Transcript Highlights:

• is financial support for those systems.
• Things like roofs, heating and cooling systems, and... ...parking lots.
• Obviously, the health care system is in crisis, and I apologize. ...today.
• Obviously, the health care system is in crisis, and it applies common sense.
• care system that we have and the patients who need it most.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• We serve folks from all across New Mexico in this system of care. System of care.
• I think it's important that we craft a system.
• We have to see this through what we're doing with the gateway system.
• Growing this facility makes all healthcare delivery systems stronger.
• And so if we have folks coming into the system.

Transcript Highlights:

• system.
• Once they're in a system, make sure that system works well, and then ultimately move them out of the
• system into housing.
• system.
• It is definitely to create this cohesive and equitable system.

Transcript Highlights:

• I'm a program manager with Whole Systems Learning.
• I'm coming from Whole Systems Learning and I'm here to ask that you reject the systems learning and I'm
• So the hydronic loop system is essentially how water is transported throughout the system.
• Yes, so the hydronic loop system is essentially how water is transported throughout the system.
• Yes, the current system is completely deteriorated. The current system?

Summary: The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis. For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken. EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• And that's work that we're all doing in every system, right?
• So to really get a robust continuum of care, it is really all child-serving systems on board.
• So, like other child-serving systems, we don't stop at 18.
• We get pulled in when they're youth with multi-system involvement, whether that's multiple body system
• involvement or multiple social system involvement.

Keywords: 907, all

Transcript Highlights:

• for cash, food, and medical benefits, which is a system shared with HCA.
• , 'Hey, our IT system broke.
• So ACEs, that actually stands for Automated Client Eligibility System.
• So DSHS has 34 systems that are part of the One Washington Phase 1A.
• ACES is one of those 34 systems.

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• However, the state statute effectively recognizes only one system.
• This legislation is not about replacing one system with another.
• And in both times, they say these rating systems are equivalent.
• When you say the rating systems are equivalent, the LEED rating system of gold, platinum, and all of
• their rating systems compared to your two Globes versus one Globe rating system?

Keywords: 988, house, all

Transcript Highlights:

• Where are the gaps in the system?
• And they're together to tissue to make you a unified system here.
• And it's a unified system around a marketing strategy.
• to communicate system-level needs, because you are a system, and opportunities to economic development
• So we're excited about the system we have in place.

Summary: The Louisiana Ports and Waterways Investment Commission met on May 14, 2026, with a quorum present and approved the July minutes. Leadership gave opening remarks welcoming new members and noting that the commission is now administratively housed with the Office of Multimodal Commerce, which is expected to provide staff support, resources, and help restart the commission’s strategic planning work. Commissioners said the next major agenda item will likely be consultant support and further work on the strategic plan. The commission then repealed a prior July resolution that had requested a Louisiana Ports Infrastructure and Development Fund and identified critical projects for international trade and economic development. Members said the resolution was well-intentioned but premature because the projects had not been fully vetted, LED had not been sufficiently involved, and there was no clear funding plan. The repeal passed by motion and vote, with commissioners emphasizing that the projects themselves remain supported and will be revisited in a more thorough format through the strategic plan. A major portion of the meeting focused on the collaborative marketing study for the five Lower Mississippi River ports. Joe Toomey and Ken Erickson of Polaris described a regional marketing strategy built from cargo analysis, stakeholder interviews, and port data, aimed at increasing trade, economic growth, foreign direct investment, infrastructure funding support, and long-term coordination. Commissioners and LED representatives said the effort shows stronger cooperation among the ports, will live at LED with a cooperative endeavor agreement, and is already being used in foreign investment outreach and as a possible template for other port regions. The commission also received an update from the navigation and safety task force. Steve Wall, the new NOBER president, said he would continue the work begun by the late Captain Toby Waddington, who was honored with a moment of silence. Commissioners reported that recommendations from the task force are being implemented, including air gap sensors, bridge-related planning, and bundled dredging projects in the current capital outlay process. The meeting ended with no public comment and adjourned after commissioners indicated they would meet again in the next quarter.

