Transcript Highlights:

• He was voted as Tulsa's best chiropractic physician.
• establishing a respected practice in Tulsa, where he was recognized as one of the city's top chiropractic physicians
• Later in life, I went back to school and became a chiropractic physician.

Bills: HB1675 , HB3242 , HB1739 , HB3320 , HB3047 , HB4434 , HJR1089 , HB4432 , HB3718 , HB3705 , SR43 , HB1933 , HB4248 , SB1847 , SB1778 , HJR1086 , HB3001 , HB3002 , HB3003 , HB3004 , HB3005 , HB3007 , HB3008 , HB1590 , HB1242 , HB3818 , HB4305 , HB1979 , HB1225 , HB3931 , HB4454 , HB3849 , HB1746 , HB3720 , HB4275 , HB4300 , HB3586 , HB2268 , HB3755 , HB4117 , HB4294 , HB3650 , HB4298 , HB3270 , HB3145 , HB3056

Keywords: emergency management, severe weather, youth camp, summer camp, overnight camp, day camp, outdoor education, adventure camp, wilderness program, campground safety, tornado preparedness, flooding, flash flood, high winds, hail, lightning, extreme heat, extreme cold, wildfire smoke, evacuation plan

Transcript Highlights:

• They must still meet medical eligibility standards and be verified by a licensed physician.
• It ensures that once a veteran has a physician-verified disability under California law and a federal
• She has already been evaluated by the VA, and she's already been verified by a California physician.

Committee: Senate Military and Veterans Affairs

Summary: The committee heard several veterans-related bills. SB 888 would exclude VA service-connected disability compensation from household income when determining eligibility for the low-income disabled veterans’ property tax exemption. Support came from veterans organizations, county veterans services groups, and local officials; there was no opposition, and the bill was approved and sent to Appropriations. SB 1040 would create a state-local matching program for veterans’ cemetery maintenance endowments, with the state matching private or local deposits up to $250,000 per cemetery per year. It drew support from veterans groups and county representatives and was also approved and sent to Appropriations. The committee also considered SB 1407, which would exempt military retirement pay and surviving spouse military retirement benefits from state income tax. The author and supporters argued it would help retain military retirees in California and support the workforce and economy. The bill received broad support from veterans organizations, county officials, and labor representatives, with no opposition, and was moved to Appropriations, with the roll held open and later completed. SB 1034 would streamline access to disabled veteran parking placards for veterans rated 100% permanent and total, and SB 1201, the No Hungry Heroes Act, would seek federal waivers and other changes to protect vulnerable veterans from CalFresh/SNAP cuts and ensure referrals to county veterans service officers. Both bills had support from veterans advocates and food banks, no opposition, and were approved to Appropriations. Finally, SB 1354 would prohibit out-of-state military personnel from entering California to perform military or law enforcement functions without the governor’s permission, while preserving Title 10 activations and mutual aid arrangements. The author and the California Public Defenders Association framed it as a safeguard for state authority and civil rights; there was no opposition, and it was sent to Public Safety. After the main votes, the committee later completed the held rolls and reported the bills out, then adjourned after thanking veterans and attendees.

Transcript Highlights:

• They must still meet medical eligibility standards and be verified by a licensed physician.
• It ensures that once a veteran has a physician-verified disability under California law and a federal
• She has already been evaluated by the VA, and she's already been verified by a California physician.

Summary: The Senate Military and Veterans Affairs Committee heard several veterans-related bills, beginning as a subcommittee until a quorum was established. SB 888 would exclude VA service-connected disability compensation from household income when determining eligibility for the low-income disabled veterans’ property tax exemption. Support came from veterans organizations, county veterans services officers, and local government representatives; there was no opposition. The bill was moved to Appropriations and later recorded as passing 4-0. SB 1040 would create a state-local matching program for maintenance endowments for veterans’ cemeteries, with the state matching private or local contributions up to $250,000 per cemetery per year. Supporters emphasized the need for sustainable perpetual care funding for state and county cemeteries, and there was no opposition. SB 1407, the chair’s bill, would exempt military retirement pay and surviving spouse benefits from state income tax; supporters argued it would help retain military retirees in California and support the economy, while members noted similar bills had previously stalled in Appropriations. SB 1034 would streamline disabled veteran parking placard eligibility for certain 100% permanent and total veterans, and SB 1201, the No Hungry Heroes Act, would seek federal waivers and related changes to protect vulnerable veterans from CalFresh/SNAP cuts and connect applicants to county veterans service officers. All of these bills received support from veterans groups and related organizations, with no opposition heard. SB 1354 would prohibit out-of-state military personnel not operating under Title 10 from entering California to perform military or law enforcement functions without the governor’s permission, with supporters framing it as a safeguard for state authority and civil liberties. The committee asked about legal testing of the proposal, and the author said it had not yet been tested in court. After roll calls and a brief recess to regain members, the committee recorded 4-0 votes to pass the bills and consent calendar items, and the meeting adjourned after thanking veterans for their service.

