorize certain small land subdivisions, passed 4-2 amid debate over water adequacy and the risk of “wildcat” development. HB 2460, preempting local fees and penalties tied to abandoned or stolen movable business property such as shopping carts, passed 4-2 after extensive testimony from cities, retailers, and advocates over local control, costs, and theft prevention. Finally, HCR 2056, a proposed constitutional amendment recognizing a right to refuse medical mandates, began hearing testimony; supporters framed it as bodily autonomy, while opponents, including pediatric and public health advocates, warned it would weaken vaccine requirements and outbreak protections for schools and children.

Transcript Highlights:

• It was not what the FBI preferred. So, we amended the language to be what they liked.
• Good questions from the committee. the FBI preferred. So, we amended the the FBI preferred.
• Uh the commission is good patient care.
• As a member of the General Court and responsible for that, my preference is to have that clarified so
• My preference is responsible for that.

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• You see much higher quality of life for the patients, but also you see higher knowledge attainment for
• All of them are renowned for the quality of care, not only the care they give to their patients, but
• It's in existing statute already, but I would prefer anybody that has questions about that to go down
• Please recognize the always patient Representative Harris to explain Senate Bill 904.
• Apparently there are hospices that are going in and hijacking patients that are all...

Bills: SB1687 , HB1687 , HB4431 , HB2894 , HB2979 , HB3262 , HB3298 , HB3369 , HB3431 , HB3462 , SB1226 , SB1876 , SB1916 , SB1920 , HB3467 , HB3498 , HB3500 , HB3521 , HB3581 , HB3650 , HB3673 , HB3764 , HB3767 , HB3781 , HB3800 , HB3831 , HB3834 , HB3941 , HB2749 , HB3970 , HB3972 , HB3979 , HB3980 , HB3981 , HB3996 , HB4095 , HB4104 , HB4191 , HB4248 , HB4298 , HB4338 , HB4427 , HB4428 , HJR1023 , HB3660 , HB3718 , HB4326 , HB3443 , HB3880 , HB3649 , HB3000 , SB1651 , SB504 , SB372 , SB1326 , SB1633 , SB248 , SB1242 , SB1238 , SB423 , SB1989 , SB1286 , SB904 , SB1213 , SB1216 , SB1827 , SB65 , SB1390 , SB259 , SB1944 , SB540 , SB2139 , SB346 , SB1595 , SB1400 , SB1555 , SB1209 , SB2110 , SB1670 , SB1061 , SB2104 , HR1057 , SB1946 , SB1734 , SB1316 , SB1360 , SB1557 , SB1684 , SB2049 , SB1410 , SB2011 , SB1437 , SB1204 , SB1732 , SB1775 , SB2084 , SB1380 , SB1572 , SB1772 , SB1224 , SB710 , SB1338 , SB1266 , SB1303 , SB1307 , SB1562 , SB1794 , SB1191 , SB1983 , SB1832 , SB1448 , SB1534 , SB1593 , SB1597 , SB1630 , SB1489 , SB1726 , SB1796 , SB1806 , SB1877 , SB1451 , SB1553 , SB1632 , SB1423 , SB1425 , SB1502 , SB2180 , SB1725 , SB2182 , HB3003 , HB3004 , HB4434 , HB4324 , HB4342 , HB2137 , HB4432 , SJR50 , SJR52 , SJR53

Summary: The House recognized several visitors and groups during the day, including the Norman North High School Cheer and Stunt Team, a student page, Bartlesville Day at the Capitol, and Leadership Elk City. The chamber then took up a long series of Senate amendments and final passage votes on a wide range of measures, with most amendments adopted without objection and many bills passing by wide margins. Topics included advanced health care directives, the Oklahoma Rural Jobs Act, motor vehicle and insurance changes, food truck fire suppression, foreign adversary land ownership restrictions, plumbing licensing reform, probate procedure, financial institutions, riots, Medicaid, court reporters, public finance, district attorney recruitment incentives, child care, the Oklahoma Brine Development Act, adjunct teachers, workers’ compensation, and other technical or policy updates. Several bills drew substantive debate. The Oklahoma Rural Jobs Act prompted questions about the additional $15 million funding tranche, return on investment, and the use of out-of-state fund managers; supporters said the program had created thousands of jobs and generated strong tax revenue, while opponents criticized the lack of independent ROI data and transparency. House Bill 3500 on probate procedure also drew questions about a nine-month deadline for successor affidavits, with the author saying the change would prevent a “gotcha” that could defeat a decedent’s wishes. House Bill 3660 on natural organic reduction was the subject of extended debate, with supporters arguing for personal freedom and rejecting claims about misuse of the resulting material, while opponents raised concerns about the practice and its regulation. The House passed most measures by comfortable margins, including bills on advanced health care directives, professions and occupations, motor vehicles, Medicaid, insurance, child care, court reporters, public finance, and criminal law. A few measures failed or were reconsidered: Senate Bill 1916 initially failed on a 46-39 vote, but the House later voted to reconsider and then passed it on reconsideration. Several bills also carried emergency clauses, which were adopted where required by two-thirds votes. The session ended with the House still considering debate on House Bill 3660 after the chamber had recessed and returned to order.

