Transcript Highlights:

• That is an expansion of current law. I just want to be very clear about that.
• We would still encourage the legislature to consider an expansion of that list: water and wastewater,
• We would still encourage the legislature to consider an expansion of that list: water and wastewater,
• We would still encourage the legislature to consider an expansion of that list: water and wastewater,
• of that list uh water and an expansion of that list uh water and wastewater<01:29:31.040><c> streets

Committee: Senate Taxes

Transcript Highlights:

• Minnesota has made great strides in broadband expansion, but now we are at a crossroads.
• but now we are at a Broadband expansion but now we are at a Crossroads<00:13:42.600><c> we</c><00:13
• on track and keep Broadband expansion on track and ensure<00:14:04.920><c> Minnesota</c><00:14:05.519
• </c><00:34:30.200><c> has</c> investment in Broadband expansion has investment in Broadband expansion
• This is our fourth industrial park expansion.

Bills: HF47 , HF335

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

Keywords: telecommunications, installation, certification, safety, underground utilities, HF335, Greater Minnesota, economic development, public infrastructure, grant program, DEED, Department of Employment and Economic Development, business development, infrastructure grants, local government aid, general fund appropriation, rural development, site development, utilities, roads

Transcript Highlights:

• Tammany Parish Hospital District Number Two, Slidell Memorial Hospital Emergency Department Expansion
• The ED expansion project is adding 26 beds to our existing ED, also integrating another ED department
• The ED expansion project is adding 26 beds to our existing ED, also integrating another ED department
• So we're doing an expansion of 26 beds outside of the emergency department, as well as renovating two

Summary: The joint Senate and House Transportation, Highways, and Public Works committees met on March 3, 2026, to consider several construction manager at risk (CMAR/Seymour) requests before hearing a DOTD presentation. The first item, Caddo Parish’s proposed $9.6 million pickleball park in Southeast Shreveport, drew the most debate. Members questioned whether a pickleball complex was sufficiently complex or time-sensitive to justify CMAR, whether the location was accessible to residents without cars, and whether the process could disadvantage public bidding and minority contractors. The House initially voted to deny the request, but later reconsidered and approved it after discussion about the statute and the committee’s past practice. The committee also heard a brief procedural discussion about whether the statutory factors for CMAR are exhaustive and whether future reforms may be considered in the next session. The committee then approved several other CMAR projects with little or no opposition. Ascension Parish Sheriff’s Office received approval for an indoor shooting range, with testimony emphasizing specialized ventilation, lead control, bullet protection, and other technical requirements. Calcasieu Consolidated Gravity Drainage District No. 2 received approval for a pump station rehab/replacement project serving a large portion of Lake Charles and critical public facilities, with members citing the need to maintain drainage operations during weather events. St. Tammany Parish Hospital District No. 2’s Slidell Memorial Hospital emergency department expansion was approved based on the complexity of adding beds and renovating an operating ED, and St. Charles Parish Hospital’s entry registration/PACU renovation was also approved, with members noting the hospital exception to the CMAR threshold. The Port of Vinton dock project in Calcasieu Parish was approved as well, with testimony stressing a tight delivery schedule tied to an LED project and the need to keep port operations running during construction. After the Caddo Parish item was reconsidered, the committee recessed briefly and then adjourned the CMAR portion of the meeting to move on to the DOTD presentation.

Transcript Highlights:

• This bill prohibits utilities from abusing ratepayer dollars to work against the establishment or expansion
• The bill prohibits utilities from abusing ratepayer dollars to work against the establishment or expansion
• Unfortunately, for-profit investor-owned utilities spend money to fight the establishment or expansion
• SB 327 ensures that ratepayer money is not used to undermine the establishment or expansion of municipal

