Transcript Highlights:

• This slide is for congenital syphilis rates.
• congenital syphilis activities through. a variety of different programs.
• a lot of activities surrounding congenital... oral syphilis right now.
• On the congenital syphilis, any time you see that big of a discrepancy between Texas and. in the U.S.
• Syphilis, if identified and treated in mother, pre-partum, pregnancy can prevent congenital syphilitis

Keywords: 1184, house, all

Transcript Highlights:

• We started a syphilis program this year in 2025.
• syphilis in the country, and we also had one of the highest rates of non-congenital syphilis. ...syphilis
• So we did this syphilis endemic ECHO program, where we talked not only about syphilis, but also about
• We also had a focus on congenital syphilis.
• We have a perinatal provider who was an excellent part of that ECHO who focused on congenital syphilis

Transcript Highlights:

• In 2023, 930 babies were born. with congenital syphilis, and this includes 52 that were stillborn or
• syphilis.
• This request provides an opportunity to begin to bring congenital... syphilis rates down in Texas.
• And the congenital syphilis, which is extremely disturbing. increase that we've seen there.
• On the syphilis thing, do you think that the syphilis numbers, in terms of neonatal... syphilis cases

Keywords: 1184, house, all

Transcript Highlights:

• Syphilis in general has been increasing over the last decade, but congenital syphilis syphilis, which
• In 2023, 930 babies were born with congenital syphilis, including 52 that were stillborn or died shortly
• Regarding congenital syphilis, it seems to me that everything you list here is identified under prevention
• We also, in the second item there, talk about standing up congenital syphilis consultation hotline.
• again that's a national trend for both syphilis in the adult population and congenital syphilis.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• One, combat Texas's congenital syphilis epidemic.
• Congenital syphilis in Texas is at a decade-long high, with about two to three infants born each day
• Syphilis, and also number eight, Improved Timeliness and Quality of Maternal and Child Health Data.
• We also request the Senate to fund the following four areas: one, to combat Texas' congenital syphilis
• Congenital syphilis in Texas is at a decade-long high, with about two to three infants born... ...each

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• eliminate, the risk, and they are much less effective on skin-to-skin infections like HPV, herpes, and syphilis
• California is in a congenital syphilis epidemic right now.
• eliminate, the risk, and they are much less effective on skin-to-skin infections like HPV, herpes, and syphilis
• California is in a congenital syphilis epidemic right now.

Summary: The Assembly Education Committee heard several Senate bills focused on student health, access, equity, and career preparation. SB 608 by Sen. Menjivar would expand access to condoms and related sexual health resources for students in grades 7–12 and direct the Department of Education to align with the California Healthy Youth Act. Supporters argued the bill would help address high STI rates among youth and remove barriers to access, while opponents raised concerns about parental authority, local control, and encouraging early sexual activity. The bill was approved on a 6-1 vote and sent to the Health Committee. SB 965 by Sen. Blakespear would prohibit libraries from requiring a parent to be physically present for a 16- or 17-year-old to obtain a library card, while still allowing libraries to require parental consent or signature. Supporters said the current rule creates unnecessary barriers for teens and school research projects, and the California Library Association said it was now neutral after amendments. The committee passed the bill 6-0 to Appropriations. SB 998 by Sen. Gonzalez would define and expand the duties of discrimination prevention coordinators in the state’s Office of Civil Rights, including adding a disability coordinator and deputy coordinators focused on anti-Black, anti-Asian, anti-Latino, and anti-Native American discrimination. Testimony emphasized the need to address rising hate incidents and discrimination in schools, especially for Black, LGBTQ+, AAPI, and other marginalized students. The bill was approved and sent to Judiciary with amendments to be processed there. SB 845 by Sen. Perez, which expands work-based learning and youth apprenticeship opportunities, also received broad support from education, workforce, and industry groups and passed unanimously to Labor and Employment. The committee also approved a consent calendar of additional bills and adjourned after all items were acted on.

Transcript Highlights:

• STI rates are on the rise too, notably congenital syphilis, which occurs when babies are born when a
• Between 2017 and 2022, there was a 400. percent increase in syphilis in Texas.
• should have been removed, an undiagnosed breast or a treatable sexually transmitted infection like syphilis

Keywords: Texas, healthcare, reproductive health, Care No Matter What Act, Planned Parenthood, maternal mortality, teen pregnancy, funding cuts, community health

Summary: The meeting addressed critical health care concerns in Texas, highlighting the consequences of funding cuts on access to reproductive health services. Key speakers emphasized the urgent need for the Care No Matter What Act, which aims to restore funding to healthcare providers like Planned Parenthood. They underscored the alarming statistics of maternal mortality and the rising rates of teen pregnancies, particularly in Black and Latina communities. Testimonies shared during the meeting illustrated the real-life impacts of healthcare access issues on individuals and families across the state, illustrating the necessity for legislative action to ensure comprehensive reproductive health services.

