Transcript Highlights:

• The bill also establishes a similar partnership program between DSHS and the City of Medical Lake for
• I'm James McMahon, Policy Director with the Association of Sheriffs and Police Chiefs, testifying in
• So I think this is a great policy bill for us to be considering.
• in economics, policy analysis, politics, and philosophy from the University of Washington.
• My name is Nathan Olson, and I serve as the Public Safety Policy Advisor for Governor Ferguson.

Committee: House Community Safety

Transcript Highlights:

• Requirements that do not apply the policy equitably across all state-regulated populations, and this
• equitably across all state-regulated populations. requirements that do not apply the policy equitably
• I'm the public policy and legislative affairs manager for the Washington State Women's Commission.
• I'm also the director of government affairs and policy for FRISMA. I've worked for nearly 20...
• I'm also the director of government affairs and policy for FRISMA.

Summary: The committee heard testimony on three health care bills. HB 1496 would cap charges for electronically stored medical records at $50 for patients and certain authorized recipients, while removing a free-copy provision tied to SSI/SSDI appeals and changing attorney fee language to “prevailing patient.” Supporters, including patient advocates, attorneys, and injured workers, said current record fees can reach thousands of dollars and block access to justice; opponents, including hospitals, home care providers, and records vendors, argued the bill would not cover the labor and HIPAA compliance work involved in large third-party requests and could shift costs to providers and patients. The bill remained in hearing with testimony continuing after the committee moved through other bills. HB 2182 would change how the Department of Corrections distributes its stockpile of mifepristone and misoprostol, removing the requirement that the medications be sold at cost plus a $5 fee and instead allowing, but not requiring, payment while directing DOC and the Department of Health to coordinate distribution to providers and facilities. The prime sponsor and supporters said the bill is needed so the state’s stockpile does not go unused or expire and to remove barriers to access for abortion and miscarriage care; opponents argued the bill subsidizes abortion, raises legal and taxpayer concerns, and should be rejected. Public testimony on HB 2182 was closed after hearing from both supporters and opponents. HB 2196 would require certain fully insured health plans to cover IVIG for PANS and PANDAS, with initial and medically necessary follow-up courses, and would bar denials based on prior treatment, age, out-of-state care when unavailable in Washington, or treatment guidelines that only address psychiatric symptoms. The sponsor, families, and physicians described severe, sudden-onset symptoms in children and said IVIG can be life-changing after other treatments fail, while insurers warned the mandate could add to already rising premiums and noted the treatment can be very expensive. HB 2242 would shift vaccine and preventive-service recommendation authority from federal bodies to the Department of Health, while preserving no-cost coverage for preventive services and updating the reference date for protected services; the governor, insurance commissioner, public health officials, and many physicians supported it as a way to preserve access amid federal instability and rising vaccine-preventable disease, while questions focused on whether the bill would change school or daycare requirements, which staff said it would not.

Transcript Highlights:

• If the idea is that this is a public-private partnership, is that the proper description for this?
• This is a public-private partnership? Is that the proper description for this?
• There's a public-private partnership and a for-profit company are two different things, I guess.
• We had a very diverse group of bills on the floor, policy, budgets, and everybody just did fantastic.
• Could have amendments for three of the policy bills that are on there.

Committee: House Appropriations

Summary: The committee reconvened in the afternoon and took up only Senate Bill 2015, the Department of Corrections budget. Representative Steeman explained that the budget reflected major changes from the Senate version because bed contracts with Grand Forks and Burleigh-Morton were still unresolved when the Senate acted. He described rising inmate populations, added county/regional jail payments, deferred maintenance and repair funding, planning money for a new Missouri River Correctional Center, software and equipment upgrades, victims of crime grants, and a one-time diversion/deflection center grant for Fargo funded through the Community Health Trust Fund. He also outlined funding for body cameras, tasers, and protective vests, and a Native American reentry program/report provision, along with a legislative management study on sentencing, corrections, and parole oversight. Members asked about the possibility of private or design-build alternatives for the new Missouri River Correctional Center. After discussion, the committee adopted language directing the steering committee to oversee design and construction and to explore other options. There was also discussion of the importance of maintaining North Dakota’s correctional rehabilitation culture, the cost and availability of out-of-state placements, and the current number of inmates housed in regional, county, and interstate facilities. The committee adopted the amendment to engrossed Senate Bill 2015 and then approved the bill as amended on a 21-0 vote, with two members absent and not voting. Representative Steeman was designated as the carrier. The chair then thanked members for their work and announced the committee would reconvene the next morning to continue with remaining bills and budget work before adjourning.