Transcript Highlights:

• So, um we would<01:16:08.880><c> really</c><01:16:09.199><c> prefer</c> would really prefer would really
• So if it seems to me, again, a conference may not be the preferable option.
• So if it seems to me, again, a conference may not be the preferable option.
• </c> well it may not be the preferable well it may not be the preferable option.<01:37:09.760><c> You
• You know my preferable option option.

Summary: The committee heard testimony on Senate Bill 110, as amended by the Senate, which would establish fees for alteration-of-terrain applications and direct the Department of Environmental Services to adopt rules for a permit-by-notification process for certain projects. Trisha Milo introduced the bill for Senator Lang and noted that the department had worked on the amended language. Matt Mayberry of the New Hampshire Homebuilders Association said the industry strongly supported the bill, describing it as a public-private partnership that would speed review for developers without affecting local control, with builders paying the costs rather than taxpayers. Members focused heavily on how the bill’s fee structure and permit thresholds would work, especially for projects near shoreland, wetlands, and protected water bodies. Representative Opel raised concerns about whether the bill reduced review of habitat and shoreland impacts or shifted costs unfairly; Philip Trobridge of DES explained that the bill does not eliminate those reviews and that shoreland projects still receive greater scrutiny. He said the bill creates different tiers, with the permit-by-notification process applying to certain projects between 100,000 and 150,000 square feet that are not in protected shoreland, while larger or shoreland-affected projects remain under the standard review process. He also said the proposed fees were based on sustaining the program, covering added habitat and species review responsibilities, and keeping reviews efficient. Trobridge said the new fee structure would generate about $1.2 million in additional revenue and help fund additional staff and related program costs. He stated that the department had worked with the regulated community and believed the fees were fair and reasonable, though he acknowledged the bill’s wording was confusing and that the threshold could be revisited later if the new process works well. Members also discussed how the state process interacts with local approvals, and Trobridge said both state and local approvals are required before a project can begin. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• after patient.
• It's always related to direct patient care.
• I see patients who call 911, regulations create barriers to care.
• I send many patients to physical therapy.
• I have been more than patient and waiting long enough.

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.

Transcript Highlights:

• 80% of those patients relying on Medi-Cal and Family Pact. nationwide, with over 80% of those patients
• I am here today on behalf of patients who cannot be here themselves. Our patients are statistics.
• patients.
• So given the acuity of this types of patients, for regular patients.
• patients.

Transcript Highlights:

• So if you go to a government employer, and we have this tribal or Native American preference form, I
• in terms of who decides what is needed, the physical therapist or the occupational therapist who a patient
• , If they're not paying that facility fee, will that facility end up passing the cost down to the patient
• President, the rural areas will be allowed to continue billing the fees, but In other areas, if a patient
• I'm also extremely proud that you, as senators, are very welcoming, patient, and did such a great job

Bills: SB273 , SB37 , SB100

Keywords: SB273, appropriations, general fund, hold harmless, local government finance, municipal revenue, county revenue, correctional facility, jail contract, private prison, detention facility, immigration detention, revenue bonds, clawback, child welfare, juvenile justice, protective services, school improvement, New MexiCare, aging services

Transcript Highlights:

• This ensures that patients can complete the screening process without financial barriers.
• This ensures that patients can complete the screening process without financial barriers.
• ><01:14:24.560><c> screening</c> that patients can complete screening that patients can complete screening
• This ensures that once the patient test.
• </c> you know whatever the when a patient you know whatever the when a patient goes<01:17:50.960><c>