Transcript Highlights:

• STI rates are on the rise too, notably congenital syphilis, which occurs when babies are born when a
• Between 2017 and 2022, there was a 400% increase in syphilis in Texas.
• removed, an undiagnosed breast cancer, or a treatable sexually transmitted infection infection like syphilis

Transcript Highlights:

• The first is to combat the Texas congenital syphilis epidemic.
• vital to ending this epidemic and reducing the profound morbidity and mortality that's caused by congenital
• syphilis.

Transcript Highlights:

• The first is to combat the Texas congenital syphilis epidemic.
• epidemic and reducing the spread of COVID-19. the profound morbidity and mortality that's caused by congenital
• syphilis.

Keywords: 1184, house, all

Transcript Highlights:

• We have also achieved a consistent decline in sexually transmitted infections, including congenital syphilis
• investments for public health to meet patients where they are and effectively test, treat, and prevent syphilis
• While these numbers are finally improving, congenital syphilis rates in California are still three times

Keywords: 988, house, all

Transcript Highlights:

• We have also achieved a consistent decline in sexually transmitted infections, including congenital syphilis
• investments for public health to meet patients where they are and effectively test, treat, and prevent syphilis
• While these numbers are finally improving, congenital syphilis rates in California are still three times

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget, including a $5.1 billion department budget and 19 non-IT budget change proposals spanning environmental health, healthcare quality, infectious disease, healthy communities, health statistics, preparedness, and laboratory sciences. CDPH also presented estimates for WIC and the Genetic Disease Screening Program, both of which were described as relatively stable, with WIC food costs rising mainly due to inflation and participation holding near 1 million monthly participants. Members and public commenters raised support for several proposals, including funding for the California Reducing Disparities Project, AB 1264 implementation on school food standards, childhood lead poisoning prevention, the hospital bed capacity registry, sickle cell care networks, and WIC protections amid federal policy changes and shutdown-related uncertainty. Dr. Erica Pond then presented the 2026 State of Public Health report, highlighting major gains such as record-low mortality rates, all-time high life expectancy, and the first decline in overdose deaths in 14 years, while warning about persistent disparities in maternal and infant outcomes, rising severe maternal morbidity, and worsening mental and behavioral health trends, especially among younger adults. She emphasized racial and geographic inequities, the role of social drivers like poverty and education, and the importance of prevention investments through the Behavioral Health Services Act. Members discussed the need for upstream public health spending, environmental health preparedness, and how to translate data into action, while public comment largely focused on sustaining community-based prevention and equity programs. In a separate update on federal actions and public health partnerships, Dr. Pond and CDPH staff described California’s response to federal funding threats, vaccine policy changes, and measles outbreaks. They outlined new collaborations such as the West Coast Health Alliance, the Governor’s Public Health Alliance, the WHO outbreak network, and the FACT Coalition, along with CDPH’s process for reviewing and updating immunization and preventive service recommendations under AB 144. Members questioned the rise in measles and declining vaccination coverage, and CDPH said it is using trusted messengers and tailored outreach while continuing to evaluate federal recommendations. The committee then heard an ADAP estimate showing lower projected budget authority needs due to reduced caseload and one-time funding expiring, followed by public support for using ADAP rebate funds to expand HIV prevention, PrEP, testing, and disease intervention staffing. The final issue focused on public health information technology systems, including Sapphire, CalReady, CalConnect, CARE, MyTurn, MyCAVAC, and the digital vaccine record. CDPH explained how these systems support disease reporting, contact tracing, immunization tracking, vaccine ordering, and outbreak response, while the Department of Finance said only Sapphire and CalReady are funded in the Governor’s budget and the rest are under review because of the state’s budget deficit and declining utilization. Local health department representatives strongly opposed losing the systems, arguing that lower usage reflects post-pandemic conditions and that the tools save staff time, improve outbreak response, and prevent a return to manual spreadsheets and phone calls. Members echoed concern that cutting the systems would undermine public health capacity and waste prior state investment, and urged the administration to present a funding plan that matches its stated commitment to public health.

Transcript Highlights:

• eliminate, the risk, and they are much less effective on skin-to-skin infections like HPV, herpes, and syphilis
• California is in a congenital syphilis epidemic right now.