Transcript Highlights:

• </c> &gt;&gt; It's it is a public private partnership &gt;&gt; It's it is a public private partnership
• the partnership.
• </c> different kind of partnership different kind of partnership distribution<01:28:39.760><c> of</c>
• I've talked loss within the partnership.
• </c> meeting I'm on their policy committee. meeting I'm on their policy committee.

Summary: The Kentucky Housing Task Force met and heard first from the Kentucky Chamber of Commerce, which presented findings from a housing study done with the Home Builders Association. The chamber said housing is now a major economic-development issue, citing survey results that 90% of community leaders said their region could not absorb a major job announcement and 66% said housing is holding back Kentucky’s economy. The chamber described Kentucky’s housing shortage, rising home prices, declining permits since 2008, and the need for more production to support growth. It urged policy changes including zoning and land-use reform, tax incentives, regional approaches, and especially a residential infrastructure fund modeled on Indiana’s low-interest loan program to help communities finance roads and other infrastructure needed for new housing. Members asked about the severity of the problem, workforce shortages in permitting and construction, the loan interest rate, repayment, and whether Kentucky could replicate Indiana’s results; the witness said the issue is a crisis and that the program would be a revolving public-private partnership, likely around 3% interest, with implementation details still to be worked out. The Kentucky Bankers Association then testified that the housing gap is especially acute for households at 80% of area median income and below, which it said represents about 70% of Kentucky’s housing need. It emphasized that the shortage affects both urban and rural counties and pointed to examples such as Rowan County, where workers at major employers must commute long distances because local housing is unavailable or unaffordable. The bankers said high interest rates remain a major barrier and proposed a $20 million bank commitment for a revolving fund tied to tax credits to finance new housing, not refinances. They cited Hope of the Midwest as an example of a successful tax-credit housing model with a long track record and no defaults, and said the proposal would leverage public-private partnerships to create new units. Committee members questioned how the proposed fund would compare with industrial revenue bonds and whether it could be structured like Kentucky’s tobacco settlement fund, with seed money, a review board, scoring criteria, and possible population thresholds to ensure smaller communities benefit. The bankers said the proposal would be another tool for cities and counties, specifically tied to residential infrastructure, and that larger cities should not be able to capture all of the resources. No formal votes or actions were taken during this portion of the meeting.

Transcript Highlights:

• We know how to work in partnership. And that work will continue.
• Mark Stivers, with the California Housing Partnership.
• And lastly, a robust policy function that has the necessary data and tools to advance housing policy
• You have our partnership as well, so I appreciate the time.
• Seeing this through, you have our partnership as well.

Summary: The joint hearing focused on the Governor’s 2025 reorganization plan to split the Business, Consumer Services and Housing Agency into two new agencies: a Business and Consumer Services Agency and a California Housing and Homelessness Agency. Administration officials said the change would give each side more focused leadership, improve consumer protection and regulatory oversight, and better align housing and homelessness policy with the state’s broader housing goals. Leaders from the Department of Consumer Affairs, Cannabis Control, Alcoholic Beverage Control, and Financial Protection and Innovation all voiced support for the business-side reorganization, while housing officials emphasized that the new housing agency would help streamline funding, compliance, and coordination across programs. Members raised concerns about timing, budget impacts, office space, and whether the split would actually reduce bureaucracy. The administration said the plan would be included in the May Revision, was intended to be cost-neutral, and would not require fee increases for licensees or additional office space. On the housing side, officials said the new Housing Development and Finance Committee would work toward a single application and more coordinated award process for affordable housing funding, while preserving CalHFA’s statutory and financial independence. They also said the reorganization would improve compliance monitoring, data collection, and coordination with local governments, including Los Angeles homelessness programs. Public testimony was largely supportive. Industry groups representing beverage distributors, craft brewers, wine, mortgage lenders, and housing organizations backed the business-side split, and housing advocates such as Housing California, the California Housing Partnership, and the California Housing Consortium supported the housing agency concept and the proposed one-stop-shop approach. Several witnesses urged that tax credits, bonds, and other funding sources be better coordinated, and some said the plan should be paired with additional state investment and implementation resources. No formal vote was taken; the hearing was informational.

