Transcript Highlights:

• However, current state law does not extend right-of-way protection. protections or traffic control regulations
• Then at some point, there needs to be some regulation by the state, and that is You have the authority
• While some of the regulations in this bill are necessary and welcome, the poison pill here is... ...removing
• It erases liability and forbids any other state agency from further regulating them or stepping in if
• these things cause mass casualties or if the public calls for more regulation.

Bills: SB1493 , SB1598 , SB1895 , SB1919 , SB2039 , SB2226 , SB2243 , SB2425

Committee: Senate Transportation

Keywords: SB 1493, Texas Transportation Code, motor vehicle lighting, vehicle lighting standards, high-mounted stoplamp, center high mount stop lamp, CHMSL, brake light, stop lamp, federal motor vehicle safety standards, 49 C.F.R. 571.108, FMVSS 108, vehicle inspection, automotive compliance, Transportation Committee, Texas vehicle equipment, motor vehicle collision report, crash report, accident report, traffic accident

Summary: The committee meeting focused on two primary bills, SB1598 and SB1493. SB1598, introduced by Senator Hagen Booth, addresses the clarity of collision report information access for law enforcement, aiming to enhance the tools available to police agencies across Texas for solving crimes. The meeting featured strong support from police representatives, including Sheriff Brian Hawthorne of Chambers County, who emphasized the significance of the CARFAX program for police in facilitating access to vital vehicle information, free of charge. Public testimony reflected a consensus on the necessity of the bill for improved investigatory processes.

Transcript Highlights:

• end up with an operator who is not doing a good job, then at some point there needs to be Some regulation
• We want to make sure that these industries are regulated.
• Balance between making sure we have public safety but light-handed regulation.
• While some of the regulations in this bill are necessary and welcome, the poison pill here is removing
• And erasing liability and forbidding any other state agency from further regulating them or stepping

Bills: SB1493 , SB1598 , SB1895 , SB1919 , SB2039 , SB2226 , SB2243 , SB2425

Committee: Senate Transportation

Keywords: SB 1493, Texas Transportation Code, motor vehicle lighting, vehicle lighting standards, high-mounted stoplamp, center high mount stop lamp, CHMSL, brake light, stop lamp, federal motor vehicle safety standards, 49 C.F.R. 571.108, FMVSS 108, vehicle inspection, automotive compliance, Transportation Committee, Texas vehicle equipment, motor vehicle collision report, crash report, accident report, traffic accident

Summary: The Senate Transportation Committee heard and advanced a wide range of transportation-related bills. Early in the meeting, SB 1598 by Senator Hagenbuch was heard on allowing collision report information to be used and shared more clearly for law enforcement investigations, including through records-management partners and nonconfidential VIN data; the bill drew support from the Sheriff’s Association and Carfax for Police and was left pending before later being reported favorably. SB 1493 by Senator Parker, which would codify DPS’s position on flashing/pulsing stop lamps as compliant with federal standards, also received supportive testimony and was reported favorably. SB 1895 by Senator Perry would designate Loop 88 in Lubbock as a First Responders Memorial Loop and was reported favorably, and SB 1919 and SB 2243 by Senator West, dealing with TxDOT liability claim settlements and TxDMV authority to require VIN inspections for certain trailers, were likewise heard without opposition and later reported favorably. SB 2039, concerning right-of-way and traffic rules for sidewalk users such as bicycles, e-bikes, skateboards, and scooters, was heard and left pending before being reported favorably later in the meeting. SB 2226 by Senator Nichols, reducing the local match requirement for aviation grants in economically disadvantaged counties from 10% to 5%, was discussed with TxDOT testimony explaining how federal and state airport funding interact; it was reported favorably. SB 2499 by Senator Flores, involving memorial markers and an account for donations, and SB 1394 by Senator Hall, concerning concrete truck axle rules, were also reported favorably. The committee recessed after handling the pending items and leaving some additional matters for a later hearing. A major portion of the meeting focused on SB 2425 by Senator Nichols, a comprehensive bill on commercial autonomous vehicles. The author said the bill was developed through extensive stakeholder meetings with industry, agencies, insurers, and lawyers, and it would require AV companies to provide information to TxDMV, submit first-responder interaction plans to DPS, and allow DPS and DMV to suspend or revoke operations in certain circumstances. The committee substitute also updated definitions, addressed Level 3 systems, clarified commercial use and fleet penalties, and created an expedited process for reinstating operating authority after disputes. Supporters included the Texas Public Policy Foundation, Tesla, GM Cruise, Bot Auto, and the Autonomous Vehicle Industry Association, who said the bill balances innovation and safety and helps Texas remain a leader in AV deployment. One witness opposed the bill, arguing that it would improperly shield manufacturers from liability, but committee members and the industry witnesses said liability would continue to be governed by state law and that the bill was intended to clarify, not eliminate, responsibility. After debate, the committee adopted the substitute and reported SB 2425 favorably on a 6-0 vote. Throughout the hearing, members asked questions about practical effects and funding. On SB 2226, TxDOT’s aviation director explained that some airports already receive federal and state support and that the bill would mainly help state-only airports in disadvantaged counties that struggle to meet local match requirements. On SB 2425, members asked about reliability metrics, commercialization, and liability; industry witnesses said the technology is still being refined but that Texas’s framework has attracted investment and could improve road safety over time. Several bills were recommended to the local and uncontested calendar after favorable votes, and the committee also agreed to keep motions in writing open briefly for members who were absent, so long as doing so would not change any bill outcomes.

