Transcript Highlights:

• I'm here as the founder of Konenki Menopause Solutions, a menopause support network, and as someone whose
• This bill must actually address what happens in menopause, not just menopause.
• As a practicing ...address what happens in menopause, not just menopause.
• Menopause typically occurs between the ages of 45 to 55, with perimenopause, or that transition to menopause
• And because menopause affects the entire body, menopause education is critical for any clinician who

Bills: H4796, H4838

Keywords: organ transplant, emergency vehicle, transportation, medical personnel, regulation, organs, menopause, perimenopause, healthcare access, female health, public health, medical education, workplace policies, discrimination, accommodation, 1212, all

Summary: The Joint Committee on Public Health held a hearing during a snowstorm, with members participating both in person and by Teams, and the chairs announced that written testimony would remain open for an additional week. The committee first heard House Bill 4796, an act relative to organ transplant vehicles. Testimony from NORA New England supported allowing dedicated organ transport vehicles to use lights and sirens in Massachusetts, arguing that time-sensitive organ transport is currently delayed by EMS responses to 9-1-1 calls and that trained, background-checked drivers could safely improve transplant outcomes. No vote was taken on that bill. The committee then took extensive testimony on House Bill 4838, an act expanding access to perimenopause and menopause care. The bill’s sponsor described it as a starting point developed after meeting with dozens of individuals and organizations, aimed at identifying barriers to treatment, improving provider education, expanding public awareness, and examining workplace and insurance access issues. Testimony from patients, clinicians, advocates, insurers, and researchers broadly supported the bill, emphasizing that menopause is underdiagnosed and undertreated, that many providers receive little training, and that symptoms can affect cardiovascular health, bone health, mental health, and workforce participation. Several speakers urged stronger insurance coverage and workplace accommodations, while some noted the bill is more of a study-and-framework measure than a direct coverage mandate. Witnesses included representatives from the Massachusetts Health and Hospital Association, Mass General, Blue Cross Blue Shield, Reproductive Equity Now, the National Menopause Foundation, the Massachusetts Commission on the Status of Women, and multiple clinicians and patients, including speakers from Ireland and a Black maternal health center. Many described personal experiences of misdiagnosis, delayed treatment, and workplace disruption, and several cited racial and socioeconomic disparities in care. The chairs thanked the speakers, noted the importance of the issue, and said additional testimony could be submitted in writing or at a follow-up Teams briefing. No committee vote or final action was taken before adjournment.

Transcript Highlights:

• Women's Health Consortium, and the specific focus of this health consortium is on the perimenopause, menopause

Bills: HR3, HR80, HB4, HB172, HB189, HB623, HB944, HB1185, HB1199, HB1222, SB105, SB125, SB461

Keywords: housing assistance, state-owned property, cost-burdened, state employees, affordable housing, fiscal audit, higher education, public funds, underrepresented minorities, Board of Regents, Louisiana legislation, constitutional convention, Louisiana constitution, electoral process, government structure, delegate elections, airport authority, fire protection, supplemental pay, public safety

Transcript Highlights:

• Thank you. equals menopause trained.
• I'm here as the founder of Konenki Menopause Solutions, a menopause support network, and as someone whose
• This bill must actually address what happens in menopause, not just menopause.
• As a practicing ...address what happens in menopause, not just menopause.
• And because menopause affects the entire body, menopause education is critical for any clinician who