Transcript Highlights:

• We really do try to be intentional across that system.
• Certainly within the TDCJ system and the prison system, there's a lot of veteran pods where veterans
• There's about 8,000 veterans incarcerated across Texas in the prison system and the county jail system
• We had a system in place. Every system they have in place.
• We had a system in place, much like the system the lieutenant here was describing, where software can

Bills: SB693, SB781, SB836, SB860, SB906, SB993, SB1101, SB1321, SB1370, SB1537, SB1563, SB1610, SB1637

Keywords: notary public, notaries, acknowledgment, jurat, personal appearance, remote notarization, online notarization, e-notary, electronic notarization, fraud prevention, identity verification, real estate fraud, property transfer, state jail felony, Class A misdemeanor, secretary of state, continuing education, record retention, notarial act, Texas Government Code

Summary: The committee heard a series of criminal justice bills focused on victim protections, law enforcement tools, notary/deed fraud, sexually violent predators, veterans in jail, tribal policing authority, and peace officer records. Several bills were laid out, heard, and left pending because the committee lacked a quorum for final action on those items. Testimony was generally supportive on bills addressing interpreter appointments, fuel theft investigations, deed fraud, survivor privacy, veteran jailer training, tribal peace officer authority, and officer-record confidentiality, though some bills drew concerns about due process, scope, or drafting. Senate Bill 1537 would clean up criminal procedure language on appointing interpreters and align it with Government Code standards requiring licensed or certified interpreters; it received no public opposition and was left pending. Senate Bill 993 would let Comptroller Criminal Investigative Division officers directly seek warrants for mobile tracking devices in fuel-theft and tax-fraud investigations; it also drew support and was left pending. Senate Bill 693, as substituted, would create a criminal offense for notarizing documents without the signer personally appearing, with a higher penalty when real property is involved, and would add notary continuing education; a Dallas County prosecutor testified that notary fraud is a major driver of deed theft, and the bill was left pending. Senate Bill 1610, as substituted, would address safety, registration, and criminal penalties at the Texas Civil Commitment Office for sexually violent predators, including assaults on staff and sex-offender registration issues; agency witnesses described increased assaults and operational problems, while a public witness urged waiting for Sunset review and raised due-process concerns. Senate Bill 836 would add privacy protections for sexual assault survivors by limiting livestreaming of trials, expanding pseudonym use, and protecting forensic exam and invasive-recording evidence; survivors and advocates strongly supported it, and defense lawyers said they had no opposition to the substitute. Senate Bill 1563 would require county jailer training on interacting with veterans, with testimony from the Texas Veterans Commission and veterans’ advocates emphasizing suicide risk, PTSD, and the need for better identification and support in jails; the bill was left pending. The committee also heard Senate Bill 906, which would authorize the Ysleta del Sur Pueblo tribal police to be commissioned as Texas peace officers like two other federally recognized tribes in Texas; tribal leaders said the change would improve response times and coordination, and the bill was left pending. Senate Bill 781, as substituted, would standardize confidentiality rules for peace officer personnel and departmental files statewide, mirroring Chapter 143 civil-service practices; law enforcement witnesses supported it as a way to protect personal information and create uniform records practices, but several senators raised concerns that the bill could blur existing disclosure rules or bury misconduct complaints, and public testimony included an opposition witness describing a police shooting involving her brother.

Transcript Highlights:

• supply systems.
• And a water filtration system is very expensive for a small water system that the honorable Zaffirini
• We just learned that the filtration system was... ...moved.
• That is when the filtration system was removed. The TCEQ is here today.
• By Senator Zaffirini, relating to the installation of filtration systems.

Bills: HB630, HB685, HB1318, HB2692

Keywords: outboard motors, certificate of title, vessel regulation, Texas Parks and Wildlife Code, marine documentation, HB 685, municipal utility rates, water rates, sewer rates, local government code, rate discrimination, tax-exempt entities, sales tax exemption, ad valorem tax exemption, nonprofit organizations, charitable organizations, municipal water service, municipal sewer service, utility billing, public utilities

Transcript Highlights:

• You know, send them through the school system, for SARB, that's not the answer.
• They need their advocates to stand up and help them through the public school systems.
• We mentioned the IEP system, the SARB to your parents.
• It is their system, and we can do a diversion before... ...system, and we can do a diversion before it
• So I think it bears a little explanation on how the system is set up.