Transcript Highlights:

• Also, through a partnership with DCAM, we've integrated Facility condition.
• Also, through a partnership with DCAM, we've integrated occupancy and hourly utilization data with our
• This policy requires president and board approval of projects with the following thresholds.
• Yeah, there is something in the Building Authority's policy, which is sort of the one that institutes
• It's been a great partnership, and I appreciate the questions and the dialogue.

Committee: Joint Joint Committee on Bonding, Capital Expenditures and State Assets

Summary: The committee heard testimony on the BRIGHT Act, a higher education capital bill that would use Fair Share surtax revenue to fund major repairs, modernization, and decarbonization projects across UMass, state universities, and community colleges. UMass leadership described a $4.8 billion deferred maintenance backlog, aging buildings, and the need to modernize facilities, improve accessibility, and reduce emissions. Administration officials said the bill would authorize $2.5 billion in capital funding, split roughly 50-50 between UMass and the rest of public higher education, plus additional targeted funding for housing planning, smaller modernization projects, campus master plans, and workforce skills grants. They emphasized that the financing structure is modeled on the Commonwealth Transportation Fund and would not raise student costs, while also supporting affordability through financial aid and free community college. Members raised questions about regional equity, the distribution of funds among the five UMass campuses and the 24 state university/community college campuses, project labor agreements, whether the bill would unlock private or federal matching funds, and how the system is preparing for AI and changing workforce needs. UMass officials said project selection is data-driven, based on deferred maintenance, safety, accessibility, sustainability, and programmatic needs, and that the flagship campus in Western Massachusetts would likely receive a large share because of its size and needs. They also said UMass Boston would receive its own share and would not be shortchanged by the Bayside project. On labor, they said PLAs are commonly used and they would follow existing board and building authority policies. On affordability, they said the university has shifted hundreds of millions into need-based aid and that the state’s recent support has helped keep tuition low for many students. DCAMM and higher education officials said the state’s public campuses account for a large share of state-owned building space and a disproportionate share of operational carbon emissions, making decarbonization a major driver of the bill. They said the legislation would allow larger, more comprehensive projects that can address deferred maintenance, energy efficiency, and program needs at the same time, while also making some projects shovel-ready through the Fair Share supplemental funding already appropriated. A later panel from the State Universities Council of Presidents argued the bill’s authorization is still too small to meet long-term needs and urged the committee to increase the bond cap and ensure a more equitable distribution among segments. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• This also undermines state and local partnership.
• This also undermines state and local partnership.
• This also undermines state and local partnership.
• This also undermines state and local partnership.
• </c><00:52:06.400><c> issues</c> one of the hardest public policy issues one of the hardest public policy

Summary: The committee first took up Senate Bill 11, a proposal to create a matching-grant program for neighborhood storm shelters in rural Kentucky. Sponsor Steve Meredith and supporters from the Kentucky League of Cities and the City of Morgantown said the idea was to use FEMA-style funding to help residents who live far from community shelters, noting that in some rural counties it can take 30 to 45 minutes to reach a shelter during severe weather. The committee adopted the substitute and passed the bill 11-0, with no nay votes. The committee then considered Senate Bill 41, which would require a ballot referendum whenever a taxing entity raises property taxes more than 4 percent, rather than relying on the current petition process. Sponsor Gary Boswell said the bill would give taxpayers more direct control and argued that local governments should simply avoid raising taxes above the threshold. Superintendents from Rockcastle and Casey counties opposed the bill, saying it would weaken local control, add election costs, delay budgets, and make it harder for school districts to keep up with inflation, insurance, transportation, and construction costs. After debate, the committee passed the bill 7-3 with favorable expression. Next, the committee heard Senate Bill 59, which would add criminal penalties to KRS 65.013, the law barring public funds from being used to advocate for or against ballot questions. Sponsor Steve Rawlings said the measure was prompted by reports of school officials using public resources to oppose a 2024 ballot issue and argued the law needs real enforcement to protect taxpayers and election integrity. Members raised concerns about First Amendment issues and the bill’s gray areas, especially for public employees speaking on their own time; Rawlings said the substitute removed volunteer references, allowed balanced issue debates, and clarified that employees acting on their own time and resources would not be prohibited. The committee passed the bill 8-3 with favorable expression. The committee also began hearing Senate Bill 57, as substituted, from Senator Danny Carroll. The bill would create a nuclear-ready site readiness pilot program under the Kentucky Nuclear Energy Development Authority, with up to three projects receiving up to $25 million each to help cover early site permitting and related licensing costs. Carroll, along with witnesses from the UK Center for Applied Energy Research and the Public Service Commission, said the goal is to build a nuclear energy ecosystem in Kentucky, with safeguards including surety bonds, deadlines, and cost-recovery provisions. The discussion was still underway when the transcript ended.