Summary: The Joint Committee on Public Health held a hearing during a snowstorm, with members participating both in person and via Teams, and the chairs said testimony would be kept open for an additional week. The first bill heard was H.4796, an act relative to organ transplant vehicles. NORA New England testified in support, arguing that dedicated organ transport vehicles need authority to use lights and sirens so time-sensitive organs can be moved more quickly and safely without relying on EMS systems already stretched by 9-1-1 calls. No opposition was heard and the bill was then set aside as the committee moved to the next item. The bulk of the hearing focused on H.4838, an act expanding access to perimenopause and menopause care. Chair Decker, who filed the bill, said it was the product of a year of meetings with dozens of individuals and organizations and was intended as a starting point to identify gaps in care, training, access, and coverage. Testimony overwhelmingly supported the bill and described widespread misdiagnosis, dismissal of symptoms, limited clinician training, insurance barriers, medication access problems, and workplace impacts. Speakers included patients, clinicians, advocates, the Massachusetts Health and Hospital Association, Blue Cross Blue Shield, the Massachusetts Commission on the Status of Women, and out-of-state and international experts, many of whom urged better education, public awareness, research, and workplace accommodations. Several witnesses emphasized that menopause affects whole-body health, including cardiovascular, bone, mental health, and work outcomes, and that Black women and other marginalized groups face greater barriers and worse outcomes. Some speakers noted the bill is important but largely a framework that will need further work to address coverage and access more directly. Blue Cross Blue Shield said it supports the bill and already covers menopause-related care and training, though the chair used the exchange to criticize broader insurer and state decisions on GLP-1 coverage for obesity. The committee took no vote during the hearing, and the chairs closed by thanking witnesses and stating that additional written testimony would be accepted.

Transcript Highlights:

• And so I continued to try to figure out if it was menopause. related and found a menopause society specialist
• care and menopause research.
• Menopause is a critical health issue and while CMA supports better training around menopause, we have
• on menopause care, incorporating menopause in clinical examinations, and on and on.
• It just seems so much more appropriate than menopause. Menopause.

Keywords: 988, house, all

Transcript Highlights:

• care and menopause research.
• menopause research.
• Menopause expert and the founder and director of the UCLA Comprehensive Menopause Program, the first
• Today it's menopause.
• on menopause care, incorporating menopause into clinical examinations, and on and on.

Summary: The committee heard a long agenda of bills, with most measures drawing support from industry, professional, local government, and advocacy witnesses, and several receiving committee amendments before moving forward. AB 8 on hemp and cannabis drew the most extensive debate: supporters said it would close loopholes around intoxicating hemp products, strengthen enforcement, and bring THC products into the regulated cannabis supply chain; opponents, including small cannabis farmers and environmental groups, warned it could undermine Proposition 64’s closed-loop system, harm California cultivators, and reduce tax revenues for youth, environmental, and law enforcement programs. The author said the bill was intended to protect consumers and children and to work further with stakeholders. AB 476 on copper theft was presented as a public safety and infrastructure bill to tighten reporting, documentation, and penalties for scrap metal theft; supporters from cities, utilities, broadband, and recycling-related groups described major losses and outages from copper theft, and the remaining opposition moved to neutral after amendments, with the bill advancing with committee support. The committee also heard AB 985, which would allow nationally certified anesthesiologist assistants to practice under direct supervision of licensed anesthesiologists to address anesthesia workforce shortages. Supporters, including the California Society of Anesthesiologists, medical groups, students, and patients, said it would expand access and bring California in line with other states; nurse anesthesiology groups expressed concerns and sought further clarification, but there was no formal opposition at the hearing. AB 506, aimed at online pet sales, would void contracts that fail to disclose an animal’s origin or veterinary records or that require non-refundable deposits; animal welfare groups said it would curb puppy mill pipelines and deceptive online sales, and there was no opposition. AB 876, on certified registered nurse anesthetists, generated the sharpest health care policy dispute: supporters said it would codify existing practice and clarify CRNA duties, while physicians and medical associations argued it would expand scope too far and reduce patient safety. After a roll call, AB 876 passed the committee 9-0, as amended, to Appropriations. Other bills advanced with broad support after amendments. AB 432, the Menopause Equity Act, would require continuing medical education on menopause-related care for certain physicians; the author and medical experts said the bill addresses widespread gaps in menopause treatment and research, while CMA and ACOG opposed the mandate as an inappropriate CME requirement, though they agreed the underlying problem is real. The bill passed on call, as amended, to Health. AB 759 would allow eligible architectural candidates to use the title “architect in training” to encourage completion of licensure and improve diversity in the profession; it passed unanimously, as amended, to Appropriations. AB 967 would create an optional expedited licensure fee for out-of-state physicians to reduce delays in bringing doctors into California’s workforce; supporters said it would help address shortages and improve patient access, and the bill was presented with support from medical stakeholders.

