Transcript Highlights:

• However, there are some other changes particularly around eligibility and retroactive coverage that have
• However, there are some other changes particularly around eligibility and retroactive coverage that have
• However, there are some other changes particularly around eligibility and retroactive coverage that have
• However, there are some other changes particularly around eligibility and retroactive coverage that have
• <00:35:15.200> coverage eligibility and retroactive coverage eligibility and retroactive coverage

Keywords: 919, house, all

Summary: Minnesota Management and Budget Commissioner Aaron Campbell, State Economist Dr. Tony Becker, and State Budget Director Anna Mingi presented the November 2025 budget and economic forecast. Campbell said the state now projects a nearly $2.5 billion surplus at the end of the 2026-27 biennium, about $575 million better than the end-of-session estimate, but also a projected negative balance of about $2.9 billion in FY 2028-29, reflecting a worsening structural imbalance. He said the budget reserve stands at $3.4 billion, with cash flow and budget reserves totaling $3.8 billion after a $244 million addition, and emphasized that Minnesota’s AAA bond rating and reserve policy remain strengths even as future sessions will need to address the long-term gap. Becker said the national economic outlook has changed only modestly since February, but growth remains below trend through the forecast horizon. He cited slower consumer spending, weak private investment, continued tariff uncertainty, lower projected immigration, and modest inflation that stays near 3% through 2026 before easing. Revenue forecasts for the next biennium were revised up to $66.3 billion, driven mainly by higher individual income tax receipts and other revenue, partly offset by lower sales and corporate tax forecasts. He also noted risks from federal policy changes, the recent shutdown’s effect on data availability, and possible equity market volatility. Mingi said general fund spending is projected to rise sharply, with current biennium spending up $3.4 billion from end-of-session estimates and planning-year spending up $1.9 billion. She attributed much of the increase to carryforward from prior one-time appropriations, discretionary inflation, and especially Medical Assistance. MA costs are projected to be about $2.5 billion higher over 2025-29, largely because managed care rates rose more than expected due to higher utilization and higher-cost services, including pharmacy costs, while long-term care and disability waiver costs also increased. In response to questions, officials said the federal reconciliation bill had only a relatively small effect on the health care changes, and that the carryforward amounts reflect unspent prior appropriations that now show up in later years rather than new spending.

Bills: HB446, HB1609, HB4443, HB4464, HB4735, HB5476

Keywords: heat illness prevention, workplace safety, Texas Workforce Commission, advisory board, employee rights, administrative penalties, training requirements, employee training, occupational health, employer penalties, worker rights, heat illness, volunteer firefighter, volunteer emergency responder, emergency medical services volunteer, EMS volunteer, firefighter, fire department, emergency services, declared disaster

Bills: HB 1089, HB 1163, HB 1177, HB 1238, HB1318, HB1400, HB1407, HB1532, HJR7, HJR7

Keywords: coastal protection, environmental management, Gulf Coast, storm risk management, funding, Texas General Land Office, healthcare, insurance reform, patient access, insurance regulation, affordable care, health insurance, consumer rights, coverage transparency, claims process, insurance regulations, aggregate production, environmental impact, financial responsibility, reclamation

Bills: HB 1089, HB 1163, HB 1177, HB 1238, HB1318, HB1400, HB1407, HB1532, HJR7, HJR7

Keywords: coastal protection, environmental management, Gulf Coast, storm risk management, funding, Texas General Land Office, healthcare, insurance reform, patient access, insurance regulation, affordable care, health insurance, consumer rights, coverage transparency, claims process, insurance regulations, aggregate production, environmental impact, financial responsibility, reclamation

Transcript Highlights:

• Now, that part was before the committee, before, was supposed to be retroactively applied.
• before this committee last time is not retroactive, and that was really important here.
• Now, that part was before the committee before, was supposed to be retroactively applied.
• before this committee last time is not retroactive, and that was really important here.
• question that was really the coverage question that was really the main<00:25:10.919> point<00

Keywords: 1187, senate, all

Bills: HB28, HB50, HB196, HB268, HB271, HB285, HB316, HB649, HB807

Keywords: teacher certification, certification appeals, BESE, State Board of Elementary and Secondary Education, Teacher Certification Appeals Council, educator licensure, teaching license, teacher licensure, appeals process, certification denial, administrative appeal, special meeting, board president, retroactive application, education board, Louisiana teachers, Department of Education, statutory entities, re-creation, termination date

Transcript Highlights:

• .. ...been entered within the first year after the birth of the child, then the order should be retroactive
• new language is on page four, starting on line 98, which specifically talks about the order of retroactivity
• Chairman, when you say retroactive, what exactly do you mean? What exactly do you mean?
• Retroactive could mean all of the people who are paying child support now.
• Yes, sir, all right, but then it goes retroactive for those nine months. ...goes retroactive for those