Transcript Highlights:

• Today, I will be presenting a capital outlay policy brief on containing construction costs in higher
• We're grateful for the partnership that we have there.
• and this has been and always will be a project that is one of partnerships.
• are in the policy document as an appendix.
• We have some partnerships ongoing.

Transcript Highlights:

• So we started one with a partnership with ID.me and then have now expanded that to connect to the DMV
• Partnership, and maybe if you can tell me more about that.
• My focus has remained the same: building public trust and working in partnerships with communities to
• We've enjoyed his open-door policy, had some good open discussions.
• We've enjoyed his open door policy, had some good open discussions.

Committee: Senate Rules

Summary: The Senate Rules Committee met to consider several governor’s appointments, bill referrals, rule-waiver requests, and floor acknowledgments. The committee approved a series of non-appearing appointments, including Peter Briar-T to the Southern Low-Level Radioactive Waste Commission, multiple appointments to the Acupuncture Board, Roy Mathur to the Board of Pilot Commissioners, and Davina Hurt to the California Water Commission, with most votes unanimous and Hurt’s appointment approved 3-2. The committee also approved bill referrals, rule waivers for guests on the Senate floor, and floor acknowledgments. The committee then heard testimony from Lillian Corral, appointed to the California Community Colleges Board of Governors. Corral emphasized her background as a first-generation college graduate and immigrant, and said her priorities would include helping students connect to livable-wage jobs, supporting Vision 2030, improving data and digital infrastructure, expanding dual enrollment, and considering regional bachelor’s degree programs at community colleges where workforce needs justify them. Senators questioned her about achievement gaps, the role of data in improving student outcomes, the expansion of community college bachelor’s degrees, faculty staffing, and her employer New America’s positions on privacy, age verification, and TikTok. The committee voted 3-0 to advance her appointment to the full Senate. The committee also heard from Paul Tupi, nominated to lead the Department of Alcoholic Beverage Control. Tupi described a career in law enforcement and said he would focus on public trust, timely licensing, licensee education, and enforcement against irresponsible operators. Senators asked about ABC’s enforcement tools, including decoy operations, shoulder-tap checks, delivery compliance, and investigations tied to alcohol-related crashes; funding stability; delivery alcohol violations during COVID; and ABC’s approach to entertainment zones and other alcohol-policy changes. Support testimony came from industry and advocacy representatives, who praised his responsiveness and open-door approach. The committee approved his appointment 5-0 for consideration by the full Senate.

Transcript Highlights:

• We do policy work.
• changes on National systems policy changes on National levels<00:18:05.840><c> all</c><00:18:06.080>
• In addition to that, we have a partnership with another organization called Think Self.
• In addition to that, we have a partnership with another organization called Think Self.
• In addition to that, we have a partnership with another organization called Think Self.

Transcript Highlights:

• Paul, and I am the President and CEO of the Hmong American Partnership.
• This growth, this opportunity, was made possible by partners like Hmong American Partnership.
• </c> programs at Lake View in partnership programs at Lake View in partnership with<00:42:08.960><c>
• </c> solutions so there's been Partnerships solutions so there's been Partnerships with<00:47:23.280>
• </c> second program we ran was in partnership second program we ran was in partnership with<01:00:54.079

Bills: HF110 , HF111 , HF263 , HF105

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Keywords: HF110, Adrian Independent School District, Independent School District No. 511, school construction, sales tax exemption, use tax refund, refundable exemption, construction materials, capital improvements, school roofing, playground remodel, retaining walls, plumbing, bathroom remodel, locker room remodel, window replacements, local tax relief, general fund appropriation, Minnesota chapter 297A, retroactive tax refund

Transcript Highlights:

• And as part of that, called for the CEA to prepare a study assessing policy options to provide safe,
• So we've developed this unique partnership.
• So we've developed this unique partnership.
• I direct the climate and energy policy program at Stanford University.
• The coalition believes there are essential policies the legislature...

Transcript Highlights:

• Efforts with the New Mexico Partnership.
• It's a partnership through QNMI at UNM and the New Mexico Consortium at LANL. Those.
• Part of that partnership though is. This 49 million ask that the executives made.
• Your leadership and partnership, and everybody's contributions are deeply appreciated.
• So that's part of the role that the New Mexico Partnership plays.