Transcript Highlights:

• There are no broader regulations governing executive severance payments in government.
• So I firmly believe that it's time for the legislature to establish stricter regulations on these severance

Bills: SB1079 , SB1243 , SB1504 , SB1579 , SB1708 , SB1844 , SB1851 , SB1879 , SB1921 , SB1951 , SB2237 , SB2238 , SB2406 , SB2407

Committee: Senate Local Government

Keywords: SB 1079, Texas, county government, commissioners court, Local Government Code, Chapter 263, surplus property, salvage property, data storage device, hard drive, electronic media, digital records, confidential information, protected information, privacy, records retention, information security, data destruction, device disposal, sensitive data

Summary: The meeting of the Senate Committee on Local Government was marked by significant discussions on multiple bills aimed at enhancing governance and protecting taxpayer interests. Among the notable legislations was SB1951, where Senator Paxton emphasized reforms to reduce erroneous penalty notices imposed by appraisal districts, eliminating the financial incentive for such penalties. The session concluded with public testimonies that highlighted the importance of transparency and accountability in taxpayer dealings. Additionally, Senator Middleton presented SB1504 and SB2237, focusing on the operational frameworks of local authorities and executive severance payments, respectively, both of which sparked considerable debate among committee members.

Transcript Highlights:

• For example, federal regulations require us to be entirely separate from the agency. that administers

Bills: HF2783 , HF2603 , HF2846 , HF2354 , HF1836 , HF2713 , HF1198 , HF1389

Committee: House State Government Finance and Policy

Keywords: state government finance, biennial budget, appropriations, Minnesota Management and Budget, Healthy Aging Subcabinet, Office of Healthy Aging, older adults, aging policy, long-term care, caregivers, public health, Medicaid fraud, medical assistance fraud, attorney general subpoena power, fraud enforcement, business filing fraud, Secretary of State, deceptive mailings, consumer protection, certified public accountant

Transcript Highlights:

• For example, federal regulations require us to be entirely separate from the agency that administers
• For example, federal regulations require us to be entirely separate from the agency that administers
• For example, federal regulations require us to be entirely separate from the agency that administers
• For<01:11:29.280><c> example,</c><01:11:29.720><c> federal</c><01:11:30.120><c> regulations</c><01:11
• :30.840><c> require</c> For example, federal regulations require For example, federal regulations require

Bills: HF2783 , HF2603 , HF2846 , HF2354 , HF1836 , HF2713 , HF1198 , HF1389

Committee: House State Government Finance and Policy

Keywords: state government finance, biennial budget, appropriations, Minnesota Management and Budget, Healthy Aging Subcabinet, Office of Healthy Aging, older adults, aging policy, long-term care, caregivers, public health, Medicaid fraud, medical assistance fraud, attorney general subpoena power, fraud enforcement, business filing fraud, Secretary of State, deceptive mailings, consumer protection, certified public accountant

Bills: HB207 , HB235 , HB324 , HB449 , HB463 , HB502 , HB 1121 , HB1445 , HB1465 , HB1778 , HB1977 , HB2000 , HB2066 , HB2596

