Transcript Highlights:

• I did not look into what structures, from a budgetary standpoint, other states have.
• Within that structure, as well as to determine what is that critical need for that grant.
• Changes to our property tax structure in Florida effective January 1st, 2027.
• Look, the reality is that we're making some real serious structural changes.
• Every structure and all of our infrastructure was devastated.

Keywords: 999, senate, all

Transcript Highlights:

• the administration has made significant progress in reducing the state's operating deficit, or structural
• Applicants invested extensive time and resources in good faith, relying on the funding structure that
• structured in a way that allows tribes to access them in a real way.
• Assembly Member Bonta: I did have just one question around the structure of this distressed hospital
• Maybe moving on to proposals in the May Revision to address the structural out-year budget shortfall.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• The states are structured differently.
• Structurally, I think 15% are to IT.
• How the are structured differently.
• <00:07:20.960> the reporting structure works, how the reporting structure works, how the governor
• /c><00:20:45.200> the<00:20:45.440> results structure we have produces the results structure

Keywords: Appropriations - Room 216, 24 February, 2026; 1:30 PM, 925, all

Summary: Legislative leaders opened the hearing by focusing on statewide technology issues affecting agencies, including rising IT costs, cloud migration, cybersecurity risks, procurement delays, and the need for better coordination across government systems. They said the meeting was intended to hear from agency directors about current challenges and possible legislative solutions. The ITS director described the state’s IT structure as decentralized but increasingly moving toward shared services. He highlighted recent legislative and executive actions on cloud computing, artificial intelligence, procurement modernization, and data sharing, including House Bill 1491, Senate Bill 2426, Senate Bill 2267, House Bill 958, and an executive order on AI. He said ITS has worked with large agencies on a cloud center of excellence, a procurement modernization advisory council, and a state data exchange, and noted plans for a master contract, potentially with OpenAI, that could be available to all public entities. He also emphasized cybersecurity, saying the state is seeking a secure operations center and a broader “cyber maturity” approach after recent incidents. On procurement, he said the goal is to speed up purchasing while keeping it safe, and on optimization he pointed to potential savings from consolidating duplicate agreements, such as multiple Microsoft enterprise contracts. In response to questions, he said exceptions to centralization would be based on business and technical architecture and regulatory requirements such as HIPAA, CISA, or FERPA, rather than ad hoc decisions.

Transcript Highlights:

• The department believes that the benefits of the current structure prevail.
• the benefits of the current structure the benefits of the current structure prevail.<00:37:01.040
• So this creates a structure. This is not a get out of jail free card just because you're sick.
• So this creates<01:11:19.280> a<01:11:19.600> structure.
• This is not a get creates a structure.

Keywords: 912, senate, all

Summary: The joint committees heard testimony on several measures. SB 2723, which would designate April 27 as State Sheriff’s Day, was supported by the Department of Law Enforcement and a long-serving sheriff, who described the historical roots of Hawaii’s sheriffs in the Kingdom of Hawaii and said the bill would recognize that legacy. HGA submitted written comments, and there was no opposition or vote taken on the measure during the excerpt. The committees then heard SB 17 on wildfire mitigation. The Public Utilities Commission, DLNR, the State Fire Council, OPSD, the Attorney General’s office, and Kamehameha Schools all testified, mostly in support of the bill’s intent but with suggested amendments. Several witnesses said the bill should better define the working group’s structure, staffing, and funding, and the Attorney General noted constitutional concerns about placing the group outside a principal department and pointed out possible overlap with Acts 302 and 303 from the prior year. Committee members questioned whether SB 17 duplicated earlier wildfire legislation, and witnesses generally said it did not directly conflict but overlapped with existing efforts. On SB 2358, which would require reimbursement for search-and-rescue costs when people leave trails and enter closed areas, the State Fire Council and the Hawaii SAR Alliance testified in opposition or caution, arguing that reimbursement could deter people from calling for help and that Hawaii’s SAR system still has structural and administrative gaps. A committee member asked whether other jurisdictions had used similar measures without discouraging rescues; the Fire Council said Kauai has a similar law but it has not resulted in invoices being sent. No action was taken in the excerpt. The final measure discussed was SB 2475 on Red Hill remediation funding and reimbursement from the Department of Defense. The Board of Water Supply, DLNR, and other testifiers supported the bill, emphasizing the need for long-term research, monitoring, and cleanup, while also noting the unique groundwater conditions and the importance of keeping the funds focused on Red Hill contamination response. Committee members asked about existing federal and state funding, whether the state had received any direct federal money, and what would happen if reimbursement is not obtained. DLNR said it was still working through the reimbursement mechanism and that some federal funding had gone to the Red Hill registry, but not directly to the state for this purpose.