Committee: House House Appropriations & Finance

Transcript Highlights:

• Welcome, Kelly McLean, the Assistant Director for Agricultural and Environmental Services and policy
• It can help us improve working... ...opportunities for private-public partnerships in that space.
• So those are the main talk. opportunities for private public partnerships in that space.
• And that's the WAA food study, which is a partnership between the University of Washington, Washington
• So RASIP is the short acronym for the Western Region Agricultural Stress Assistance Partnership.

Summary: The Senate Agriculture and Natural Resources Committee met for a work session focused on Washington agriculture’s condition, food security, behavioral health, and animal disease surveillance. WSDA Director Derek Sandison and economist Maddie Roy presented an update on agricultural viability, describing Washington agriculture as highly diverse and valuable but increasingly strained by rising production and labor costs, aging producers, consolidation, trade barriers, land pressures, stagnant research funding, infrastructure concerns, and climate impacts. They cited declining farm numbers, falling net farm income, and negative take-home pay for farmers, while also noting strengths such as climate, soils, ports, irrigation, universities, and other infrastructure. Committee members asked about commodity-specific impacts, comparisons with other states, and the role of regulation in worsening costs. Kelly McLean followed with a discussion of opportunities to support agriculture, including trade, domestic food systems development, climate mitigation, clean energy, ag tech, workforce and education, and mental health. She highlighted investments in port and transportation infrastructure, local food processing and distribution, land access and incubator opportunities, climate resilience projects, and programs supporting farmworker and farmer mental health. Katie Raines then updated the committee on food systems and food security, explaining WSDA’s reorganization into a Farm and Food Systems Development Division and describing trends in household food insecurity, the state’s hunger safety net, and the importance of food system infrastructure. She noted that food insecurity is rising again and that even higher-income households are reporting need, while legislators asked about eligibility thresholds and the impact on lower-income residents. The committee also heard from WSU Skagit County Extension’s Don McMoran and Maddie Van der Koi on agricultural stress and suicide prevention. They described the Western Region Agricultural Stress Assistance Partnership, crisis and referral resources, peer-to-peer outreach, trainings, and free counseling vouchers for farmers and farmworkers. They emphasized that farmers face chronic stress from financial volatility, weather, labor shortages, isolation, and stigma, and cited elevated suicide rates in agricultural populations. Members asked about reluctance to seek help and whether flooding had increased demand for services. Finally, Dr. Kevin Snekovic of the Washington Animal Disease Diagnostic Laboratory described WADDL’s role in disease testing, food safety, wildlife surveillance, and rapid response to outbreaks such as avian influenza and chronic wasting disease. He said the lab supports trade and quarantine decisions, and members asked about elk hoof rot research, workforce needs, and how to connect constituents to the lab. No votes were taken; the session ended with a preview of upcoming Thursday work sessions on marine resources, Columbia River Basin supply, Ecology’s report back, and agricultural natural resources issues.

Transcript Highlights:

• AB 54 is about more than policy; it's about dignity.
• Glenn Backus for Drug Policy Alliance, proud co-sponsor.
• My name is Divya Shiv, and I'm the Senior Policy Advocate for Homelessness Policy at Housing California
• Norma Palacios with the Drug Policy Alliance in support.
• Norma Palacios with the Drug Policy Alliance, in support.

Committee: House Health

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills focused largely on reproductive health, public health, housing, and health workforce issues. Early items included AB 54 and AB 260, both aimed at protecting access to medication abortion in California by shielding providers, manufacturers, pharmacies, and others from liability and by preserving access through telehealth and other delivery methods. Supporters, including the Attorney General’s office, Planned Parenthood, Black Women for Wellness, and other reproductive justice groups, argued the bills were needed to preserve access after Dobbs and amid federal threats. Opponents from the California Family Council and California Catholic Conference argued the measures removed safeguards and promoted unsafe abortion access. Both bills were moved forward on committee votes. The committee also heard AB 551, which would create a pilot program to help emergency departments provide evidence-based reproductive health services, and AB 309, which would remove sunset dates on laws allowing pharmacists to sell syringes without a prescription and clarifying that possession of sterile syringes for personal use is not a crime. AB 551 drew support from emergency physicians and reproductive health organizations, while opponents said it would expand abortion access without adequate safeguards. AB 309 was supported by public health, pharmacy, and harm-reduction groups as a proven HIV and hepatitis prevention tool; the California Narcotic Officers Association opposed it. AB 309 was approved, while AB 551 was also advanced. Other measures advanced included AB 536, which would preserve colorectal cancer screening coverage if federal preventive-care rules are disrupted; AB 804, which would make housing support services a Medi-Cal benefit and seek federal matching funds; AB 594, which would protect students from being charged for school health insurance after they withdraw and require notice of premium increases; AB 836, which would study and expand California’s midwifery education pipeline; AB 1418, which would require reporting on health coverage trends for eligible employees; and AB 1500, which would expand and preserve abortion.ca.gov as a trusted reproductive health information resource. Each drew supportive testimony from sponsors, health care providers, and advocacy groups, with some opposition to AB 1500 arguing the state should provide broader women’s health information rather than an abortion-focused site. Most of these bills were moved out of committee on party-line or near-party-line votes, and several measures were placed on call before final roll calls.