Committee: House Criminal Jurisprudence

Keywords: child protection, sexual offenses, obscenity laws, visual material, anatomically correct dolls, mannequins, robots, criminal offenses, sexually explicit material, minors, artificial intelligence, sexually explicit, doll, mannequin, robot, law enforcement, healthcare, insurance, affordable care, access

Bills: HB207 , HB235 , HB324 , HB449 , HB463 , HB502 , HB 1121 , HB1445 , HB1465 , HB1778 , HB1977 , HB2000 , HB2066 , HB2596

Committee: House Criminal Jurisprudence

Keywords: child protection, sexual offenses, obscenity laws, visual material, anatomically correct dolls, mannequins, robots, criminal offenses, sexually explicit material, minors, artificial intelligence, sexually explicit, doll, mannequin, robot, law enforcement, healthcare, insurance, affordable care, access

Transcript Highlights:

• The daughter use had been donated by my nurse Carol.
• This is the same nurse who confirmed that every... really had passed.
• Regulating a standard protocol, is this just for the agencies?
• Your question talks about burdensome regulation.
• There's no new regulations.

Bills: HB18 , HB742 , HB754 , HB1644 , HB2187 , HB1887 , HB 1275 , HB37 , HB1503 , HB1699 , HB1700 , HB2735 , HB1741 , HB1731 , HB1675 , HB18 , HB37

Committee: House Public Health

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, human trafficking, first responders, health care, training, reporting, protection, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting, good faith report

Transcript Highlights:

• Last weekend, a nurse manager relayed the recent experience of a nurse receiving her concerning mammogram
• It means a nurse, nurse aide, medical assistant, hospital employee, allied health professional, laboratory
• Nurses like Sandra Rojas, a pediatric nurse who lost her job. because she could not refer out for abortions
• There are practitioners stating that when a nurse or nurse practitioner complaint is... ...reported to
• Even though the same prior complaint regarding the nurse by the Board of Nursing was addressed prior

Bills: SB95 , SB268 , SB493 , SB619 , SB660 , SB922 , SB984 , SB1098 , SB1188 , SB1307 , SB1332 , SB1822

Committee: Senate Health & Human Services

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• and the federal election commission are still in a battle over who actually has the authority. to regulate
• Sure, yeah, I mean, I was with the Nurses Association for five years, so going through that regulatory
• process of complaints for nurses.
• jumped out ahead, but then technology caught up, and that's kind of how it always goes. outpaces regulation
• So, Texas utilities already implement anti-solar rates and fees in the absence of regulation.

Bills: HB 13 , HB143 , HB144 , HB145 , HB366 , HB470 , HB805 , HB912 , HB13 , HB143 , HB144 , HB145

Committee: House State Affairs

Keywords: emergency communication, infrastructure, first responders, grant program, interoperability, Texas Interoperability Council, local governments, HB 143, Texas Railroad Commission, Public Utility Commission of Texas, Natural Resources Code, oil and gas, well site, surface facility, electrical power line, National Electrical Code, NEC, electrical safety, utility disconnect, service disconnection

Transcript Highlights:

• We strongly agree that regulation regulators and stakeholders need more clarity.
• But then there's a supplement every 30 days so that they show in the regulators.
• As we work to strengthen poll infrastructure throughout the state, it gives our regulators the opportunity
• Regulators have an opportunity to review to ensure best practices are being implemented and our customers
• The people in the nursing homes were having to leave.

Bills: HB 13 , HB143 , HB144 , HB145 , HB366 , HB470 , HB805 , HB912 , HB13 , HB143 , HB144 , HB145

Committee: House State Affairs

Keywords: emergency communication, infrastructure, first responders, grant program, interoperability, Texas Interoperability Council, local governments, HB 143, Texas Railroad Commission, Public Utility Commission of Texas, Natural Resources Code, oil and gas, well site, surface facility, electrical power line, National Electrical Code, NEC, electrical safety, utility disconnect, service disconnection

Transcript Highlights:

• They have all these different regulations, so I'm just assuming if they're receiving this. income, like

Bills: HB26 , HB140 , HB141 , HB142 , HB215 , HB26 , HB140 , HB141 , HB142 , HB215

Committee: House Human Services

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Transcript Highlights:

• nurses.
• I love nursing.
• This is from a CCU nurse, a cardiac care unit ICU nurse.
• include home health and hospice agencies under current regulation, which has caps for nursing homes
• include home health and hospice agencies under current regulation, which has caps for nursing homes

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hybrid hearing on a wide range of bills focused on patient safety, workforce development, health equity, and access to care. A major portion of the hearing centered on H. 2362/S. 1491, which would require health care providers to offer trained chaperones for sensitive exams. Sponsors and supporters said the bill is a common-sense safeguard prompted by cases of physician sexual abuse, and survivors gave emotional testimony describing grooming, isolation, and abuse during exams when no chaperone was present. Support also came from a health services researcher, a physician, and a RAINN representative, all arguing that trained chaperones and clearer documentation would improve transparency and protect patients. Committee members asked about clarifying who may serve as a chaperone and whether the bill would apply to other clinicians such as PTs and OTs. The committee also heard testimony on H. 2401/S. 1485, which would require explicit informed consent for certain educational exams performed on unconscious patients. The bill’s supporters said patients should know in advance if students or physicians will conduct non-medically necessary exams while they are under anesthesia, and that the measure would protect survivors from retraumatization. The hearing then moved to H. 2537, a primary care access bill. Health Care for All, the Massachusetts Medical Society, pediatric and internal medicine physicians, and a patient advocate described long waits, provider shortages, and difficulty finding primary care, especially for low-income people and people of color. They supported the bill’s proposed primary care spending target, payment reforms, Medicaid graduate medical education funding, and a commercial payment floor for health centers. Another set of bills addressed workforce and safety issues. H. 2397/S. 1593 would establish a nursing workforce center; nursing leaders said Massachusetts should make the current workforce council permanent to support data collection, apprenticeships, and long-term planning for the state’s largest health care workforce. H. 2396/S. 1535 would require safe patient handling and mobility programs in health facilities; nurses described serious injuries from lifting patients and said better equipment and programs would reduce staff injuries and improve patient outcomes. H. 2501/S. 1505 on LGBTQ+ health disparities drew support from a medical student and Doctors for America, who urged collection of sexual orientation and gender identity data to improve care and school outcomes. Finally, H. 2448/S. 1522 on patient safety and equitable access to care drew strong support from nursing organizations and individual nurses who described unsafe staffing, burnout, and patient harm, while the Massachusetts Association of Behavioral Health Systems opposed the bill as redundant for psychiatric facilities already regulated by the Department of Mental Health.

Transcript Highlights:

• regulations onto our nursing<02:52:18.240><c> home</c><02:52:18.399><c> and</c><02:52:18.680><c> providers
• Department of Health, the regulator for nursing homes and assisted living facilities.
• Department of Health, the regulator for nursing homes and assisted living facilities.
• I also am sympathetic to the very fact that we are imposing a lot of additional regulation on our nursing
• on our nursing of additional regulation on our nursing homes<02:58:55.920><c> and</c><02:58:56.080><

Keywords: 1187, senate, all

Transcript Highlights:

• , defray anxieties, spot opportunities for early intervention, be kind of your nurse friend, nurse advisor
• And I think that there should be a regulator, and the regulator should be able to measure the financial
• So this system does not work without self-regulation as well as the regulation that exists on.
• This system does not work without self-regulation, as well as the regulation that exists on those two
• And if you're going to have a regulator, you're going to have some factors that the regulator can use

Keywords: 995, all

Summary: The commission meeting focused on continuing care retirement communities (CCRCs), beginning with a presentation from Two Life Communities on its Opus Newton model, which is opening in the fall. Two Life described Opus as a middle-income, modern CCRC built around affordability, care coordination in residents’ apartments rather than separate care buildings, and resident-driven community life. Commissioners asked about financing, home care arrangements, affordability, Medicaid/MassHealth access, and the role of resident councils versus board representation. Two Life said it wants to remain within the CCRC framework, but expressed concern about proposals that would require multiple discrete care levels, impose deadlines on entrance-fee refunds, or require resident board seats. The commission then discussed possible recommendations. There was broad support for Senate Bill 478, which would require clearer disclosure of entrance-fee refund terms in a separate document for prospective residents. On refund timing, members were divided: some favored a one-year deadline or a deadline with waivers, while others opposed a fixed deadline because of financing risks and the potential impact on new development and current residents. Several members suggested keeping the status quo but adding better data collection and reporting on refund timing. On the CCRC definition and marketing, members debated whether the current statutory definition is too vague and whether the commission should recommend clearer standards or a certification-like process, while also noting resource limits for state oversight. Members also discussed the Age CCRC Consumer Guide, with general agreement that it should be updated and made more useful to consumers, possibly with clearer questions to ask and more information about facilities, though some cautioned against adding subjective financial-risk statements that would be hard to administer. On resident representation, several commissioners strongly supported requiring resident voting members on boards, while providers argued that strong resident associations and regular meetings with boards may be preferable and that communities should retain flexibility. The meeting ended with a request for written comments by July 11, draft recommendations to be circulated July 18, and a possible final meeting on July 21, with the commission aiming to finish by August 1.