Transcript Highlights:

• They must still meet medical eligibility standards and be verified by a licensed physician.
• It ensures that once a veteran has a physician-verified disability under California law and a federal
• She has already been evaluated by the VA, and she's already been verified by a California physician.

Committee: Senate Military and Veterans Affairs

Keywords: 987, senate, all

Transcript Highlights:

• Idaho is already projected to be more than 1,700 physicians short by 2030.
• require a human clinician in the loop, and every licensed AI provider must designate a licensed physician
• It includes a physician, a registered nurse or APRN, a pharmacist, a mental or behavioral health professional

Committee: House Business

Summary: The committee first approved the March 5 minutes without objection. It then took up House Bill 945, the AI Medical Services Act, presented by Dr. Tim Frost. He described the bill as a framework for autonomous and supervised clinical AI to address Idaho health care shortages, with licensing through a new autonomous medical practice board, human oversight requirements, disclosure to patients, reporting and auditing provisions, and a sandbox period for new systems. Members asked about scope, oversight, board appointments, and safety concerns, and the committee voted to hold HB 945 in committee subject to call of the chair. House Bill 947, sponsored by Representative Crane, proposed limiting purchases of single-family homes by REITs and hedge funds in order to preserve starter-home ownership for Idaho families. Crane said the bill was aimed at large institutional investors and not small Idaho businesses, and noted that a prior foreign ownership provision had been removed. Members raised questions about supply and demand, whether similar laws exist in other states, and possible unintended consequences; the bill was also held in committee subject to call of the chair. The committee then considered Senate Bill 1247, which would require E-Verify for state and local governments and for private employers with more than 150 employees that contract with the state for over $100,000, beginning January 1, 2027. Supporters said it would create a uniform verification standard for taxpayer-funded work and rely on existing federal infrastructure, while critics questioned the employee threshold, rulemaking authority, and whether the bill should be further refined. A motion to hold the bill failed, a motion to send it to the floor with a due pass recommendation also failed, and the committee ultimately voted 13-5 to send SB 1247 to general orders.

Transcript Highlights:

• For the physician, who took an oath to, at first, do no harm, stands by that oath and provides it, and
• There are already care practices that physicians have to follow... ...care practices that physicians

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the House Journal for February 4, 2026 by roll call vote, 123-1. Members spent a substantial portion of the morning introducing special guests and recognizing birthdays, including visitors from Missouri Technology Corporation, educators, pediatricians, a longtime legislative photographer, and several family members and constituents. A member also delivered a lengthy personal-privilege tribute for Black History Month honoring his father’s military service, postal career, ministry, and mentorship work, and another member paid tribute to the late Donna Kramer Scott. The chamber then took up first reading of House Bills 3218, 3219, and 3220. On third reading, House Committee Substitute for House Bills 1667 and 2294 was debated as a “born alive”/abortion-related measure; supporters argued it protects infants born alive and clarifies provider duties, while opponents said the issue is already covered in statute and that the House should focus on other priorities. The bill passed 103-40. The House also considered House Committee Substitute for House Bills 1694, 1674, 1780, 2056, 2312, and 1755, a package centered on the Act Against Abusive Website Access Litigation and related accessibility/ADA litigation concerns. Supporters described it as curbing settlement-driven lawsuits and helping businesses, while opponents and some supporters emphasized the need for real accessibility improvements. That package passed unanimously, 149-0. During announcements, members highlighted an American Idol contestant from a district, an upcoming rural health care funding informational session, a property tax reform committee executive session, a St. Charles festival, an American Heart Month photo opportunity, and several committee meetings. The House was told to be prepared to consider additional bills upon return, and it adjourned until 4 p.m. Monday, February 9, 2026.