Bills: SB156, SB134, SB108, SB47, SB88, SB89, SB106, SB18, SB9, HB38, HB54

Keywords: habitual felony offender, resentencing, Alabama Department of Corrections, victim notification, criminal justice reform, life sentences, parole eligibility, pardon, parole, law enforcement, GPS monitoring, data sharing, mail theft, stolen mail, criminal penalties, personally identifying information, felony, misdemeanor, SB47, Alabama

Transcript Highlights:

• So that retroactive liability just does send a bad message to the entire business community.
• So finding these companies retroactively for something that is needed just is, again,...
• It imposes retroactive liability on businesses for conduct that...
• We are applying the same retroactive premise here to make sure New Jersey is more affordable.
• How can we go back retroactively? I believe...

Keywords: 1146, all

Transcript Highlights:

• <00:14:43.600> which homeowners insurance coverage which homeowners insurance coverage which
• Have the assumption that they've got flood insurance coverage via their underlying homeowners coverage
• regarding total loss rental coverage regarding total loss rental coverage already<02:21:48.439><
• retroactively retroactively bill<04:01:18.880> but<04:01:19.080> retroactively<04:01:20.000
• Federal transparency in coverage Federal transparency in coverage requirements<04:52:14.760>

Keywords: 928, house, all

Summary: The committee heard testimony on a non-germane amendment to HB 297 that would create the Granite State Home Mitigation and Resiliency Program. Insurance Commissioner DJ Beton, joined by department staff, explained that the proposal is intended to help homeowners afford insurance by funding proactive home improvements that reduce risk and improve insurability. He said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 available on a first-come, first-served basis. Beton described the problem as rising homeowners insurance premiums, hard-market underwriting, nonrenewals, and the resulting shift to more expensive surplus lines coverage. He said eligible projects could include roof fortification, exterior improvements, flood-related foundation work, and removal of hazardous trees or limbs. He cited similar programs in other states, especially Alabama, Louisiana, and North Carolina, as evidence the model can work and noted that industry representatives were present in support. He also said the program would use means testing aligned with the Department of Energy’s weatherization program to target lower-income applicants. Members asked about the non-germane process, who would administer the program, and how the bill would prevent misuse of grant funds. The commissioner said the department would administer the program using one repurposed existing position, with Treasury handling fund flow through an MOU. Staff explained that applicants would have to show completed work through a signed contract, itemized work, and a sworn contractor affidavit, with some upfront payment allowed for materials and the remainder paid after completion. The chair and members discussed that the amendment is being attached to a different bill only to move the proposal through committee and on to House Finance for further consideration.

Transcript Highlights:

• coverage.
• and are eligible to health coverage and are eligible to continue<00:26:28.400> coverage<00:26
• continue coverage when the retiree dies. continue coverage when the retiree dies.
• before death, the spouse loses coverage. before death, the spouse loses coverage.
• would lose her coverage. would lose her coverage.

Bills: HF1151, HF1239, HF1240, HF2020, HF2514, HF2515, HF2451

Keywords: Compensation Council, salaries, state officials, judicial compensation, legislative process, public funds, misuse, law enforcement, accountability, state government, legislative auditor, compliance, transparency, retirement benefits, health insurance, dependents, state employees, Medicare, legislative studies, government oversight

Transcript Highlights:

• , to acquire Medicaid coverage of FDA-approved weight-loss medication.
• House Bill 210, it's an act to amend Title 42 relative to retroactivity. Return to the calendar.
• It is an act to amend Title 42 and Act 492 of the 2024 Regular Session to provide for retroactivity.
• What we did is we change the retroactivity for statewide elected officials, and that's basically what
• What we did is we change the retroactivity for statewide elected officials, and that's basically what

Bills: SCR12, HB221, HB509, HCR58, SB78, SB25, SB80, SB132, SB155, SB157, SB202, SB228, SB250, SB414, SB433, SB479, SB513, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR32, HB17, HB41, HB73, HB223, HB244, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB217, SB283, SB469, HB36, HB42, HB74, HB119, HB159, HB259, HB302, HB414, HB459, HB776, HB848, HB956, HB1017, HB1028, HB1095, SB208, SB312, SB382, SB389, HB210, HB258, HB359, HB368, HB468, HB552, HB732, HB784, HB870, HB953, HB1117, HB1236

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Transcript Highlights:

• It was paid retroactively, so it had to have a check issued.
• I don't think we can go retroactive. I think it's past us. I don't think we can go retroactive.
• And the reason I'm bringing that out is to go retroactive on this, you have a lot of payments that go
• You are talking about a huge issue, a very huge issue, if you were to try and do this retroactively.
• I would also ask this committee to resist making this retroactive.