Bills: HB20 , HB2612 , HB2404 , HB2459 , HB2194 , HB1880 , HB2284 , HB1969 , HB2458 , HB1546 , HB2161 , HB1721 , HB1641 , HB2137 , HB1782 , HB2360 , HB1965 , HB1897 , HB1513

Committee: House Consumer Protection & Commerce

Summary: The committee heard testimony on HB 20, which would create a lava zone insurance subsidy/fund. The Insurance Division opposed the bill, arguing that lava zones 1 and 2 are the highest-risk areas, that a subsidy would not reduce the underlying risk or loss costs, that it could invite similar subsidy requests for other hazards, and that the bill may conflict with HICV by diverting funds from the CRF. Members discussed the lack of authorized homeowners insurance in those lava zones, the role of HPIA and the surplus market, and the difference between the proposed lava-zone subsidy and the Hawaii Hurricane Relief Fund. The chair noted 37 submitted testimonies in support and one in opposition, and the committee then moved on without taking a vote on HB 20 in the portion provided. The committee then took up HB 2612, relating to mortgages, which would clarify that a mortgage does not exist independently of the debt it secures and is not independently enforceable from that debt. The Hawaii Credit Union League and Hawaii Financial Services Association opposed the bill, while several individuals testified in support, arguing it would restore Hawaii’s long-standing lien-state rule and prevent so-called “zombie mortgages” after the Hawaii Supreme Court’s White decision. Supporters said the bill would protect borrowers from delayed foreclosures and predatory lending practices, while opponents and the Insurance Division emphasized that foreclosure actions still require proof of standing and possession of the note, and that lenders generally pursue foreclosure without seeking deficiency judgments. Committee members questioned the Insurance Division about how the current market works, whether lenders could wait out the statute of limitations and then foreclose only on the mortgage, and whether equitable tolling or later defaults could allow refiling. The division said it is still trying to attract authorized insurers back into the lava-zone market, but has seen little progress. No vote or final action on HB 2612 was taken in the excerpt provided.

Transcript Highlights:

• Eligible patients in all 58 counties.
• 80% of those patients relying on Medi-Cal and Family Pact. nationwide, with over 80% of those patients
• I am here today on behalf of patients who cannot be here themselves. Our patients are statistics.
• patients.
• Yeah, we have a lot of my patients.

Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.

Transcript Highlights:

• The Supreme Court has ruled that you can't provide religious preference..."
• "The Supreme Court has ruled that you can't provide religious preference in statutory language.
• Wouldn't you agree this is specifically providing a preference by listing one particular religious text
• This will unbundle those so that the patient can get the care that she needs, whether it's transportation

Summary: The committee met for a very long session and considered a large number of bills, with the chair noting the meeting would run late and providing pizza and a recess. Early measures included HB 1752, authorizing the AG’s office and district attorneys’ counsel to buy vehicles with available funds, and HB 2961, a tuition waiver for Gold Star recipients; both advanced with strong support, though HB 2961 drew a question about its estimated annual cost of roughly $312,000 to $520,000. Members also approved HB 2967, exempting certain family vehicle transfers from motor vehicle excise tax, and HB 2973, requiring school districts to use a specific accounting code to show how state-appropriated dollars are spent. Several education and transparency bills also moved forward, including HB 3031 on common course numbering, HB 3057 centralizing statutorily required reports with LOFT, and HB 3052 codifying child welfare procedures related to fentanyl exposure cases. The committee then took up a series of public safety, health, and infrastructure measures. HB 3242, which would create a framework for student prayer during non-instructional time, generated extensive debate over whether it was a mandate, whether it could create fiscal and supervision burdens, and whether it raised local control and constitutional concerns; it passed 17-10. Other bills approved included HB 3066 creating a revolving fund tied to rural behavioral health workforce dollars, HB 3086 requiring the DOC director to brief the board annually on budget and inmate deaths, HB 3175 creating an Oklahoma Advanced Nuclear Energy Office, HB 3177 letting the Oklahoma Corporation Commission set salaries for its court reporters, HB 3178 establishing standard depreciation tables for farm equipment, HB 3429 creating an alternative funding mechanism for career tech capital projects, HB 3548 encouraging youth-run small businesses, HB 3638 directing Oklahoma to participate in the federal Summer EBT program, and HB 3704 expressing intent to opt into a federal tax credit for scholarship-granting organizations. Later, the committee approved HB 1590 creating an education infrastructure linked deposit program for charter and nonprofit schools, HB 3759 requiring temporary school allocations to be set before June 30, HB 3831 recognizing and funding Oklahoma Task Force One after federal support declines, HB 3904 unbundling Medicaid maternal health payments, and HB 4092 creating a protected 988 mental health trust fund and related oversight. After a brief recess, the committee continued with HB 1979 creating a task force to study a centralized early childhood office, HB 1983 requiring a middle school course on online scams and digital safety, HB 1242 expanding agricultural sales tax exemptions to deer and elk, HB 1250 creating a law enforcement public safety technology revolving fund, HB 2952 changing motor vehicle excise tax treatment for trade-ins, HB 3404 setting up a prescribed burn association fund, HB 3671 allowing experienced teachers to carry career teacher status to a new district with approval, HB 3920 extending a tax exemption to organ transplant nonprofits, HB 4118 creating a nonrefundable caregiver tax credit, HB 3944 cleaning up the State Finance Act, HB 3969 renaming a correctional facility after a former sheriff, HB 3973 creating a revolving fund tied to reopening Swojack, HB 3975 and HB 3976 creating mechanisms for oversight and potential funding of rural health initiatives, HB 3978 updating the Oklahoma World Jobs Act, HB 3983 serving as a placeholder for tobacco tax negotiations, and HB 3984 creating a mechanism to recruit productive new residents. Most bills passed on strong votes, while HB 1983 failed in committee 13-14 and was not reported out.