Keywords: 988, house, all

Transcript Highlights:

• Turning to the top of page 21, item 4A, improved child mortality and morbidity due to congenital syphilis

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Transcript Highlights:

• And much of our congenital syphilis is likely related to a mom who is addicted, fraught with shame, or
• she's not getting care for her SUD, she's not going to have her blood checked to be treated for syphilis
• and prevent congenital syphilis.

Keywords: 959, house, all

Transcript Highlights:

• This impacts moms and babies, and much of our congenital syphilis is likely related to a mom who is addicted
• she's not getting care for her SUD, she's not going to have her blood checked to be treated for syphilis
• and prevent congenital syphilis.

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.

Bills: S0198, S0422, S1236, S1356, S1456, S1722

Keywords: virtual currency, kiosks, money services business, regulation, financial services, consumer protection, cryptocurrency, registration, ADS-B, automatic dependent surveillance-broadcast, aviation, airports, airport fees, landing fees, departure fees, touch-and-go landing, general aviation, pilot privacy, airspace radius, aircraft tracking

Summary: The committee first postponed SB 1456, then heard SB 1236, which would condition state economic development incentives on employers using secret-ballot union elections and prohibit neutrality agreements. The sponsor argued the bill protects workers from coercion and applies only to companies receiving taxpayer-funded incentives; opponents said it was government interference, likely to hurt contractors, apprenticeships, and business growth, and raised concerns about federal preemption and Attorney General enforcement. After debate, the committee reported SB 1236 favorably on a recorded vote. The committee then considered CS/SB 198, a measure to regulate cryptocurrency kiosks by requiring operator registration, fraud warnings, transaction limits, blockchain analytics, receipts, and refund protections for certain first-time transactions tied to fraud. Supporters from the banking industry, AARP, and others said the bill would help stop scams that are targeting seniors and vulnerable adults; one industry witness supported the bill but suggested narrowing the limits for existing users and shortening the new-customer period. The committee reported the bill favorably. Next, the committee took up CS/SB 1356 on dog breeding, pet sales, and breeder registration. The sponsor said the bill is intended to curb puppy mills, improve animal welfare, and add consumer protections, while an amendment removed state oversight of local animal shelters. Pet store representatives supported much of the bill but objected to the three-day waiting period for financed purchases, expanded reimbursement, and unfair trade practice penalties; others argued the bill would add red tape and litigation. The committee adopted the amendment and then reported the bill favorably. The committee also heard SB 1722 on app stores and minors, which would require age verification, parental consent for minors, app-content disclosures, and enforcement by the Department of Legal Affairs. Supporters said the bill would help parents protect children online; opponents warned it could force collection of sensitive personal data, create privacy and constitutional problems, and duplicate existing parental tools. Members debated the balance between child safety and privacy, and the committee reported the bill favorably. Finally, the committee heard CS/SB 422 on ADS-B aviation data, which would bar use of ADS-B information to calculate certain landing or access fees; an amendment added departures to the restriction. Pilots supported the bill as a safety and privacy measure, while airport representatives opposed it as undermining airport finances and shifting costs. The amendment was adopted, and the hearing on the bill began with testimony from both sides.

Transcript Highlights:

• We have now also achieved a consistent decline in sexually transmitted infections, including congenital
• syphilis, since 2021, after we saw dramatic increases since 2010.
• investments for public health to meet patients where they are and effectively test, treat, and prevent syphilis

Keywords: 987, senate, all

Transcript Highlights:

• We have now also achieved a consistent decline in sexually transmitted infections, including congenital
• syphilis, since 2021, after we saw dramatic increases since 2010.
• investments for public health to meet patients where they are and effectively test, treat, and prevent syphilis