Summary: The Senate Committee on Energy, Utilities and Communications heard two bills. SB 742 by Senator Perez, the Wildfire and Emergency Management Act, would require investor-owned utilities to inventory and remove permanently abandoned or decommissioned transmission lines, update CPUC General Order 95, and participate more directly in emergency operations centers. The bill was presented as a response to the Eaton Fire and concerns that an unused transmission line may have contributed to the ignition. Supporters, including TURN and a utility wildfire survivor coalition representative, argued that abandoned lines are a serious wildfire risk and that utilities should be required to create removal plans and timelines. Senators raised questions about implementation, CPUC oversight, and ratepayer impacts, but the author and supporters said the bill is designed to reduce future fire and litigation costs. The committee adopted amendments and voted 12-0 to pass SB 742 as amended to Senate Appropriations, holding the roll open briefly before closing it. The committee also heard SB 327 by Senator McNerney, which would bar investor-owned utilities from using ratepayer funds to oppose municipal utility formation or expansion and would clarify the Public Advocates Office’s authority to inspect utility books and accounts. TURN and California Environmental Voters supported the bill, saying ratepayer money should not be used for political lobbying and that the Public Advocates Office needs clear statutory authority to investigate misuse of funds. PG&E and SDG&E/Southern California Gas opposed the bill unless amended, saying some of the cited lobbying costs were not recovered from ratepayers, that the bill could blur the roles of the CPUC and the Public Advocates Office, and that due process concerns remain. After discussion about clarity and amendments, the committee voted 10-3 to pass SB 327 as amended to Senate Appropriations, and the hearing adjourned.

Transcript Highlights:

• as of December 31st, 2026, Medicaid recipients, for the most part, who are part of the Medicaid expansion
• We actually had an expansion grant, a 12% increase in investments in those tribes, pueblos, and nations
• I was asking for a lot of money, a big expansion, lots of new positions, and I said if you give these
• Department, including the transfer of $1 million from DOIT to the Office of Broadband and Expansion.
• This slide presents the budget request for the Office of Broadband Access and Expansion.

Transcript Highlights:

• </c><00:16:19.519><c> of</c> and and my concern is again expansion of and and my concern is again expansion
• In the healthcare space, we're continually seeing expansion of technicians and others into the higher
• So I have those concerns, but I vote I... continually seeing expansion continually seeing expansion of
• When before the expansion of Medicaid in 2014, This is a very complicated issue and um one that battled
• When before the expansion of Medicaid in 2014, you know, that was limited to be billed only by um home

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• <c> during</c><00:44:48.079><c> uh</c><00:44:49.200><c> um</c><00:44:49.359><c> the</c> Medicaid expansion
• during uh um the Medicaid expansion during uh um the Affordable<00:44:50.480><c> Care</c><00:44:50.800
• c><00:49:27.200><c> rates</c><00:49:28.000><c> for</c><00:49:28.240><c> the</c><00:49:28.400><c> expansion
• </c> federal matching rates for the expansion federal matching rates for the expansion population<00:
• </c> study, if Hawaii picked up new expansion study, if Hawaii picked up new expansion costs<01:14:25.600