Transcript Highlights:

• The bill does not necessarily prohibit construction of any structure.
• Not any structure that is over 500 feet.
• I am aware of an impact on migrating birds from structures in the sky.
• Right now, the target structure This bill attacks this very premise.
• Right now, the target structure is over 500 feet—wind turbines, to be sure.

Summary: The House convened with a quorum present, heard an invocation and pledges, received Senate messages, and adopted several procedural motions allowing committees to meet during the session and postponing or scheduling certain committee hearings. Members also observed a memorial recognition for Wood County Deputy Sheriff Melissa Pollard, who died in the line of duty, and adopted a resolution honoring her service. The chamber then adopted House Resolution 897 recognizing May 6, 2025 as Golf Day in Texas and House Resolution 1063 recognizing Dallas Housing Coalition Advocacy Day; additional recognitions highlighted Mental Health Awareness Month and tardive dyskinesia awareness, The Woodlands’ 50th anniversary, Alzheimer’s advocacy, student athlete Gator Young, an intern in Rep. Leo-Wilson’s office, and educator Jessica Lopez. The House spent much of the day on third-reading consideration of a long calendar of bills. Among the measures passed were HB 24 on zoning protest procedures, HB 3800 creating a health care workforce advisory board, HB 42 on higher education appropriations, HB 129 restricting contracts with foreign adversary companies, HB 677 on county elections administrator political activity, HB 668 on license-to-carry renewal procedures, HB 2128 directing a rural firefighting study, HB 2038 expanding physician licensing options, HB 2316 on election result reporting, HB 3686 on retired peace officer ID cards, HB 2563 creating a prescribed burn manager self-insurance pool, HB 1160 increasing penalties for assaults on utility workers, HB 3883 on major events funding, HB 2788 protecting fraud-detection information, HB 2663 on inactive well plugging extensions, HB 3305 extending a county health provider participation program, HB 3474 on pension reporting, HB 1105 expanding tuition exemptions for certain paramedics, HB 3490 on closed meetings with internal auditors, HB 3597 on child care facility notice thresholds, HB 1295 on health literacy planning, HB 3512 on AI training for government employees, HB 3783 on court-ordered counseling, HB 2017 on intoxication manslaughter penalties, HB 3010 on rural disaster recovery, HB 3112 on cybersecurity-related public information and meetings, HB 4215 on delivery network companies, HB 3223 on construction claims limitation periods, HB 3464 on controlled substances in correctional facilities, HB 3120 on residential child detention facilities, HB 4214 on public information, HB 481 on trade secret sealing, HB 4783 on opioid antagonist program reporting, HB 4063 on unilateral memoranda of contract, HB 2783 on county employee deferred compensation, HB 5085 on seed banks, HB 2510 on assisted living facility operations, HB 3426 on digital driver’s licenses, HB 4361 on emergency notifications at higher education institutions, HB 1169 on oil and gas infrastructure protection, HB 2516 on Medicare supplement eligibility for Texans under 65, HB 3560 on hospital staff background checks, HB 3860 on occupational licenses for inmates, HB 3146 on SOAH hearings, HB 184 on loan repayment for border prosecution attorneys, HB 198 on firefighter cancer screenings, HB 247 on border security infrastructure taxation, HB 367 on excused absences for students with severe illnesses, HB 449 on deepfake sexually explicit images, HB 1778 on human trafficking and related offenses, HB 514 on maternal health workforce outreach, HB 632 on pharmacy regulation, HB 2582 on victim parole information, HB 766 on precinct chair ballot applications, HB 2715 on suspension/removal of officials, HB 2712 on water and sewer utility test years, HB 3069 on transmission projects, HB 3505 on health provider participation districts, HB 1269 on plant disease and pest prevention grants, HB 4224 on access to health care records, HB 5032 on historical documents in the Capitol complex, HB 2240 on void marriages, HB 5180 on diploma designation, HB 3348 on health provider participation programs, HB 4668 on PUC authority to retain assistance, HB 4665 on child care training providers, HB 3395 on beneficiary designation for manufactured homes, HB 3157 on interim electric utility rates, HB 4395 on electronic submission of public securities records, HB 4325 on bribery civil penalties, HB 4386 on annuity replacement transactions, HB 4273 on Medicaid fraud-related unlawful acts, HB 2760 on judicial review of unemployment decisions, HB 2820 on charitable bingo operating capital, HB 1828 on legislative leave for correctional officers, and a series of Senate bills including SB 2349, SB 1268, SB 610, SB 1577, SB 1369, SB 2032, SB 1057, SB 1044, SB 922, SB 1759, SB 1143, SB 1506, SB 1403, SB 2361, SB 870, SB 372, and SB 72. Several bills drew debate or amendments, including HB 24, where a germane point of order was sustained against an amendment, and HB 198, HB 3348, and SB 2361, which were amended before passage. Most measures passed by wide margins, though some drew notable opposition, including HB 3883, HB 514, HB 1295, HB 184, SB 1143, and others. The House also postponed further consideration of HB 4700 until the end of the day and HB 24 until 1 p.m., and it granted permission for committees to meet during the House session and for the Calendars Committee to meet that morning.