Transcript Highlights:

• Each year in the United States, approximately 1.3 million women enter menopause.
• Early natural menopause, meaning menopause that occurs before the age of 45 without medical intervention
• , Early natural menopause, meaning menopause that occurs before the age of 45 without medical intervention
• Symptoms of menopause are not simply a normal part Symptoms of menopause are not simply a normal part
• In Delaware, coverage for menopause and perimenopause varies greatly from one plan to another.

Summary: The committee met with roll call attendance and took up two bills. First was Senate Bill 315 with Senate Amendment 1, which would allow the Division of Small Business to add state funding to existing federal small business programs, including the Small Business Innovation Research and Small Business Technology Transfer programs. There was brief public support from one in-person commenter, no virtual comment, and the committee voted to release the bill, though it did not yet have enough signatures for immediate release and was left open for absent members to sign. The second item was Senate Substitute 1 for Senate Bill 319, a women’s health insurance mandate requiring coverage for medically necessary menopause and perimenopause diagnostic and treatment services, including FDA-approved hormone replacement therapy, pelvic floor therapy, and related care. Representative Smith presented the bill as a response to gaps in menopause care and insurance coverage, and Department of Insurance witness Kennedy Cook explained the religious exemption as applying to certain religious employers and blanket health policies. Committee members asked about the scope of that exemption, and some expressed concern about religious carveouts, while others praised the bill as important women’s health legislation. During public comment, one speaker supported the bill but warned that expanding mandatory health benefits can raise insurance costs. The Department of Insurance then testified in support, saying the bill would align Delaware with other states, many insurers already comply, and the department did not expect a meaningful premium impact. The committee voted to release Senate Substitute 1 for Senate Bill 319 from committee.

Transcript Highlights:

• We're going to start with the menopause proposal."
• We're going to start with the menopause proposal.
• care from the Menopause Society or other nationally recognized association.
• Thank you for hitting menopause at the top.
• We look forward to working with the department on our suggestions to the menopause trailer bill.

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• Bains was here, she would say... ...experiencing menopause. Dr.
• Before menopause, I was a successful corporate executive, like over one...
• Before menopause, I was a successful corporate executive.
• As was noted earlier, menopause affects 51 percent of the population.
• I'm a menopause coach, and I support this bill. Thank you.

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, health care, and workforce bills. Measures discussed included AB 957, which would prohibit tobacco sales in licensed pharmacies; AB 447, which would allow patients to take home certain unopened medications started in emergency rooms; AB 427, joining the Social Work Licensure Compact; AB 667, allowing interpreters for certain licensing exams; AB 742, prioritizing descendants of slaves in licensing review; AB 873, changing infection-control training timing for dental assistants; AB 360, requiring a report on menopause education for physicians; and AB 1175, modernizing CPA licensure requirements and mobility. Testimony generally emphasized public health, access to care, workforce shortages, language access, and economic opportunity, while opposition or concerns focused on implementation, worker protections, compact authority, and constitutional issues in AB 742. Several bills drew broad support from sponsors, professional associations, and advocacy groups. AB 957 was backed by cancer and pharmacy advocates and pharmacists who said pharmacies should not sell tobacco; AB 447 was supported by emergency medicine and hospital representatives as a way to reduce waste and help patients leave with needed medication; AB 427 drew support from social work and mental health groups but concerns from AFSCME about standards and displacement; AB 667 was supported by immigrant-rights and community groups, with questions about whether translated exams would be preferable to interpreters; AB 360 received extensive support from women’s health advocates and medical groups, and opposition from CMA and ACOG was removed after amendments; and AB 1175 was supported by the Board of Accountancy and CPA groups as a way to expand the pipeline and improve mobility. The committee took votes after quorum was established. AB 360, AB 427, AB 447, AB 667, AB 873, AB 1175, and AB 742 were all approved and sent to their next committees, with AB 742 going to Judiciary and AB 1175 to Appropriations. AB 957 was initially held on call, then later passed after additional votes were recorded. The consent calendar bills AB 375, AB 1107, and AB 1496 were also approved. Most measures passed on largely party-line or near-unanimous votes, with some members not voting on certain items during the roll calls.