Committee: House Human Services & Homelessness

Summary: The committee met on March 20, 2025, to hear a series of Human Services and Health resolutions. HCR 146, which asks the Department of Human Services to apply for and implement the Elderly Simplified Application Project, drew strong support from disability, public health, and hunger advocates. Testifiers emphasized that the measure could create a more uniform benefits application, reduce repeated paperwork, extend certification periods from one year to three years, and ease burdens on both applicants and DHS staff. DHS said it stood on its written testimony and was available for questions. The committee also heard that a universal application could help people with disabilities avoid delays and denials caused by complex or duplicative forms. The committee then heard HR 170/HCR 174, which requests review of Aloha-based learning programs for youth in the juvenile legal system. Supporters from Opportunity for Youth Action Hawaii and DebtFree Justice Hawaii said the resolution would help advance restorative justice, community service, and culturally grounded rehabilitation, especially if youth fees and fines are reduced or eliminated. Testimony also supported HR 133/HCR 139, which asks the Office of Wellness and Resilience to report on the developmental needs of children born during the COVID-19 pandemic. Witnesses from the developmental disabilities council, the Office of Wellness and Resilience, the Hawaii Community Foundation, and others said the pandemic’s trauma and behavioral impacts justify a multidisciplinary, evidence-based report, and the office requested more time to complete its findings, suggesting a deadline at the end of 2026. The committee also heard HR 88/HCR 92, proposing a two-year homelessness sanctuary pilot program in Honolulu. One testifier described sleeping in a car and said the pilot could provide a safer option, while the Statewide Office on Homelessness and Housing Solutions said it supported the intent but stressed that a sanctuary is still an unsheltered situation and should lead people toward permanent housing. HCR 180, calling for collaboration among homelessness and law enforcement agencies, received comments that many of the issues are already being addressed locally. HR 103/HCR 107, which would convene a working group to strengthen Title 9 protections, received support from education, women’s, and LGBTQ advocates, who asked for student and queer representation on the working group and said federal Title 9 changes make state action important. No votes were taken during the portion of the meeting provided, and the committee moved from one resolution to the next after testimony and questions.

Transcript Highlights:

• So this is an expansion; it's not so much a RIF.
• We want to be able to continue the expansion of those services to veterans. ...of it, you know, we actually
• We want to be able to continue the expansion of those services to veterans.

Committee: All ALC-PERSONNEL

Summary: The Personnel Committee met to consider several agency personnel requests. It approved the Arkansas State Police request to surrender three corporal positions and replace them with three lieutenant positions for the I-40 corridor, and approved Arkansas State University-Jonesboro’s request for three project program administrator pool positions to support the new College of Veterinary Medicine. The committee also approved the Department of Commerce Economic Development Commission’s request for an extra help position tied to Infrastructure Investment and Jobs Act work, described as a fiscal/budgeting and auditing role. One item was pulled from consideration. The committee then reviewed a report item involving a reduction in force at the Department of Veterans Affairs that eliminated six positions. Veterans Affairs officials explained that the action was part of a broader restructuring, not simply a layoff, intended to realign the agency with its current mission, expand services for veterans earlier in their transition from service, and create a veteran employment specialist role to connect veterans with Arkansas employers. They said the restructuring was designed to fit within budget limits and would save money while expanding services. Members asked detailed questions about the impact on veterans, county veteran service officers, severance pay, and retirement implications. Veterans Affairs officials said county veteran service officers are still in place and that the agency is working to improve training, supervision, and consistency across counties, including a report-card style evaluation for county judges. Staff also explained that severance is based on years of service and is not recouped if an employee later takes another state job, though immediate transfers do not receive severance. After discussion, no further action was taken and the committee adjourned.

Transcript Highlights:

• That expansion to sixth grade.
• a whole bigger, broader 15 school districts. that expansion of the campus into middle that expansion
• That<00:24:15.280><c> expansion</c><00:24:16.200><c> to</c><00:24:16.760><c> sixth</c><00:24:17.480><
• </c> That expansion to sixth grade. That expansion to sixth grade.
• </c><00:24:20.640><c> of</c> He was referring to your expansion of He was referring to your expansion

Committee: Joint Appropriations & Revenue

Transcript Highlights:

• . ...16 acres for primarily supportive housing and 10 acres for local food bank expansion within the
• This rapid market expansion has occurred, however, without regulatory oversight.
• The expansion of renewable energy, including solar, is a critical step to reach these goals.
• Without this support, California risks slower infrastructure expansion, higher costs for operators and
• Any expansion would have to go through a whole new permitting process at DTSC.