Keywords: 908, all

Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.

Transcript Highlights:

• . ...of employees that are eligible for the coverage, and they choose not to, they opt out of the coverage
• So I have concerns with the retroactivity. ...replaced some very old assets at the time.
• So I have concerns with the retroactivity of this. Prospectively, I get it, right?
• This is not good practice when you go retroactively.
• I want to echo what you said, Chair, because I agree with you on the retroactivity piece.

Keywords: 1146, all

Transcript Highlights:

• Members, the House amendment simply clarifies that any prostate cancer screening coverage required by
• It gives the person retroactive protection. That's what this bill does.
• So you're trying from a retroactive standpoint?
• It's an act to amend Title 42 relative to retroactivity to provide for effectiveness. Yes. Okay.
• It just applies retroactively. That's what this bill does. Okay, amendments.

Bills: SR125, SCR70, SCR12, HB4, HB251, HB623, HB819, HB944, HB986, HB1098, HB1222, HB1257, HB221, HCR58, SCR22, SCR24, SB29, SB30, SB32, SB41, SB42, SB43, SB47, SB84, SB93, SB113, SB192, SB199, SB219, SB220, SB221, SB222, SB241, SB253, SB255, SB289, SB292, SB306, SB314, SB351, SB399, SB404, SB14, SB102, SB133, SB151, SB165, SB169, SB170, SB200, SB217, SB280, SB291, SB300, SB303, SB330, SB449, SB489, SB521, SB45, SB156, SB181, SB203, SB274, SB304, SB379, SB396, SB410, SB425, SB427, SB436, SB424, SCR61, SCR9, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR31, HB296, HB299, HB322, HB364, HB519, HB535, HB538, HB568, HB571, HB622, HB635, HB676, HB772, HB784, HB1006, HB1018, HB1043, HB1070, HB1134, HB1239, HB62, HB193, HB203, HB210, HB220, HB228, HB246, HB420, HB475, HB486, HB574, HB584, HB750, HB813, HB815, HB826, HB870, HB949, HB953, HB1045, HB1092, HB1151, HB1162, HB1176, HB1177, HB1196, HB1214, HB1241, HB22, HB28, HB33, HB41, HB47, HB87, HB115, HB162, HB195, HB214, HB217, HB233, HB283, HB290, HB319, HB324, HB345, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB636, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1236, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB1250, HB17, HB36, HB73, HB119, HB126, HB129, HB133, HB140, HB159, HB166, HB211, HB226, HB245, HB271, HB280, HB337, HB351, HB354, HB399, HB677, HB712, HB723, HB726, HB728, HB759, HB789, HB844, HB850, HB966, HB1036, SB149, SB382, SB441, HB134, HB258, HB359, HB782

Keywords: SR125, Senate Resolution 125, MUSV, Medium Unmanned Surface Vessel, MASC, Modular Attack Surface Craft, Conrad Shipyard, Morgan City, Louisiana shipbuilding, U.S. Navy, Department of the Navy, unmanned naval vessels, autonomous ships, defense procurement, military contracting, shipyard jobs, maritime workforce, advanced manufacturing, robotics, software engineering

Transcript Highlights:

• The retroactive coverage change is from 3 months to either 1 month or 2, depending on the enrollees.
• Coverage mandate? Um, Mr.
• Which seems more insurance coverage.
• But this is not levels of coverage.
• insurance and coverage. insurance and coverage.

Keywords: 1187, senate, all

Transcript Highlights:

• It clarifies how smoke damage is assessed, not whether coverage exists.
• It clarifies how smoke damage is assessed, not whether coverage exists.
• It does not expand coverage to soil, outdoor area, or non-covered property.
• There's never been, in our recollection, an instance where benefits were awarded retroactively.
• It does not change insurance coverage.