Transcript Highlights:

• they want their structure they want their structure back<00:46:12.960> so<00:46:13.960>
• The 1900s is calling and they want your structure back, and I was like, yes, please.
• The 1900s is calling, and they want your structure back. And I was like, yes, please.
• And that there is a structure in place to enforce that it does happen.
• I barely graduated high school because I found myself really disinterested in a lot of the structure

Keywords: 1183, house

Transcript Highlights:

• I did not look into what structures, from a budgetary standpoint, other states have.
• I would assume that future Legislatures would want some sort of accountability within that structure,
• January 1st,... changes to our property tax structure in Florida effective January 1st, 2027.
• Look, the reality is that we're making some real serious structural changes.
• Every structure and all of our infrastructure was devastated.

Summary: The Committee on Appropriations took up SJR 2-F, a proposed constitutional amendment to reduce property taxes by lowering assessment caps on non-homestead property, expanding homestead exemptions over time, and allowing local governments to increase exemptions further. The sponsor argued the measure would provide broad property tax relief while requiring revenues to be directed to core services such as public safety, education, infrastructure, and natural resource projects, with a trust fund intended to help local governments transition. Senators raised concerns about the lack of a fiscal score, the effect on counties, cities, school districts, and special districts, and whether the proposal would shift costs to fees or other taxes. Several amendments were debated. Senator Polsky’s amendment to explicitly authorize user fees and non-ad valorem assessments to offset lost property tax revenue failed. Senator Avila’s amendment broadening permissible uses of ad valorem revenue to include county constitutional officers and other expenditures approved by local governing bodies was adopted after debate over whether the bill would otherwise underfund essential functions. Senator Smith’s sunset amendment, which would have made the constitutional changes expire after five years, failed. Senator Smith’s amendment to allow tourism development tax revenue to support public safety and education also failed. Senator Graal’s amendment removing the constitutional trust fund language was adopted, with supporters arguing the Constitution should not promise an unfunded account. Additional late-file amendments were considered. Senator Berman’s proposal to change the ballot title to more neutrally describe the measure as affecting property taxes and local community service reductions failed. Senator Trumbull’s amendment removing school board ad valorem taxes from the proposal was adopted, preserving school taxes. Senator Smith’s amendment narrowing the non-homestead assessment cap reduction to small businesses only failed. The committee then returned to the bill as amended and continued questioning the sponsor about eligibility, fiscal impacts, and whether the proposal could lead to local governments offsetting lost revenue through special assessments or other charges.