Committee: Senate Environmental Quality

Summary: The committee heard presentations on several energy, environmental, and consumer protection bills while operating at times without a quorum. Senator McNerney presented SB 925, which would direct the California Energy Commission to develop a statewide roadmap for fusion energy, and SB 1350, which would expand the use of green hydrogen in the power sector by allowing renewable portfolio standard credit for power plants using hydrogen. Supporters said both bills would help California maintain leadership in emerging clean-energy industries, attract investment, and create jobs. Opponents of SB 1350 raised concerns about greenwashing, resource shuffling, and increased NOx emissions from hydrogen combustion, while supporters said committee amendments added guardrails against those outcomes. Senator Ashby presented SB 1010, a manufacturer-funded extended producer responsibility program for refrigerants in appliances; supporters said it would reduce greenhouse gas emissions and improve recovery, while opponents argued existing laws already regulate refrigerants and that the bill could raise costs and disrupt recycling markets. Senator Grayson presented SB 1145 to streamline CEQA and federal reuse procedures for qualifying projects in the Concord Reuse Project Area, which supporters said would help deliver long-planned housing, jobs, and open space, while one housing group sought stronger affordable-housing guarantees. Senator Cabaldon presented SB 1341, which would give CalRecycle authority to reduce processing fees for wine and spirits bag-in-a-box containers when fee collections exceed program needs; supporters said the current fee increase was abrupt and excessive, while opponents warned against giving the agency too much discretion. Senator Padilla presented SGR 13, urging the U.S. to secure enforceable commitments to eliminate transboundary sewage pollution in the Tijuana and New River watersheds during the 2026 USMCA review, and SB 1033, which would require testing and disclosure of heavy metals in protein products; SGR 13 drew strong support from border and environmental justice advocates, while SB 1033 drew support from consumer and health groups and opposition from industry groups concerned about labeling burdens and scope. Senator Caballero presented SB 1183, requiring a state study of the environmental, land-use, and economic impacts of industrial solar in the Central Valley; farm and land-use advocates supported the bill, while solar industry groups opposed unless amended, saying it should better reflect solar’s benefits and existing state analysis. After testimony, the committee took roll and adopted several measures on a 4-0 or 3-0 basis, with bills including SJR 13, SB 925, SB 1350, SB 1145, SB 1341, SB 1033, and SB 1010 advanced on call to Appropriations or, in the case of SB 1010, already voted with a 3-1 result before being held on call.

Transcript Highlights:

• Some of the expenses include $42 million to modernize technology, $38.6 million for workforce expansion
• Utilization is increasing by 2.8% for non-expansion groups and 6.3% for the expansion groups.
• So the FMAP rate, which is the federal match on the non-expansion group, is increasing in fiscal year
• So we have more expansion individuals rolling off than non-expansion.
• So 2.8% for the non-expansion group and about 6.3% for the expansion group.

Committee: House Appropriations

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• As a part of this investment, the university and Fairview will explore expansion of physical capacity
• of physical capacity at the expansion of physical capacity at the academic<00:04:14.080><c> medical<
• I think there's lots of ways that we can think about doing that sort of expansion.
• I think there's lots of ways that we can think about doing that sort of expansion.
• I think there's lots of ways that we can think about doing that sort of expansion.

Committee: Senate Higher Education

Transcript Highlights:

• So that's what it looks like in terms of the actual expansion for families here in Kentucky.
• for families here the actual expansion for families here in<00:26:58.640><c> Kentucky.
• Our pre-K expansion program is designed to help those families that can't find or can't afford child
• </c><00:46:13.920><c> program</c> program, our our prek expansion program program, our our prek expansion
• Let's say that, you know, we have, I don't know, 5,000 kids that decide to attend our expansion program