Transcript Highlights:

• I am pleased to be able to present AB 360 for Assembly Member Papan on Menopause.
• Like over one in 10 women, I left my high-paying career because of untreated menopause symptoms.
• Out of 50,800 licensed OBGYNs in the U.S., only about 3,000 are menopause certified.
• I'm a menopause coach and I support this bill. Thank you.
• I work with the menopause education center and I strongly support a Thanks. Thank you.

Keywords: 988, house, all

Transcript Highlights:

• We're going to start with the menopause proposal.
• We're going to start with the menopause proposal.
• care from the Menopause Society or other nationally recognized association.
• proposal. $391,000 ongoing to address the requirements of the menopause proposal.
• And I do want to say thank you and acknowledge, thank you for hitting menopause at the top.

Keywords: 988, house, all

Transcript Highlights:

• By naming menopause directly... Many women are unaware of their rights.
• Menopause does not care about your... ...to make it to that age will be affected by menopause.
• From a clinical standpoint, menopause is not a single event.
• Menopause-related symptoms are real.
• SB 258 passed the legislature and would have added menopause as a protected characteristic.

Summary: The committee heard a series of bills focused largely on labor, education, workforce, and public employment issues. AB 65 would provide public school employees up to 14 weeks of leave with full benefits for pregnancy and pregnancy-related health issues; supporters said current rules force educators to exhaust sick leave and suffer long-term retirement penalties, while the bill’s author noted it mirrors budget trailer language. AB 1818 would change HEERA procedures for CSU bargaining by shifting certain renegotiation disputes to PERB; Teamsters and other labor groups supported it as a way to stop CSU from unilaterally refusing agreed raises, while CSU moved from opposed to neutral after amendments. AB 1940 would explicitly reference menopause, perimenopause, and postmenopause in workplace protections; supporters said it would clarify rights and improve awareness, while business opposition argued existing reasonable-accommodation law already covers these issues and warned of expanded liability. AB 1534 would add guardrails for new short-term Workforce Pell programs, including tuition caps, limits on income-share agreements, and transparency around partnerships with unaccredited entities; the author later said the bill would be amended to include private institutions. AB 1896 would bar people who participated in immigration enforcement from holding California public jobs during a specified period; supporters framed it as a public-trust measure, while police and public-safety groups opposed categorical exclusion and urged a more individualized vetting approach. AB 2300 would streamline distribution of WIOA workforce funds and reduce delays in local workforce board contracting, with supporters emphasizing faster service delivery and no reduction in accountability. AB 2223 would require CDCR to report standardized data on contracted medical and mental health staffing, vacancies, and costs, following an audit that found heavy reliance on contractors and poor transparency. AB 2483 would create a pathway and certification for formerly incarcerated firefighters to move into firefighting careers after release, with strong support from the author and witnesses who described the work as a real career path and reentry opportunity. AB 2142 would require temporary classified school employees working more than 75% of the school year to receive permanent-employee benefits and protections; school administrators and community college groups opposed it as too rigid for grant-funded and fluctuating positions. AB 2367 would require quarterly reporting from state-run health care facilities on vacancies, overtime, registry/contract staffing, and missed staffing minimums, building on state auditor recommendations; health care workers supported it as a transparency and accountability measure. Several measures were voted out of committee or placed on call. AB 1818, AB 1534, AB 2300, AB 2483, and AB 2223 all received do-pass votes to the Senate Appropriations Committee, though each was placed on call after roll call. AB 65 and AB 1940 also advanced on do-pass motions but were placed on call. AB 2142 received a do-pass vote with opposition and was placed on call. S.J.R. 15, a resolution urging Congress to protect California employers from higher federal unemployment taxes tied to the state’s UI debt, drew divided testimony: business groups supported it, while labor and some members argued California should solve the problem itself and keep the unemployment system solvent; the resolution was also placed on call. The transcript also included committee discussion about working with authors on amendments, especially for AB 1940 and AB 1534, and several members noted support or co-authorship while raising concerns about implementation details and fiscal impacts.