Transcript Highlights:

• By law, institutions of cosmetology. may only perform injections under the authority of a physician.
• The Texas Medical Board has disciplinary jurisdiction over physicians.
• Texas 400, and the Texas Physicians for Patients PAC.

Bills: SB213 , SB378 , SB610 , SB681 , SB918 , SB1172 , SB1252 , SB1343 , SCR8

Committee: Senate Business & Commerce

Keywords: SB 213, Texas insurance, Insurance Code, Chapter 551, Chapter 541, bundling, tying arrangement, cross-selling, homeowners insurance, residential property insurance, auto insurance, personal automobile insurance, consumer protection, unfair trade practice, deceptive insurance practice, property and casualty insurer, Lloyd's plan, county mutual, reciprocal exchange, farm mutual

Transcript Highlights:

• President, members, would you please join me in welcoming all of the physician assistants that are are
• Thank you. of Physician Assistants was established in 1975 and it represents nearly 12 thousand physician

Bills: SB 26 , SJR 36 , SB 26 , SB 616 , SB 565 , SB 384 , SB 28 , SR 109 , SR 122 , SR 126 , SR 130 , SR 136 , SR 137 , SR 141 , SR 142 , SCR 20

Keywords: teacher compensation, education funding, public school educators, teacher retention, teacher designation, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code, TCEQ, Texas Commission on Environmental Quality, compliance agreement, enforcement suspension, utility consolidation, regionalization, water supply, sewer

Summary: The meeting was marked by significant resolutions recognizing various contributions to Texas and celebrating community initiatives. Key discussions included the adoption of resolutions commemorating Texas Hispanic Judges Day and highlighting the 100th anniversary of Memorial Park. Senators expressed appreciation for the judges' dedication and legacy, with notable mentions of individual judges and their impact on the community and legal landscape in Texas. The Senate also honored students and organizations contributing positively to their communities, showcasing the interconnectedness of public service and the legislative process.

Transcript Highlights:

• to continue DES, the Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician
• The Board of Occupational Therapy Examiners and the Arizona Regulatory Board of Physician Assistance

Keywords: 1182, all

Transcript Highlights:

• to staff serve the funds for physicians to staff serve as<00:41:46.079><c> medical</c><00:41:46.400>
• We have a physician, previously it was on this contract.
• has to be a physician and has to<00:42:40.960><c> have</c><00:42:41.040><c> certain</c><00:42:41.359
• We have a physician um public health.
• But uh we had a physician<00:43:02.960><c> who</c><00:43:03.119><c> was</c><00:43:03.200><c> over</c>

Keywords: 958, all

Summary: The committee first approved the April 13 minutes and then turned to a large agenda of contracts. Chairman Douglas said there were 52 contracts totaling about $369.3 million, and noted that most vendors were registered with the Secretary of State except for item 118 on the routine personal services green list and item 19 involving Morehead State University and Kentucky State University. The committee voted to defer item 118 to the June 26 meeting and later also deferred the Kentucky State University contract on the deferred list to the June 26 meeting. The main discussion centered on a deferred personal services contract for the Kentucky Board of Optometric Examiners, involving outside legal counsel. Senator Meredith raised concerns about KRS 320 and whether the board had authority to hire outside counsel when the statute says the Attorney General shall provide legal services to the board. Dr. Mary Beth Morris, the board president, and Christopher Thacker of the Attorney General’s office testified after being sworn in. Thacker explained that the statute and related law allow both Attorney General assistance and independent counsel, and argued that outside counsel is appropriate for day-to-day legal work because it avoids conflicts, especially on open records issues, regulatory advice, and disciplinary hearings. Senator Meredith said he agreed with approving the contract but questioned how the board had reached this point and whether the current statutes reflect modern practice. He raised concerns about transparency and accountability, referencing a prior advisory opinion involving the board’s handling of exam requirements during COVID and saying the board should have consulted the Attorney General before acting. Thacker responded that the Attorney General’s office serves the Commonwealth as a whole, not as counsel to one board, and that the board’s use of outside counsel is a reasonable and economical arrangement. The exchange ended with Meredith suggesting that broader legislative action may be needed to clarify reporting relationships and oversight for the board.