Summary: The subcommittee met without a quorum and first heard from Kentucky Department of Education officials on career and technical education funding. KDE explained that House Bill 499 created a CTE funding formula using 60% weighted full-time equivalent enrollment and 40% incentives, but House Bill 6’s budget language excluded area technology centers (ATCs) from that supplemental funding. KDE requested approval of an additional budget request of $14,789,352 in each fiscal year 2027 and 2028 to include ATCs in the formula and hold local districts harmless. Officials said ATCs serve students from 117 of Kentucky’s 171 districts and argued the change would reduce funding disparities and better reflect the return on investment from CTE programs, citing growth in dual credit and work-based learning participation. Members asked whether the issue would need to be revisited each budget cycle. KDE responded that the problem could be fixed by removing the notwithstanding language from the budget bill, which they said would allow ATCs to be included under the existing statute. Representative Klein supported the request, saying the current clause could lead to stagnation and that the committee should help the program continue to grow. No vote was taken on the CTE item during the portion of the meeting provided. The committee then heard a presentation from PreK for All on expanding preschool access in Kentucky. Advocates said the state’s preschool program has been funded since 1990 and currently serves about 14,200 children at roughly $84 million per year, but that many working families still fall into a coverage gap. They proposed expanding eligibility to 250% of the federal poverty line, which they said would add about 9,600 children at a cost of $40 million in year two, after a planning year. The proposal also included regulatory flexibility for classrooms and partnerships with private child care providers and nonprofits, with speakers emphasizing child care deserts in some counties and citing research that early learning improves kindergarten readiness and later outcomes. No action or vote was taken on the preschool proposal in the transcript provided.

Transcript Highlights:

• We have major expansion of peer support at the Health Care Authority.
• And we also have about $26 million in expansions proposed.
• And then lastly, we had a $45 million for certified community behavioral health clinic expansion.
• You all know that we just completed demonstration year two of our CCBHC expansions.
• You didn't see a lot of expansion items in our budget this year for this very reason.

Committee: House House Appropriations & Finance

Transcript Highlights:

• That is the promise of ADT expansion: a simpler system for colleges, a clearer pathway for students,
• baccalaureate pathway, that similarity determination should be student-centered, transparent, and expansive
• ADT expansion is also difficult because it equitable for students.
• That is the promise of ADT expansion, a simpler system for colleges, a clearer pathway for students,
• baccalaureate pathway, that similarity determination should be student-centered, transparent, and expansive

Summary: The Joint Legislative Audit Committee held an oversight hearing on a state audit of California’s community college transfer process, with members and witnesses broadly agreeing that transfer pathways remain too complex and inconsistent. Opening remarks emphasized that community colleges serve a large, diverse, often first-generation and low-income student population, but only about one in five transfer-intending students move to a UC, CSU, or other university within four years. Members highlighted disparities by race, region, campus, and major, and pointed to the Associate Degree for Transfer, TAG, and Cal-GETC as helpful but incomplete tools because requirements still vary across campuses and systems. State Auditor’s Office staff said the audit found that while UC and CSU overall enroll substantial numbers of transfer students, individual campuses and high-demand programs often do not, especially in STEM fields. They described barriers including missing prerequisite courses, unclear information, limited counseling, and inconsistent articulation between campuses. The audit used a computer science example to show how different UC and CSU campuses require different courses for the same major. The audit issued 22 recommendations, with 10 fully implemented and four partially implemented; remaining work centers on articulation, counseling, data sharing, and better use of ASSIST. UC, CSU, and the Community Colleges each said they support transfer and are taking steps to improve it. UC cited a new public dashboard, data-sharing agreements, new transfer pathways, and an ADT pilot at UCLA, while saying campus capacity and program differences limit systemwide mandates. CSU pointed to its strategic plan goals, the Transfer Success Pathway program, direct admissions outreach, and efforts to expand ADT alignment and credit applicability, while acknowledging that many students never reach the application stage. Community Colleges emphasized that transfer reform is central to equity and baccalaureate access, and called for stronger common course numbering, broader ADT acceptance, and more student-centered articulation. Members pressed the systems on why more uniform requirements and better coordination have not been achieved, and on how to reduce barriers for placebound and working students.