Transcript Highlights:

• From federal policy changes.
• But I also think that we need to look at our entire tax policy of what we're doing.
• By system, we mean a coordinated... of programs, services, and partnerships.
• It requires aligning policy, funding, partnerships, workforce, and the infrastructure to drive better
• And Policy Research and Quality Initiatives, Dr. Haley Hines.

Transcript Highlights:

• They also have an opportunity to provide comments on policy letters, adding to the richness of the policy
• So given that, that gives me a direct view of these policies and how these policy decisions will have
• So given that, that gives me a direct view of these policies and how these policy decisions will have
• through policy research and advocacy.
• This is a policy choice that harms our patients.

Transcript Highlights:

• And this policy is the same as in the past.
• I did not detect any changes in this policy from the current policy that we have been abiding by.
• So another aspect of that partnership is a tech policy symposium that will be kicked off by our chair
• So another aspect of that partnership is a tech policy symposium that will be kicked off by our chair
• The policy framework is pretty brief.

Transcript Highlights:

• They also have an opportunity to provide comments on policy letters, adding to the richness of the policy
• So, given that, that gives me a direct view of these policies and how these policy decisions will have
• So given that, that gives me a direct view of these policies and how these policy decisions will have
• through policy research and advocacy.
• This is a policy choice that harms our patients.

Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.

Transcript Highlights:

• This oversight hearing will provide updates on the progress with the policy and fiscal reforms made to
• And ideally, we are well underway with implementing the policies and reforms within SB 158.
• Lastly, I just want to mention that there are a lot of policies under DTSC's authority.
• I'm a senior attorney in the Community Partnerships Program at Earthjustice.
• And I really think that part of what's happened And laying out those policy choices.

Summary: The joint oversight hearing focused on DTSC’s implementation of SB 158 reforms, including enforcement, community engagement, fee stability, the hazardous waste management plan, permitting backlogs, and the Safer Consumer Products program. Senators and Assembly members emphasized protecting overburdened communities and asked how DTSC and the Board of Environmental Safety are using their authority to improve accountability, reduce delays, and address hazardous waste facilities and consumer product chemicals. The hearing also included discussion of extended producer responsibility programs and whether DTSC can support them more efficiently, including through coordination with CalRecycle. DTSC Director Katie Butler said the department is now more transparent, accountable, and fiscally stable, citing stronger enforcement actions, an interactive inspections map, expanded community outreach, and emergency response work on the Los Angeles wildfire cleanup. She said DTSC has made progress on fee reform, the hazardous waste management plan, cleanup grants, permit renewals, and safer consumer products rulemaking, including adding microplastics to the candidate chemical list. Board Chair Andrew Rakestraw said the board has held multiple public meetings and hearings, is working on fee rates and performance metrics, and is revising the hazardous waste management plan after public comment, including removing a proposal to send certain contaminated soil to municipal landfills. He also noted remaining concerns about fee structure, permit delays, and the pace of the safer consumer products program. Public witnesses offered sharply different views. A representative of the California Council for Environmental and Economic Balance said SB 158 reforms have improved permitting and transparency, but urged more attention to risk-based decision-making, reduced duplication, and possible General Fund support for plan implementation rather than relying only on fees. Earthjustice argued DTSC remains too slow and that communities continue to suffer from long-delayed permits and weak protections, urging the Legislature to take a more active role and to prioritize eliminating hazardous substances rather than minimizing costs. Committee members pressed the witnesses on permit renewals, community impacts, and the pace of the safer consumer products program, while DTSC defended its progress and said further legislative collaboration may be needed on hazardous waste management and emerging waste streams.