Transcript Highlights:

• Moving on to Senator Weber Pearson, SB 849, Physicians and Surgeons Revocation of Certificate.
• Physicians and surgeons revocation of certificate. The action is due pass.

Summary: The Senate Appropriations Committee held a vote-only suspense file hearing with no public testimony, taking up a long list of Senate bills and amendments. Measures discussed included battery recycling, property tax exemptions, railroad wayside detector systems, military protective orders, an affordable housing bond, fireworks permits, workers’ compensation earnings, metal shredding facilities, election system inspection, family research centers, electrical rates and political influence, AI standards and safety, youth housing bonds, student health, air quality standards for hydrogen sulfide, electrical infrastructure, disaster preparedness, property taxation for family homes and farms, state agency contract bid preferences, presidential election qualifications, unlicensed contractor work, alcohol and drug programs, generative AI in legal settings, kratom and nitrous oxide, unmanned aircraft, adoptees’ birth certificates, body-worn cameras, physician certificate revocation, and deprivation of constitutional rights. Several bills were amended before passage, including changes to bond measures, technical fixes, narrowed remedies, and other author-requested revisions. Most measures advanced on unanimous 7-0 votes, while a number of higher-profile or more controversial bills passed on 5-2 votes with Republicans voting no. SB 667 on railroads passed 4-2 after amendments; SB 691 on body-worn cameras passed 6-0; and SB 742 on permanently abandoned electrical infrastructure passed after a roll call that was corrected on the floor. The committee repeatedly substituted roll calls from earlier bills to record votes on many items, reflecting the suspense-file process. No testimony was taken, and the chair emphasized that all items had already been heard previously. At the end of the hearing, the chair announced it was their last meeting presiding over Appropriations, thanked the committee staff and members, and the committee adjourned after noting that results and addendum analyses would be posted online for amended bills.

Transcript Highlights:

• foster that collaboration, which I mentioned a minute ago, among geneticists, researchers, and physicians
• in Florida's universities and children's hospitals. ...among geneticists, researchers, and physicians

Committee: Senate Education Postsecondary

Summary: The Senate Committee on Education Postsecondary met with a quorum present and first considered CS/SB 1356, relating to the Florida Institute for Pediatric Rare Diseases. Senator Burton explained a delete-all amendment that would create the institute at Florida State University, establish the Sunshine Genetics Pilot Program for newborn screening at select sites, and form a Sunshine Genetics Consortium to coordinate researchers and clinicians. The amendment also included $5 million in recurring funding for the institute and $2 million in nonrecurring funding for the pilot program. The committee heard supportive testimony from Gavin Lambert and his mother, who described the benefits of earlier diagnosis for Friedreich’s ataxia, along with support from representatives of Alexion Pharmaceuticals, FSU, BioFlorida, and the Biotechnology Innovation Organization. Senators Berman and Harrell spoke in favor of the bill, emphasizing early detection and collaboration. The amendment was adopted, and CS/SB 1356 was reported favorably on a roll call vote. The committee then took up SB 892, which would codify the Florida State University Election Law Center in statute and make it eligible for recurring funding. Senator Simon said the center was created in 2023 with a $1 million nonrecurring appropriation and that the bill would help sustain its work and attract talent in election law and related fields. Senator Berman asked about current funding and whether the center would be supported through recurring General Appropriations Act funding in the future; Senator Simon responded that the bill would allow it to compete for recurring dollars. Jack Rowan, an FSU law student, testified in support and highlighted the center’s work, including a Bush v. Gore 25th anniversary conference. Professor Michael Morley and Lena Rojas also supported the bill. No opposition was presented, and SB 892 was reported favorably by roll call vote. The committee then adjourned.