Transcript Highlights:

• That is the promise of ADT expansion: a simpler system for colleges, a clearer pathway for students,
• baccalaureate pathway, that similarity determination should be student-centered, transparent, and expansive
• ADT expansion is also difficult because it equitable for students.
• That is the promise of ADT expansion, a simpler system for colleges, a clearer pathway for students,
• baccalaureate pathway, that similarity determination should be student-centered, transparent, and expansive

Summary: The committee held an oversight hearing on a state audit examining California’s community college transfer process and whether streamlining it could improve access to bachelor’s degrees. Opening remarks from legislators emphasized that California’s transfer system is central to equity and workforce development, but that only about one in five transfer-intending community college students complete a transfer within four years. Members highlighted disparities by race, region, campus, and major, and pointed to confusion created by differing requirements across the UC, CSU, and community college systems, including limits and inconsistencies in the Associate Degree for Transfer (ADT), TAG, and major-specific prerequisites. State Auditor’s staff said the audit found that while UC and CSU systemwide enroll more transfer students than the Master Plan target, individual campuses and high-demand STEM programs often do not. The audit identified barriers including unclear and varying course requirements, limited counseling and education plans, insufficient counselor staffing at some campuses, and weak equity plans. It also found that many students never even apply because they do not accumulate enough units or cannot navigate the process. The auditor described examples where transfer students with strong preparation were denied at selective campuses and noted that articulation alignment across systems remains limited. Representatives from UC, CSU, and the Community Colleges responded that transfer remains a top priority and described ongoing reforms. UC cited a new public dashboard, data-sharing agreements, new transfer pathways, and an ADT pilot at UCLA, while saying campus-level capacity and program differences limit how much can be standardized from the system office. CSU said it admits more than 90% of eligible transfer applicants, is expanding transfer planning tools and direct outreach, and is implementing SB 640’s Transfer Success Pathway Program. Community Colleges said transfer reform must focus on clearer credit mobility, more consistent articulation, and broader ADT adoption. Members pressed the systems on inconsistent major requirements, the need for better coordination, and whether campuses are fully prioritizing transfer students; no votes were taken during the hearing.

Transcript Highlights:

• committee of the Gender Journeys Day, which is a group that does work here in Hawaii for gender-expansive
• I personally have close family members who are gender expansive, and I'm part of the community as well
• kei um primarily around expansive kei um primarily around supporting<00:24:49.039><c> families</c><00
• close family members um who<00:24:56.320><c> are</c><00:24:56.480><c> gender</c><00:24:57.039><c> expansive
• um and I'm part who are gender expansive um and I'm part of<00:24:58.720><c> the</c><00:24:58.960><c

Committee: Senate Health and Human Services

Summary: The Health and Human Services Committee heard a series of gubernatorial nominations, primarily to the State Rehabilitation Council, the Policy Advisory Board for Elder Affairs (PABEA), the Hawaii State LGBTQ+ Commission, and the Center for Nursing Advisory Board. Nominees included Patrick Gartside, Judith Daniels, James Montgomery (not present), Christine Park, Tammy Napoleon, Scott Spelina, Roy Katsuda, and Dr. Sylvia Rom. Each nominee described their background and why they wanted to serve, with recurring themes of disability advocacy, vocational rehabilitation, nursing workforce development, elder issues, and LGBTQ+ health and community support. Department of Human Services and Executive Office on Aging representatives generally testified in strong support of the nominees and emphasized their qualifications and relevance to the boards’ missions. Members and agency witnesses also discussed substantive policy issues during the nominations. For PABEA nominee Scott Spelina, the committee asked about a bill involving strict liability and elder abuse-related criminal penalties; Spelina supported the approach, saying it would be easier to enforce and better protect seniors. For other nominees, testimony highlighted the need for stronger rehabilitation services, qualified vocational rehabilitation counselors, adult education partnerships, and nursing recruitment and retention, especially on Kauaʻi. Dr. Sylvia Rom’s nomination drew broad support from commission members and community supporters, with testimony focusing on LGBTQ+ health, gender-expansive youth, and intersectional advocacy. No final votes were taken during the hearing. The chair repeatedly stated that decision-making would be deferred until later in the calendar, and in some cases until the nominee was present or quorum was available. One nomination, James Montgomery, was skipped because he was not present on Zoom, and Kevin Nakamura’s nomination was also deferred to a later date. The committee accepted written and oral testimony and generally moved through the nominations without questions from members.