Transcript Highlights:

• Such as, quote, my doctor didn't ask me about menopause, quote, I switched doctors to get menopause treatment
• And my daughter is like, oh, Mom, I'm talking about menopause.
• And this is why I'm passionate about providing menopause information.
• if they have premature or early menopause symptoms.
• Another patient I had believed that she was going through menopause.

Keywords: 995, all

Summary: The committee opened by explaining hearing procedures and time limits, then heard testimony on House 2499, a bill to create a public awareness campaign on menopause and related midlife health issues. Supporters, including a nurse, the Massachusetts Commission on the Status of Women, and other advocates, said menopause is widely misunderstood by patients and providers, leading to delayed care, unnecessary suffering, workplace impacts, and inequities in women’s health. Several speakers shared personal experiences with symptoms being dismissed or misdiagnosed and urged the committee to advance the bill. The committee then took testimony on a package of endometriosis bills, including House 2527 and Senate 1564, calling for a task force and broader awareness efforts. Patients, a physician, and advocates described long diagnostic delays, severe pain, infertility, medical gaslighting, and limited access to specialists and effective treatment. They argued for more research, provider education, and a coordinated state strategy, and several asked for favorable reports. The chair also noted the hearing was running behind and extended time to allow more testimony. Later, the committee heard Senate 1579, which would eliminate parental consent and judicial bypass requirements for abortion access for minors under 16. Planned Parenthood representatives, physicians, legal advocates, and students argued the current law creates unnecessary delays and harms vulnerable youth, especially those in unsafe homes or foster care, while supporters said minors can already consent to other reproductive health care. A pro-life witness opposed the bill and emphasized parental involvement and support services. The committee also heard House 2403 and Senate 1560, which would create a Human Service Transportation Consumer Advisory Board; disability advocates and riders described past safety problems and current service gaps, and supported the board as a low-cost way to improve accountability, rider input, and reliability. No votes or final actions were taken in the excerpt.

Transcript Highlights:

• an annual menopause assessment for enrollees age 40 and older.
• and the services available to treat the symptoms of menopause.
• For menopause care from nationally recognized professional associations or the Menopause Society.
• to base their criteria on generally accepted standards of menopause care from nonprofit professional
• symptoms and about the menopause transition and how to access treatment and evaluation.

Keywords: 987, senate, all

Transcript Highlights:

• Today I'm here to talk about and bring up a bill, AB 1940, regarding menopause.
• Menopause can bring a wide variety of symptoms, including physical, emotional, and cognitive changes.
• No two women will experience menopause the same.
• Menopause doesn't care about your education, your zip code, your duty statement, nothing.
• First, AB 1940 would incorporate menopause directly into the definition of sex under FEHA.

Summary: The Assembly Labor and Employment Committee heard several workplace-related bills. AB 1803 would require anti-hate speech training as part of existing harassment prevention training for employers with five or more employees; supporters said it would help workers recognize and report workplace hate, while opponents raised First Amendment and definitional concerns. The bill passed on a do pass motion and was re-referred to Judiciary, with the roll left open for absent members. AB 1940 would add perimenopause, menopause, and postmenopause to FEHA’s sex protections and clarify related workplace protections; supporters emphasized workplace equity and retention, while business groups said existing accommodation laws already cover many issues and raised concerns about expanding protected classifications. It also passed and was re-referred to Judiciary with the roll open. AB 1838 would require bidders on public works projects to disclose recent wage-and-hour violations and how they were addressed; labor groups supported the transparency measure, while contractors and business groups questioned definitions and disclosure scope. It passed and was re-referred to Judiciary. AB 1859 would give joint labor-management committees access to public works job sites to help identify labor-law violations; supporters said it would improve enforcement of wage theft laws, while opponents raised due process, property access, and constitutional concerns. It passed and was re-referred to Judiciary. The committee also considered two workplace AI and surveillance bills. AB 1883 would prohibit certain invasive surveillance technologies in the workplace, including facial, gait, and emotion recognition, while placing limits on some facial recognition uses; supporters argued these tools are discriminatory and unreliable, and opponents said a ban was too broad and could eliminate useful safety and operational tools. The bill passed and was re-referred to Privacy and Consumer Protection. AB 1898 would require employers to give workers advance notice before using AI tools to surveil or manage workers, including disclosure of the tool’s purpose, data collected, and affected decisions; supporters framed it as a basic transparency measure, while opponents objected to the breadth of notice requirements, possible veto power over deployment, and enforcement language. It also passed and was re-referred to Privacy and Consumer Protection. The committee additionally took up AB 1707, which passed and was re-referred to Appropriations with a consent-calendar recommendation, though the transcript does not provide the bill’s subject matter.