Transcript Highlights:

• The current law requires port authority debt to be structured as serial bonds with principal maturing
• <00:05:11.240> as<00:05:11.440> serial<00:05:11.880> bonds structured as serial
• It's a small patch around the edges of a system that needs structural reform altogether.
• <00:23:23.800> reform system that needs structural reform system that needs structural reform
• legislators support the whole structure legislators support the whole structure as<00:25:09.360>

Bills: HF495, HF4321, HF3902, HF4161, HF3755

Keywords: day care, tax subtraction, child care costs, licensed child care, dependent care assistance, HF4321, dependent care assistance programs, gross income exclusion, federal conformity, Internal Revenue Code, individual income tax, Minnesota tax law, tax conformity, child care assistance, employer-provided dependent care, taxable income, state income tax, retroactive tax change, family care benefits, housing tax credit

Transcript Highlights:

• He works at BCI, to discuss the fees and the current structure.
• Structure in the future. It's not going to be a problem for the commission. Thank you.
• I can't speak to somebody else's motives, but that's the structural issue that I see.
• I can't speak to somebody else's motives, but that's the structural issue that I see.
• And I don't think the legislative body can make decisions on the structure itself.

Summary: The committee opened with a moment of silence honoring a deceased member, then approved the April minutes. The first major presentation was from Chelsea Florey of Child and Family Services on the Diversion Task Force and related grant programs created with one-time funding from HB 1012. She reported that five of six proposals were funded, with youth diversion services operating in Bismarck, Fargo, Grand Forks, Minot, and a Red River Children’s Advocacy Center program focused on problematic sexualized behavior. Members discussed barriers such as staffing shortages, voluntary family engagement, service fatigue, and the need for better coordination, broader outreach, and possible changes to diversion eligibility rules so low-level cases can remain in diversion longer. Several legislators pressed for more practical system changes and clearer service navigation, while Florey said the task force is trying to build a service array or hub and is leaning on the Children’s Cabinet for broader recommendations. The committee then heard from North Dakota Lottery Director Thomas Lawler, who gave an operational overview and biennium report. He described the lottery’s history, games, retailer commissions, Pick and Click subscriptions, Players Club membership, and revenue distribution. For the 2023-25 biennium, about $67 million in tickets were purchased, with roughly $16.2 million transferred overall, including money for the general fund, drug task force grants, and compulsive gambling prevention and treatment. Members asked about the compulsive gambling allocation and whether the amount is set by statute. A lengthy presentation followed from the Department of Corrections and Rehabilitation on criminal justice data connectivity and reentry. Adam Anderson explained that North Dakota’s jail, court, HHS, and correctional systems use multiple separate databases that do not communicate in real time, requiring manual cross-checks and staff communication. He said the department is exploring a centralized hub or other integration approach, but noted challenges with identifiers, vendor contracts, confidentiality, and cost. Robin Schmolenberger then updated the committee on a Medicaid data-sharing project with HHS, saying monthly application assistance is now occurring in correctional facilities and that automated bi-directional data exchange is expected in late 2026 to help suspend and reactivate Medicaid coverage and identify former foster care youth. Members also discussed parole, probation, transitional housing, and the need for better real-time notifications and clearer data definitions. The committee also received an update from county representatives on the 24/7 sobriety program, including a recent attorney general opinion that if a court waives 24/7 fees, sheriffs may use the cheaper twice-daily breath test or urine testing instead of SCRAM bracelets or drug patches. Finally, Bruce Johnson of the Racing Commission presented on an audit report, acknowledging serious findings involving overspending from the promotion fund, grant documentation failures, a breeders fund eligibility reversal, and repeated procurement violations. He said the commission has already changed its procedures by tracking fund limits monthly, requiring grant applications and itemized reports, enforcing breeders fund rules as written, and routing purchases through procurement with written contracts. The committee asked follow-up questions throughout but took no formal votes on these presentations.