Summary: The Assembly Budget Subcommittee on Public Safety heard several items focused on youth safety and law enforcement resources. The committee first took up tribal youth diversion programs, with the Legislative Analyst’s Office describing the Tribal Youth Diversion Grant Program and its two cohorts of grantees funded through the Board of State and Community Corrections. Tribal representatives from the Yurok Tribe and San Pasqual Band of Indians testified that diversion, tribal courts, school partnerships, mentoring, and culturally grounded services helped reduce truancy and justice-system involvement, but that short-term funding interruptions and limited capacity prevented them from serving all youth in need. Committee members discussed the importance of early intervention, tribal-state court collaboration, and possible misidentification of Native youth in the justice system. The committee then heard the California Highway Patrol’s overview of surge operations supporting local crime suppression, including organized retail theft. CHP reported that its surge teams have been used in response to mutual aid requests and cited arrests, stolen vehicle recoveries, and firearm seizures in Oakland, Bakersfield, and San Bernardino. Members asked about demand for these operations and whether CHP could meet requests without affecting other duties; CHP said requests have increased and are accepted when resources allow. The committee also heard CHP’s request for a $5 million General Fund augmentation and 12 positions for its Computer Crimes Investigation Unit to make child sexual abuse material and human trafficking investigations a higher priority. CHP cited rising cybertip volumes, a case involving AI-generated CSAM, and the need for more investigators and forensic capacity. A larger portion of the hearing focused on the Internet Crimes Against Children task forces and a separate $5 million ongoing General Fund proposal for Cal OES to continue the program. Task force commanders from Sacramento, San Diego, Silicon Valley, and Fresno described rapidly growing cybertip volumes, heavy caseloads, forensic backlogs, and the need for training and equipment for affiliate agencies statewide. They emphasized that the ICAC model relies on local partnerships, deconfliction, and subject-matter expertise to identify victims, execute warrants, and rescue children, and they gave examples of cases that led to arrests and child rescues. Members generally supported the work but raised questions about overlap between CHP and ICAC efforts, the need for broader statewide collaboration, and whether more resources should be directed to task forces and victim services. A public commenter also urged expansion of homeless youth exploitation services and the California Youth Crisis Line.

Transcript Highlights:

• Back into the system again and again.
• SB 1373 finally fixes a broken system. It reforms... SB 1373 finally fixes a broken system.
• People learn to game the system.
• These are systemic issues.
• This is a failure of the system.

Keywords: 987, senate, all

Transcript Highlights:

• I think when the system is that complex.
• We have a failed system, and that's just one.
• a local accountability system.
• HB4 represents a thoughtful recalibration of our school accountability system. system, one that values
• Our current system shows this.

Bills: HB4, HB54, SB 10, SB 24, HB4, HB54, HB775, HB850, HB 1122, HB 1249, HB1405, HB2336, HB2757, HB3372, HB3622, HB4442, HB4687, HB4893, HB5089, HB5515, HB5606, SB10, SB24, HB1573, HB3369

Keywords: district composition, congressional election, Texas, legislature, voting districts, citizenship, U.S. citizen, non-citizen, public office, advisory board, task force, state government, local government, political subdivision, commission board, appointment eligibility, officeholder qualifications, public service, naturalization, Texas Government Code

Transcript Highlights:

• The purposeful expansion of the system and the services we offer is crucial.
• is one of the things that makes our system stand out.
• failures and correcting those systemic failures.
• Early childhood systems.
• None of us want to see anyone hurt. in the medical system.

Transcript Highlights:

• They are a little bit of an early indication of systemic issues.
• Their notes are not in the system, right?
• And it's just, again, it's outside of the system.
• Their notes are not in the system, right?
• And it's just, again, it's outside of the system.

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• <00:03:19.319> people<00:03:20.000> systems that combines our people systems that combines
• in the immune system, for example.
• in the immune system, for example.
• system the cardiovascular system nervous system the cardiovascular system uh<00:45:42.680> the
• integrated system.

Keywords: 1183, house

Transcript Highlights:

• . all the other demand on the system would be.
• Our system where we can be in EEA-1 to EEA-3 in 20 minutes.
• the system.
• The system can't handle that.
• So those loads may still use the system at other times.