Transcript Highlights:

• And that just kind of proves where the system that I came from to where I preferred a wilderness camp
• My usual excuses: I was too busy taking care of developmental and behavioral patients, but that's not
• I've been part of, or at least preferably involved with, as I call it, the alphabet soup group.
• I've been part of the, or at least preferably involved with the, as I call it, the alphabet soup group

Summary: The Senate Human Services Committee held an evening hearing on several bills. Senate Bill 6249, sponsored by Sen. Torres, would require all people convicted of stalking to be supervised by the Department of Corrections. Staff explained current community custody rules and said the bill would make stalking convictions subject to DOC supervision; the fiscal note had been requested but not yet received. The sponsor and several survivors and advocates testified in support, saying stalking is dangerous, victims need ongoing monitoring, and supervision could help prevent future harm. No vote was taken. The committee also heard Senate Bill 6255, sponsored by Sen. Lovelett, which renames and updates the Legislative Executive Poverty Reduction Oversight Task Force (LuPRO) as the Legislative Executive Economic Justice and Well-Being Task Force, expands membership, and revises duties to monitor and update the state’s 10-year plan to dismantle poverty. Staff said the bill has a partial fiscal note showing a $4,000 OSPI cost for a report, with no additional cost beyond that this biennium. Testimony from DSHS and a constituent supported the bill as a way to improve coordination and accountability in poverty reduction efforts. Senate Bill 6286, sponsored by Sen. Orwall, would authorize the Department of Health to fine private detention facilities that deny inspectors entry, with escalating daily fines and a new account to support people harmed by wrongful detention or ICE-related abuse. The sponsor and supporters framed the bill as a human rights and public health measure, citing complaints about food, sanitation, medical care, and mental health conditions in private detention facilities. The committee then heard Senate Bill 6224, sponsored by Chair Wilson, which would create a Children and Youth Behavioral Health Leadership Council to implement the Washington Thriving Strategic Plan and extend the existing work group. Supporters from state agencies, providers, parents, and advocates emphasized early intervention, cross-system coordination, and youth mental health needs; one witness opposed the bill, arguing it should focus more on non-psychiatric causes of distress. The hearing ended with no recorded votes or final action on the bills.

Transcript Highlights:

• And in Bexar County, there's crossover Anglo support for Latino preferred candidates; we've already suggested
• I prefer it had seven, but I think five is very reasonable at this point in the process.
• That the white majority votes sufficiently as a bloc to enable it to defend the minority's preferred
• Thankfully, not snarkily, thank you for being patient with me.

Bills: SB 2 , SB 5 , SB 9 , SB 7 , SB 17 , SB 4 , HB4 , HB1 , HB3 , HB20 , HB22 , SB9 , SB7 , SB17 , SB4 , HB4 , SB2 , SB5

Transcript Highlights:

• So we will patiently await them.
• reflect the legislative intentions of the Congress without regard to the political views or personal preferences
• I would prefer something that sounds more like collaborative.
• I would prefer to work collaboratively with states and determine what states might be interested in this

Committee: Senate Energy and Natural Resources Committee