Transcript Highlights:

• Montana has a more complex taxing structure.
• Farm structures. And this is... $9.6 billion.
• age of the structure.
• This estimation came from HomeGuide's Cost to Build Parking Structures in 2025.
• The estimated parking structure value was $565.9 million.

Keywords: 908, all

Summary: The committee met to continue its tax reform and relief study agenda, approved the December 3, 2025 minutes, and announced a new subcommittee to examine property tax statement issues with counties, auditors, and the tax office. Representative Headland was named chair, Senator Rummel vice chair, and Representatives Dressler and Dr. Dr. and Senator Patton were also assigned. The chair noted the group may need an additional meeting and thanked staff and attendees. A major portion of the meeting focused on economic development incentives. The Department of Commerce presented on the Renaissance Zone program and TIF districts, describing Renaissance Zones as locally tailored tools that combine local property tax relief with state income tax incentives. Commerce said the program has supported thousands of projects since 1999 and cited examples from Beach and Mandan showing increases in property and taxable value, business retention, housing, and downtown revitalization. Committee members raised concerns that smaller rural communities often lack the staff and expertise to apply, and Commerce said it provides outreach through conferences, office hours, and one-on-one assistance. League of Cities and local officials from Bismarck and Ellendale echoed the capacity issue, discussed how the programs have worked in their communities, and suggested possible reforms or more targeted support for small towns. Ellendale’s mayor also described two TIF districts, one for industrial infrastructure in Oaks and one for housing infrastructure tied to a data center project in Ellendale. The committee then turned to stripper oil taxation. The Tax Department gave a comparison of oil and gas tax structures in selected states, noting that most have some form of stripper or marginal well provision, while Alaska does not appear to have a specific stripper-well exemption. Members asked for more detail on definitions and North Dakota’s annual adjusted rate. The Department of Mineral Resources followed with a detailed presentation on North Dakota stripper wells, explaining the statutory thresholds, the 12-consecutive-month production test, and the fact that once a well qualifies it remains on stripper status even if production later rises. DMR said about 11,332 stripper wells are active, representing roughly 54% of wells and about 16% of state production, and emphasized that stripper status can extend well life, preserve tax revenue, and reduce orphaned wells. Committee members and industry witnesses discussed refracs, the economics of keeping marginal wells active, and the competitive disadvantage created by North Dakota’s oil price discount. No votes were taken on these informational items.

Transcript Highlights:

• figuring some time into your meetings, I think it'd probably be good to have a little bit of time structured
• figuring some time into your meetings, I think it'd probably be good to have a little bit of time structured
• figuring some time into your meetings, I think it'd probably be good to have a little bit of time structured
• figuring some time into your meetings, I think it'd probably be good to have a little bit of time structured
• figuring some time into your meetings, I think it'd probably be good to have a little bit of time structured

Keywords: 916, all

Summary: The Select Committee on School Facilities met to satisfy its quarterly statutory requirement and to discuss interim priorities. Staff from LSO reviewed the committee’s duties: monitoring K-12 school facilities statewide, prioritizing needs for the interim, and preparing a budget request due by November 1. They also noted the ongoing litigation related to the Chapter 3, Section 8 exception process and said the committee would move forward with securing a consultant to study that issue, as previously authorized by Management Council. A major topic was school funding formulas, especially how average daily membership (ADM) affects routine and major maintenance funding and how excess square footage is treated. Members revisited an earlier proposal to fund 135% of allowable square footage, which did not advance this session, and discussed whether some schools should instead be funded at a minimum percentage of their actual square footage. Staff explained that some districts have buildings larger than their formula allowance, and that the issue is complicated by older buildings, pools, and other unique facilities. They also noted that recent changes to the major maintenance multiplier increased funding and that some districts are still not fully covered by the formulas. Safety and security funding was another focus. The State Construction Department reported that $10 million was appropriated this year for safety and security upgrades, with some funds expected to go toward vestibules, bollards, and design work, and the rest through a district application process. Officials said the last comprehensive safety assessment was done more than 10 years ago and suggested a new consultant-led study to update priorities, since technology and building conditions have changed. Members also discussed the role of school resource officers and whether the committee should continue leading this work rather than handing it off to the recalibration committee. The committee also examined declining enrollment and excess capacity across the state, citing examples such as Newcastle, Shoshoni, Casper, Campbell County, and Fremont County. Officials said some districts are right-sizing by taking schools offline, while others cannot easily reduce capacity because the buildings are essential to the community. Charter school leasing was raised as a related concern, including the Mills charter school and the fact that the state pays lease costs based on ADM and allowable square footage. No formal votes were taken, but the committee agreed to continue studying these issues, likely including site visits and further data requests during the interim.