Transcript Highlights:

• Now, it did come up in committee, and people said, well, that's an expansion, and it was never supposed
• So while it's not full Medicaid expansion repeal, it's going to have about a third to half the impact
• So let's say, you know, I've seen estimates that the full repeal of Medicaid expansion would lose about
• While full Medicaid expansion repeal would lose us about a billion dollars in economic investment in
• While full Medicaid expansion repeal would lose us about a billion dollars in economic investment in

Transcript Highlights:

• standards on par with alcohol must exist before the THC beverage industry should be allowed any expansion
• standards on par with alcohol must exist before the THC beverage industry should be allowed any expansion
• I worry about any of the expansion of any of these things, hence the reason for that.
• I worry about any<00:21:10.240><c> of</c><00:21:10.320><c> the</c><00:21:10.400><c> expansion</c><00:
• of any of these any of the expansion of any of these things,<00:21:12.480><c> hence</c><00:21:12.720

Committee: Senate Licensing & Occupations

Transcript Highlights:

• And in terms of expansion, Dr.
• Hartzog is part of bringing that expansion to one of our UCs, to UC Santa Cruz via UC Davis.
• Over the last five program years, Song-Brown has funded 1,150 existing slots and 412 new or expansion
• And just noting again that our ability to fund new or expansion is prescribed in appropriation.
• So targeting state funding toward primary care residency expansion is therefore not only responsive to

Summary: The Assembly Budget Subcommittee on Health held a hearing focused first on the impact of H.R. 1 on medical student financing and physician access, then on state residency-support programs. The chair framed the discussion around expected federal Medicaid and student loan changes, warning that higher borrowing barriers could reduce access to medical school for lower-income students and worsen physician shortages, especially in underserved regions. The LAO explained that H.R. 1 would cap federal loans for professional students, eliminate Grad PLUS for new borrowers, and likely shift more students toward private loans with less favorable terms; it said the bigger concern may be who can afford to attend medical school rather than a sharp drop in enrollment. HCAI described three physician loan repayment programs—the State Loan Repayment Program, the Stephen M. Thompson Physician Corps Loan Repayment Program, and the County Medical Services Program loan repayment program—and said retention data show many awardees remain in California and in underserved or safety-net settings after service obligations end. University of California and UCSF witnesses described California’s physician workforce shortages, especially on the Central Coast and in rural and agricultural communities, and said affordability, limited medical school capacity, and burnout are pushing some doctors into concierge practice or out of underserved areas. They emphasized that students from low-income backgrounds and underrepresented communities are more likely to be affected by loan limits and that residency location strongly influences where physicians ultimately practice. Members asked about medical school capacity, out-of-state students, residency retention, and whether the state could expand slots or better target aid to keep physicians in California and in high-need communities. Public commenters urged the Legislature to consider shortages in anesthesia, pediatric subspecialties, midwifery, and culturally concordant care, and to support broader workforce pathways and public-service loan programs. The second panel reviewed graduate medical education programs, especially CalMedForce, CalMedForce Plus, and Song-Brown. UC and HCAI said CalMedForce has supported new residency slots since 2018, while Song-Brown funds primary care residency training and has recently supported new programs in rural areas such as Del Norte County. The LAO said the state should decide whether residency support should remain a budget priority, whether these competitive grant programs are the best mechanism, and whether their structures are too rigid or duplicative. It noted that most awardees receive funding more than once and that the programs overlap substantially, suggesting possible coordination or consolidation. A family physician from the California Academy of Family Physicians argued that stable funding for primary care residencies is essential, that many California-trained physicians stay where they train, and that future funding should be more deliberately directed to primary care and high-need communities. The hearing ended with discussion of emergency room crowding, geographic inequities in residency distribution, and HCAI’s plan to develop supply-and-demand models to guide future funding decisions.