Summary: The hearing began with an overview of the California Health and Human Services Agency, which described its 2026-27 budget, major departments, and strategic priorities, including behavioral health, housing and human services integration, children and youth, and aging/disability services. The agency also explained a technical CalHHS/CalHires budget adjustment tied to HR1 compliance and eligibility system work. No LAO concerns were raised on that item. The committee then heard from the Office of Youth and Community Restoration on its budget, its SB 823 realignment report, and related issues. OYCR said county-based realignment has generally succeeded but outcomes and readiness vary widely, and it recommended more climate surveys, youth advisory councils, stronger behavioral management, better programming, improved transition planning, and integrated longitudinal data systems. Members pressed OYCR on “net widening,” county-by-county trends, and the gap between the detailed recommendations discussed in hearing and the more general recommendations in the public report. OYCR also described problems with federal Title II grant timing and a pending $14 million administrative funding adjustment, and discussed implementation of the juvenile justice realignment block grant formula. The Ombudsperson division separately requested two new positions due to rising complaints, site visits, and records-access disputes with counties; LAO noted the proposal would create ongoing General Fund costs. Several other departments presented budget change proposals. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover an interagency administrative support gap with DSS; LAO had no concerns. EMSA presented its department overview, said its AB 716 ambulance-rate report has been delayed after resources were reduced, and requested funding for disaster-response vehicle replacement, IT security assessment work, and additional HR/legal staff; members questioned delays, compliance, and the ongoing General Fund impact. The Department of Community Services and Development sought reappropriation of LIWIP funds and explained a new Proposition 4 process for continuing the farmworker housing component. The Department of Rehabilitation requested authority for $60 million in additional federal funds and 54 positions to meet growing vocational rehabilitation demand, with no General Fund impact. The Department of Child Support Services presented its budget and a supplemental report on full pass-through of child support collections. Members questioned why local agency funding was being restored despite declining caseloads, and staff explained that staffing costs have risen faster than caseload declines and that additional funding is needed to maintain service levels. The supplemental report estimated full pass-through would cost about $150 million General Fund annually, or about $80 million for a state-and-county portion, with $3 million to $5 million in automation costs. Finally, the Department of Public Health gave a broad overview of its $5.1 billion budget and its State of Public Health report, highlighting improved mortality and life expectancy, declining overdose deaths and STI rates, persistent racial and regional disparities, and increasing public health emergency demands. CDPH also warned that federal funding threats and policy changes are creating major uncertainty for state and local public health systems.

Transcript Highlights:

• We have now also achieved a consistent decline in sexually transmitted infections, including congenital
• syphilis, since 2021, after we saw dramatic increases since 2010.
• investments for public health to meet patients where they are and effectively test, treat, and prevent syphilis

Summary: The committee heard a series of budget and oversight presentations from CalHHS-related departments and agencies. CalHHS opened with a broad overview of its 2026-27 budget and priorities, including behavioral health, housing and human services integration, children and youth services, and aging/disability supports. OICR then presented its budget and its SB 823 realignment report on youth formerly committed to DJJ, saying county implementation varies widely but that the state has not seen evidence of net widening in the available data. OICR recommended climate surveys, youth advisory councils, stronger behavioral health and education programming in secure youth treatment facilities, better transitional planning, and improved longitudinal data systems. The agency also described a Title II federal grant transition problem, saying it cannot yet pay some subrecipients for prior work and is awaiting federal action on retroactive spending authority and an administrative funding adjustment. The Ombudsperson division requested two additional positions to address a growing complaint workload and access issues with counties over youth meetings, records, and grievance files; LAO raised no policy objection but noted the ongoing General Fund cost. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover the gap between federal limits on administrative overhead and the actual cost of an interagency agreement with the Department of Social Services. EMSA presented its department overview and several proposals, including a delayed AB 716 ambulance rate report, a $2.6 million request to replace aging disaster-response vehicles, a $250,000 security architecture assessment, and four positions plus ongoing General Fund for HR, enforcement, and legal workload. Members questioned the delay in the AB 716 report, the optics and timing of the vehicle replacement request, and whether EMSA was doing enough to prevent future staffing and enforcement problems. LAO repeatedly noted the ongoing General Fund implications of EMSA’s requests. The Department of Community Services and Development sought reappropriation of unspent Greenhouse Gas Reduction Fund money for the Low-Income Weatherization Program and described a Proposition 4-funded continuation of the farmworker housing component, which would require a new statewide administrator and program design process. The Department of Rehabilitation requested authority to draw an additional $60 million in federal funds annually and add 54 positions to meet sharply increased Vocational Rehabilitation caseloads; LAO had no concerns. Child Support Services proposed restoring a prior reduction to local child support agency funding and reported higher federal performance incentives, while also presenting a supplemental report on full pass-through of child support collections to CalWORKs families, estimating about $150 million annually for full pass-through or about $80 million for a state/county-only approach, plus automation costs. Members questioned why funding should rise when caseloads are declining, and whether the policy could be made cost-neutral. CDPH closed the hearing with an overview of its $5.1 billion budget and its state of public health report, highlighting record-low mortality and higher life expectancy, but also rising overdose deaths among ages 25-44, persistent maternal and infant mortality disparities, and the need for stable public health and emergency-response capacity; no votes were taken during the hearing.