Transcript Highlights:

• As we talked about, even mild TBIs can start the process of shifting the brain structure and function
• So it's still derived from tryptophan, but it's slightly different in its structure, and that's what
• That's what I said: the FDA structure, this approval structure is made... ...and created for a natural
• This is a brand new novel thing. ...that I don't think the FDA structure really is in place to do.
• have some type of structure to it.

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.

Transcript Highlights:

• I wonder, Representative, if the Concord political structure or governance structure does not have a
• <00:18:38.400> or conquered political structure or conquered political structure or governance
• <00:18:39.120> structure,<00:18:40.080> does<00:18:40.320> not<00:18:40.559>
• That change created a structure whereby all Medicaid provider, all rendering service providers, were
• That change created a structure whereby all Medicaid provider, all rendering service providers, were

Keywords: 1189, house, all

Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.

Transcript Highlights:

• I noticed looking through your organizational structure that you have a lot of vacancies. >> Yes, sir
• We are choosing to use this as an opportunity to look at our structure to say, while we have this, are
• I noticed looking through your<00:53:00.480> organizational<00:53:01.520> structure<00:
• <00:54:09.839> to opportunity to look at our structure to opportunity to look at our structure
• and do some can I take the structure and do some restructuring<00:54:26.079> in<00:54:26.319>

Keywords: 928, house, all

Summary: The committee opened by approving the September 5, 2025 minutes, with one member asking that future minutes use honorifics such as Mr. or Ms. The agenda was then adjusted so Police Standards and Training could present first. Director John Skipa reported on the 2019 performance audit, saying 12 of 16 findings were fully resolved and the remaining items were substantially or partially resolved. He highlighted work on a job task analysis to update curriculum and develop a more realistic physical aptitude test, including possible replacement of the long-used Cooper test and a shift away from mandatory baton training toward electronic weapons training. He said stakeholder work groups would meet in October and November, with a goal of completing the work by the first quarter of 2026. On the strategic planning and performance measurement finding, Skipa said the agency had relied on the 2019 audit and the LEAC report as guides while also implementing a digital records system. He acknowledged that a formal forward-looking strategic plan with the council had not yet been completed, but said he and the council chair wanted to do so, possibly through a retreat-style planning session. Members asked how many LEAC recommendations had been fully implemented; Skipa said he did not know the exact number but believed nearly all of the 22 items assigned to his agency were complete. On the administrative rules finding, he said a part-time former director had been brought back to help revise outdated rules, the council subcommittee had finished its work, and proposed changes would be sent to the full council, then to stakeholders and the public, with a public hearing expected and implementation targeted for 2026. For the Corrections Advisory Committee finding, Skipa said the committee had been reconvened in 2020 and 2021 but had limited usefulness because the statutorily named members were mostly high-level administrators rather than line supervisors or newer corrections staff. He said some positions later went unfilled because of budget and staffing issues, and the committee had not been called back, but he was open to either informal adjustments or possible legislative changes to make the committee more useful. Committee members suggested that the statute may need to be amended to allow more appropriate designees or supervisors to participate. After Police Standards and Training concluded, the committee moved on to the Office of Professional Licensure and Certification, where the executive director said he would focus on the partially resolved items in the dental examiner audit and the National Path audit, noting that many changes were tied to recent statutory revisions.