Transcript Highlights:

• I am Kate Schreck, a family physician practicing in Minnesota.
• family physicians and medical student members across the state.
• As a family physician, my oath is to protect and promote the health of my patients.
• And that's how I was introduced to medicine as a brand new physician.
• And about 2 as as a brand new physician.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• And I think that our PAs, in fact, I go to a PA and I, not saying anything about physicians, but the
• physician I had many years before that, um, my PA, I would trust them with my life.
• Physicians, but the physician I had many years before that, um, my PA, I would trust them with my life
• ,<00:55:03.040><c> but</c><00:55:03.280><c> the</c><00:55:03.440><c> physician</c><00:55:03.760><c> I
• </c><00:55:03.920><c> had</c><00:55:04.160><c> many</c> physicians, but the physician I had many physicians

Keywords: 916, all

Transcript Highlights:

• The physician case involved minors and adults. So grooming is out there.
• The physician case involved minors and adults. So grooming is out there.
• . physician. physician.
• The physician case involved only minors.
• The physician case involved minors and adults. So grooming is out there.

Bills: HB0008 , HB0009

Committee: House Judiciary

Keywords: stalking, minors, felony, protection orders, criminal penalties, grooming, sexual offenses, child protection, 916, all

Transcript Highlights:

• The importance of having rural primary care physicians cannot be understated.
• And so I think we'll be growing our own physicians. And um I'm just very excited about this piece."
• </c> having rural primary care physicians having rural primary care physicians cannot<01:28:38.400><c
• And so I think we'll be growing our own physicians. And um I'm just very excited about this piece."
• </c> growing our own physicians. growing our own physicians.

Committee: Senate Finance

Keywords: 1191, senate, all

Transcript Highlights:

• As an emergency medicine physician who has worked across this state, I see daily how policy decisions
• Medical students rotate between hospitals every few months, resident physicians move across state lines
• Even established physicians change positions between institutions.
• I'm the Director of Primary Care and a family medicine physician in Lynn Community Health Center.
• I'm the Director of Primary Care and a Family Medicine Physician in Linn Community Health Center.

Committee: Joint Joint Committee on Election Laws

Keywords: 995, all

Summary: The Joint Committee on Election Laws held a hearing on a wide range of voting-access and election-administration bills. The largest portion of testimony focused on same-day voter registration (H. 834/S. 505), with support from Rep. Gentile, Boston and Chelsea officials, civic groups, and election administrators from Maine and Vermont. Supporters argued that same-day registration would help eligible voters who move frequently, miss deadlines, or face administrative errors, and would reduce rejected provisional ballots. Maine Secretary of State Shenna Bellows and Vermont elections director Sean Sheehan testified that same-day registration has worked in their states without major administrative problems and has helped increase turnout. A Boston-based panel also described high rejection rates for provisional ballots and the burden of registration cutoffs on renters, students, immigrants, and low-income voters. A second major topic was restoration of voting rights for incarcerated people, including S. 524 and related House bills. The committee heard extensive virtual testimony from incarcerated individuals at MCI Norfolk and MCI Shirley, who said voting should be restored as part of rehabilitation, civic engagement, and reintegration. They described disenfranchisement as dehumanizing and argued that voting would help maintain family and community ties, reduce recidivism, and give incarcerated people a voice on laws affecting prisons and reentry. Rep. Erica Uyterhoeven also testified in support, saying the bill would restore municipal voting rights for incarcerated residents and align with broader efforts to expand political participation. The committee also heard testimony on bills affecting election administration and access, including a proposal to reduce or eliminate mandated early in-person voting in primaries and shorten the general-election early voting period, with supporters from the town clerks’ community arguing that low usage, staffing burdens, and costs justify the change. Opponents warned that reducing in-person early voting could hurt voters who do not use mail ballots and could disproportionately affect communities of color. Other bills discussed included decoupling the municipal census from voter registration, requiring periodic accessibility inspections of polling places, and a Somerville home-rule petition on non-citizen municipal voting and another on lowering the voting age in municipal elections. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• It wasn't for dental specifically; we looked at physician rates, but the conversation sort of broadly
• For emergency department facilities and ED physicians, the amount is $355 million.
• This funding goes toward increasing reimbursement for emergency physicians treating Medi-Cal enrollees
• This allows us to staff emergency departments at higher levels with more emergency physicians, so this
• Support for GME will only become more critical as HR1 student loan caps begin to exacerbate the physician

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

Transcript Highlights:

• It wasn’t for dental specifically; we looked at physician rates, but the conversation sort of broadly
• For emergency department facilities and ED physicians, the amount is $355 million.
• Madam Chair, Tim Madden, representing the California chapter of the American College of Emergency Physicians
• This funding goes toward increasing reimbursement for emergency physicians treating Medi-Cal enrollees
• This allows us to staff emergency departments at higher levels with more emergency physicians, so this

Summary: The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes. The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time. Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.