Summary: The Assembly Insurance Committee met as a subcommittee at first because a quorum was not initially present, then later established a quorum and heard several bills. The main special-order item was AB 1795 (Gibson), which would create statewide standards for testing, inspection, and remediation of wildfire smoke damage in homes, with CalEPA and public health agencies developing science-based standards and insurers required to follow new claims-handling timelines. Supporters, including Insurance Commissioner Ricardo Lara and wildfire survivors, said the bill would bring consistency and safety; insurers and consumer groups generally supported the concept but sought further amendments on scope, standards, and claim handling. The committee voted do pass as amended and refer AB 1795 to Appropriations, with the roll held open for later additions. The committee also considered AB 1576 (Ortega) on the Subsequent Injury Benefit Trust Fund, which would make changes intended to reduce litigation and employer assessments while preserving the program’s purpose of encouraging hiring of workers with prior disabilities. Labor-side witnesses supported the bill as a reform step, while business, public entity, and insurance groups opposed it, arguing it did not address the core structural problems and that a trailer bill was a better vehicle for broader reform. AB 1576 was voted do pass to Appropriations, with the roll held open. AB 1931 (Papan) would create an optional limited-lines license for utilities to offer home protection products for repairs to appliances and utility service lines. Support came from HomeServe, utilities, and industry groups, who said the bill would clarify current law and add consumer protections such as training, disclosures, and a free-look period; there was no opposition in the room. The committee passed AB 1931 to Appropriations. AB 2361 (Pacheco) would limit vicarious liability for peer-to-peer vehicle-sharing platforms like Turo while preserving insurance coverage requirements; supporters said it would align California with other states, while consumer attorneys opposed it as reducing accountability and consumer recovery. The committee passed AB 2361 as amended to Appropriations. AB 2098 (Kalra), heard later, would require employers to allow leave for workers to attend treatment for occupational injuries during work hours, subject to notice and business-necessity limits; labor groups supported it and business and insurance groups sought narrower standards. It was also voted do pass to Appropriations. The committee then completed roll-call add-ons and adjourned.

Transcript Highlights:

• <00:58:21.520> coverage<00:58:22.000> protections<00:58:22.720> that retroactive
• coverage protections that retroactive coverage protections that give<00:58:23.440> patients<00
• Retroactive coverage protects them by covering necessary medical care received during this vulnerable
• 13.760> that<02:54:14.319> the Now, retroactive coverage means that the Now, retroactive
• 55:06.160> by Retroactive coverage protects them by Retroactive coverage protects them by covering

Keywords: 919, house, all

Summary: Senate File 4612, a state government bill affecting the Department of Health, Human Services, and Children, Youth, and Families, was taken up with a House language amendment adopted at the outset. The bill’s authors gave sharply different perspectives: one described it as a limited, reactive measure tied to federal Medicaid changes and said it fell short of needed health care improvements, while the other argued it would avoid large federal penalties, add Medicaid work requirements, save taxpayer money, and help certain rural and disability-related services. Members then debated several amendments. A technical House research amendment was offered, followed by a contested amendment on the all-payer claims database. Supporters of that change argued the bill expanded data access and could allow sensitive health data to be sold or used outside the United States, raising privacy and jurisdiction concerns; opponents said the data would remain deidentified, access would be limited to researchers, and the fee structure was a cost-recovery mechanism rather than a sale. The amendment to the amendment failed on a 67-67 tie, and the underlying amendment was not adopted. The committee also adopted an amendment updating mortuary science rules for natural organic reduction and another that would automatically enroll certain people into medical assistance if they did not choose a program themselves. A later amendment creating a therapeutic psilocybin pilot program for mental health and PTSD treatment drew strong bipartisan support, especially from members citing veteran suicide, trauma, and promising research; it was adopted after discussion. The transcript ended while discussion continued on how the program would be administered, including questions about using the Office of Cannabis Management rather than the Department of Health.

Transcript Highlights:

• And in this one, the governor proposed the changes to retroactive coverage for Medicaid, a requirement
• <00:02:49.600> coverage<00:02:50.040> for the changes to retroactive coverage for the
• changes to retroactive coverage for Medicaid, Medicaid, Medicaid, um<00:02:52.240> a<00:02:52.320
• change to retroactive eligibility. change to retroactive eligibility.
• . coverages. coverages.

Keywords: 1187, senate, all

Transcript Highlights:

• What happens then with respect to the payments and the retroactive payments that were discussed earlier
• PASS  EITHER METRIC WHAT HAPPENS THEN WITH RESPECT   288 TO THE PAYMENTS AND THE RETROACTIVE
• , it would mean individuals who meet eligibility requirements would maintain continuous Medicaid coverage
• WOULD MAINTAIN CONTINUOUS MEDICAID COVERAGE  WITHOUT NEEDING TO TAKE ANY ACTION UNLESS  
• for the medically fragile home health program versus those that are receiving private duty nurse coverage

Summary: The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members. The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency. Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.

Transcript Highlights:

• Retroactive coverage: Currently, when an individual enrolls in Medi-Cal, the state must provide retroactive
• Under this provision, effective January 1, 2027, retroactive coverage will be shortened from three months
• Three times as many people will lose their health coverage.
• Three times as many people will lose their health coverage.
• I'm here with California Coverage and Health Initiatives.

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.