Transcript Highlights:

• That said, you should have a sheet in front of you that delineates the structural deficiencies we've
• <00:18:17.440> deficiencies delineates the structural deficiencies delineates the structural
• <00:18:30.400> for simplifying the fee structure for simplifying the fee structure for institutions
• As you can see in that top section, we have been working at a structural deficit since 2017.
• As you can see in that top section, we have been working at a structural deficit since 2017.

Keywords: 1187, senate, all

Transcript Highlights:

• Or is that just a reference point in terms of what's already structured in LDH as a model?
• Or is that just a reference point in terms of what's already structured in LDH as a model?
• It's just kind of just a structure that get everything and get the, and get the It's just kind of a structure
• I'm trying to address the structure of the department because the structure is broken.
• I'm trying to just address some of the structural things that I see.

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• Yeah, I was just going to add in terms of the 988 fee, the way we've kind of structured it is everything
• The warm handoff, there need to just be more sort of, But there need to just be more structure.
• There's a very complex governance structure.
• This really is important to us in terms of state governance structure, and we went through an effort
• And the structures that support us all today are wobbly at best, as we're hearing in this hearing.

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• I'm wondering if the rest of the funding is being calculated under the structural deficit.
• Is it included in our structural deficit? Well, in our... So is it being added?
• Is it included in our structural deficit? Well, in our multi-year view, correct?
• Structures and real operational impacts that the county and provider levels.
• There were some delays in site development and staffing and shifting funding structures.

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.

Transcript Highlights:

• What we really need to focus on is structural change, not more letters that do nothing to protect workers
• What we really need to focus on is structural on the job.
• What we really need to focus on is structural change, not more, letters that do nothing to protect workers
• Part of what we're finding as we look at the way we do business is structurally we have a lot of work
• at whether our structure, our organizational structure, is adequate for handling the letter investigations

Summary: The hearing focused on a state audit of Cal/OSHA titled “The Division of Occupational Safety and Health: Process Deficiencies and Staffing Shortages Limit Its Ability to Protect Workers.” Committee leaders and the audit team described serious workplace tragedies, argued that California’s worker protections are not being adequately enforced, and said the audit was prompted by concerns that Cal/OSHA was too often relying on letters instead of inspections, delaying investigations, and closing cases without enough documentation. Members repeatedly emphasized that the issue was not just staffing, but also outdated policies, weak oversight, and inconsistent enforcement. State Auditor Grant Parks said the audit found a 32% vacancy rate in 2023-24, heavy reliance on hard-copy files, outdated or unclear policies, and inconsistent decision-making in complaints, accidents, citations, and fine reductions. He said Cal/OSHA conducted on-site inspections in only about 20% of complaints, used letter investigations more than 80% of the time, often lacked evidence that hazards were corrected, and sometimes failed to inspect serious injury cases on time. The audit also found weak documentation for fine calculations and settlement reductions, with some penalties reduced substantially without clear explanations. Parks said the agency had accepted the findings and would provide progress updates later in the year. Committee members pressed the auditor on vacancy rates, the use of letter investigations, the low rate of criminal referrals, and whether fines were being reduced too often. Cal/OSHA and DIR officials responded that the vacancy rate had fallen to 12% partly because 66 vacant positions were eliminated in a statewide budget reduction and partly because of hiring; they said 126 people had been hired in the first half of the year. They also said they had hired a policy writer, were updating several policies, were planning periodic internal audits, and were developing a new data management system expected to go live in late 2026 or early 2027. On fines, officials said Title 8 sets base penalties and allows adjustments based on factors like employer size, history, and good faith, with appeals and informal conferences also affecting final amounts. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• So we recommend taking that overarching structure into consideration.
• Similar to the structure that was utilized under Proposition 56, it would be a time-limited supplemental
• So it would just be a question of what kinds, you know, how would we sort of structure that?
• Okay, so it's safe to say that in the new structure you wouldn't have the level of flexibility that you
• So for emergency physicians, there are some that would start in 2025, but the broad structure would be

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.