Transcript Highlights:

• My name is Marianne Vosconi, and I am a registered nurse.
• And Eliza does go to school, and she has one-on-one nurse, LVN nurse.
• Since then, the board has grown to regulate approximately 17.
• We do not seek regulation under this board.
• They are not authorized to regulate traditional naturopathy.

Keywords: 988, house, all

Transcript Highlights:

• all nursing schools.
• The Florida Nurses Association supports the Board of Nursing in its critical role of ensuring nursing
• scam colleges failing students followed the 2009 regulation and allowed hundreds of new nursing schools
• 52 percent of nurses.
• When you regulate private nursing programs, you regulate the majority of Florida's nursing pipeline,

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: 999, senate, all

Transcript Highlights:

• that we're not always going toward disciplining the nurse.
• We want to rehabilitate the nurse.
• Our nurse was involved, but it wasn't a nursing error, but maybe it was a physician error.
• When you talk about the disparities in nurses, I'll...
• In my prior life, I was a labor and delivery nurse.

Summary: The subcommittee heard budget proposals for Exposition Park, the California Science Center, the Department of Financial Protection and Innovation (DFPI), the Debt Collection Licensing Act program, and the Board of Registered Nursing. For Exposition Park, the administration requested $96.5 million for utility replacement, site improvements, code compliance, accessibility, and safety upgrades, plus $1.698 million for operational sustainability funded from the park’s improvement fund. The LAO said the proposals had merit but noted the first item could be downscaled if needed because of the state’s budget condition. Members emphasized the park’s deferred maintenance, major upcoming events, and the need to protect a statewide asset; both Exposition Park items were held open. The Science Center requested funding to open and operate the new Air and Space Center, including staffing for the facility that will display the Space Shuttle Endeavour and expand exhibit space. The LAO supported the proposal but suggested the Legislature consider alternative funding sources such as admission fees, parking fees, or private funds. Members discussed the Science Center’s public-private funding model, the importance of keeping access affordable for disadvantaged communities, and the tradeoff between free admission and long-term operating support. The item was also held open. DFPI sought continuation of expenditure authority for the California Consumer Financial Protection Law, debt collection licensing, and broker-dealer/investment adviser workloads, and the LAO recommended limited-term funding with more cumulative reporting before permanent funding is considered. Members pressed the department on whether its workload and spending are tied to measurable outcomes rather than just activity counts, and DFPI cited complaint resolution, enforcement actions, and restitution recovered as examples of impact. The Debt Collection Licensing Act item drew similar LAO comments, but members raised stronger concerns about the financing model, the gap between projected and actual licensee counts, and whether spending levels are justified; that item was held open. The Board of Registered Nursing requested $1.4 million for eight special investigators to address rising complaints, and the board said most complaints are resolved through investigation, referral, probation, or rehabilitation rather than discipline. Members asked about complaint backlogs, viral and potentially automated complaints, bias in care, and the lack of broader inspection authority; the item was also held open.

Transcript Highlights:

• All three in nursing. So they may be out here that the nursing home is looking for staff.
• Tammany for more nursing homes.
• in the nursing homes.
• I have seen them nursing care worker.
• Or we are a regulated utility.

Committee: House Health and Welfare

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.

Transcript Highlights:

• Again, wellness opportunity for nurses.
• better connected to the nurses.
• Again, wellness opportunity for nurses.
• But we have about half a million nurses in California with active licenses, but only about 326,000 nurses
• working as registered nurses.

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.