Transcript Highlights:

• Board certified as a family physician, Dr.
• He's also a member of the American Medical Association, the Texas Academy of Family Physicians and the
• And the amendment also removes the requirement that all claims be reviewed by a physician. of the same
• While I'm not a physician, there are physicians in this room that when you have a patient before you,
• I have heard those numbers and then between In 2008 and 2017, were you aware that the number of physicians

Bills: SJR57 , SCR8 , SB8 , SB14 , SB24 , SB108 , SB112 , SB125 , SB213 , SB251 , SB315 , SB318 , SB371 , SB378 , SB379 , SB472 , SB487 , SB502 , SB513 , SB565 , SB621 , SB650 , SB689 , SB707 , SB710 , SB761 , SB763 , SB815 , SB854 , SB875 , SB896 , SB916 , SB925 , SB958 , SB961 , SB965 , SB973 , SB987 , SB990 , SB995 , SB1006 , SB1018 , SB1019 , SB1024 , SB1026 , SB1146 , SB1194 , SB1198 , SB1253 , SB1330 , SB1343 , SB1362 , SB1379 , SB1497 , SB1498 , SB1527 , SB1532 , SB1547 , SB1596 , SJR36 , SJR12 , SJR57 , SCR22 , SCR12 , SCR8 , SB565 , SB765 , SB62 , SB666 , SB707 , SB888 , SB687 , SB847 , SB1248 , SB14 , SB1006 , SB504 , SB925 , SB995 , SB857 , SB305 , SB296 , SB284 , SB815 , SB1379 , SB1497 , SB1499 , SB1498 , SB241 , SB304 , SB621 , SB1023 , SB1024 , SB686 , SB112 , SB371 , SB204 , SB609 , SB670 , SB502 , SB850 , SB854 , SB413 , SB1362 , SB1346 , SB1033 , SB1220 , SB1073 , SB810 , SB987 , SB1539 , SB447 , SB875 , SB406 , SB985 , SB965 , SB1119 , SB1505 , SB24 , SB1194 , SB1253 , SB1215 , SB1532 , SB1302 , SB856 , SB650 , SB583 , SB673 , SB213 , SB681 , SB1172 , SB1252 , SB378 , SB1343 , SB608 , SB487 , SB955 , SB957 , SB988 , SB990 , SB1019 , SB1021 , SB1120 , SB251 , SB958 , SB761 , SB541 , SB315 , SB379 , SB1018 , SB1737 , SB266 , SB1415 , SB1527 , SB125 , SB599 , SB1330 , SB53 , SB916 , SB896 , SB1352 , SB973 , SB785 , SB710 , SB472 , SB1450 , SB1502 , SB1566 , SB414 , SB1062 , SB1547 , SB961 , SB1038 , SB513 , SB578 , SB711 , SB746 , SB942 , SB1404 , SB1448 , SB1738 , SB108 , SB8 , SB318 , SB507 , SB533 , SB689 , SB1026 , SB1349 , SB1355 , SB1433 , SB1434 , SB1596 , SB1403 , SB1198 , SB1146 , SB763 , SB667 , SB1059 , SB617 , SB1567 , SB503 , SJR37 , SB16 , SB310 , SB311 , SB396 , SB505 , SB1209 , SB1210 , SB1470 , SB264 , SB924 , SB1029 , SB1185 , SB1202 , SB1358 , SB1364 , SB1569 , SB1697 , SB1376 , SB1228 , SB519 , SB878 , SB1350 , SB462 , SB1535 , SB827 , SB1585 , SB207 , SB1207 , SB1619 , SB1396 , SB920 , SB1484 , SB1273 , SB1741

Keywords: central bank digital currency, CBDC, Federal Reserve, digital dollar, digital currency, cashless payments, financial privacy, cybersecurity, government surveillance, financial surveillance, money laundering, terrorism financing, illicit finance, banking policy, monetary policy, payments system, commercial banks, Texas Legislature, concurrent resolution, federal reserve digital currency