Bills: SB6, SB11, SB33

Keywords: electric power, interconnection, utilities, ERCOT, large load customers, water supply, sewer service, demand management, school prayer, Bible reading, religious text, public schools, Texas Education Code, student prayer, silent prayer, meditation, religious liberty, First Amendment, Establishment Clause, church and state

Transcript Highlights:

• These are systemic barriers. These are systemic barriers.
• Our youth probation system is broken.
• That's not a just system. That's not a system that's built to be able to rehabilitate youth.
• That's a system that's built on self-perpetuation.
• system.

Summary: The Assembly met in session, established a quorum, and opened with a prayer and the Pledge of Allegiance. Members then moved through guest introductions, including students and fellows from California Lutheran University, UC Merced’s CAPE program, the Maddy Institute, and Madera High School’s Madtown Robotics Team 1323, which was recognized for multiple robotics world championships. The chamber also adopted an adjournment in memory and took up the daily file. Several bills and resolutions were considered and passed, including AB 1390 on school board compensation thresholds, AB 1338 on air district cost recovery for fence-line air monitoring, AB 648 on community college housing, AB 1207 on cap-and-trade price ceilings, ACR 66 recognizing Skin Cancer Awareness Month, AB 49 on keeping ICE out of public schools, AB 317 on a CEQA exemption for certain single-family homes, AB 527 on geothermal exploratory wells, AB 665 on the Department of Financial Protection and Innovation ombudsman report, AB 940 creating quantum innovation zones, AB 1021 on workforce housing for education agencies, AB 1112 on property tax apportionment in Rancho Mirage, AB 1318 on nonprofit eligibility for public funding, and AB 1470 on using student housing loan funds for affordable housing in downtowns and commercial districts. Most measures passed with broad support; AB 49 and AB 1318 were urgency bills and passed with the required higher vote threshold. The floor also adopted H.R. 40, declaring May 25 as Rosenda’s Day to honor a teen killed by a drunk driver, and H.R. 42, recognizing May as Behavioral Health Awareness Month. Both drew extensive personal testimony from members about mental health, suicide, substance use, and the need to reduce stigma and expand access to care. Additional health-related bills passed, including AB 408 creating a physician health and wellness program, AB 546 requiring coverage for HEPA purifiers for certain enrollees after wildfire disasters, AB 967 expediting licenses for out-of-state physicians, and AB 968 expanding pharmacist authority to provide non-hormonal contraception. The Assembly also debated AB 1056 on phasing out gill net fishing and AB 1376 on limiting juvenile probation terms, with supporters framing both as conservation or rehabilitation measures and opponents warning about economic harm or public safety concerns. Both bills ultimately passed. Throughout the session, members repeatedly emphasized public safety, education, housing, climate, health care access, and support for immigrant and youth communities, with recorded roll-call votes and voice votes taken on each measure.

Transcript Highlights:

• They're gaming the system.
• I think the motive is to discredit the system.
• We do not need to rewrite every system within Social Security.
• A lot I've heard is. is about the old COBOL system at Social Security.
• All the people have paid into the system with their hard-earned money.

Keywords: Social Security, Medicaid, Frank Bisignano, Elon Musk, benefit processing, office closures, public testimony, administration policies, health care, vulnerable populations

Summary: The committee meeting focused heavily on the nomination of Frank Bisignano as the Commissioner of the Social Security Administration, with intense discussions around the current state of Social Security and its management under the current administration. Members voiced significant concerns regarding potential changes to Social Security and Medicaid, specifically addressing issues such as office closures, delays in benefit processing, and the perceived policies from Elon Musk's association with the administration. Public testimonies highlighted fears that these changes would severely impact the accessibility of benefits for seniors and vulnerable individuals, resulting in a chaotic environment at the SSA. Members expressed a unified opposition to the notion of dismantling these critical programs, emphasizing the long-term implications on their constituents' well-being.

Transcript Highlights:

• Some is being moved into local systems.
• Those waters are released into that local system.
• systems in the town of Cambria, California.
• Since 2019, we've been able to consolidate over 140 drinking water systems to neighboring systems that
• There may not be a system close by.

Keywords: 988, house, all