Transcript Highlights:

• Today I'm here to talk about AB 1940 regarding menopause.
• No two women will experience menopause the same.
• Menopause doesn't care about your education, your zip code, your duty statement, nothing.
• We see a range of patients throughout the menopause transition.
• First, AB 1940 would incorporate menopause directly into the definition of sex under FEHA.

Keywords: 988, house, all

Transcript Highlights:

• an annual menopause assessment for enrollees age 40 and older.
• That includes a policy to provide an annual menopause assessment for enrollees age 40 and older during
• and the services available to treat the symptoms of menopause.
• to base their criteria on generally accepted standards of menopause care from nonprofit professional
• symptoms, the menopause transition, and how to access treatment and evaluation.

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• From a clinical standpoint, menopause is not a single event.
• Supporting menopausal women in the workplace is not burdensome. It's smart workforce policy.
• Adding perimenopause, menopause, and postmenopause is a list of events.
• I'm Michelle Corpus, Chief of Staff at the Menopause Education Center. I strongly support.
• Protections for women experiencing menopause already exist.

Summary: The Senate Judiciary Committee met without a quorum and proceeded as a subcommittee while hearing a long consent calendar and several Assembly bills. Early testimony focused on AB 1744, which would prohibit sunscreen products marketed as “reef safe” or similar from containing chemical UV filters; the author and student supporters said the bill is a truth-in-labeling measure to protect marine ecosystems, and there was no opposition. Committee members praised the student witnesses and the author asked for an aye vote, but no vote was taken because of the lack of quorum. The committee then heard AB 713, which would allow undocumented students at UC, CSU, and community colleges to access campus jobs. Supporters, including a UCLA law professor and a large coalition of student, labor, immigrant-rights, and education groups, argued the bill would reduce exploitation and improve affordability and retention; opponents argued it would conflict with federal law. Members expressed strong support, and the author closed by emphasizing that students simply want the chance to work, but again no vote occurred due to the subcommittee status. The committee also heard AB 1359, allowing people age 80 and older to opt out of jury service without a doctor’s note, with support from the Alzheimer’s Association and LeadingAge California and no opposition. Additional measures included AB 2563, which would standardize California’s definition of sex discrimination across state codes to align with equal-rights principles; it drew strong support from women’s rights and labor groups and strong opposition from anti-trans advocates. AB 1705 would require websites to verify consent before hosting sexually explicit images of people, with supporters framing it as a response to nonconsensual pornography and opponents warning it could sweep in sites that prohibit such content. AB 1940 would explicitly name menopause in workplace protections, with supporters citing workforce equity and opponents saying existing accommodation law already covers it. The committee also heard AB 1824 and AB 2115 on Native American child welfare and a formal legislative apology for historic harms, both backed by tribal representatives and allies, as well as AB 2076 on nitrous oxide sales to minors and AB 2783 on court reporter licensing and remote reporting; all drew support and no recorded opposition. Several members praised the bills and indicated they would move them when a quorum was available.

Transcript Highlights:

• an annual menopause assessment for enrollees age 40 and older.
• and the services available to treat the symptoms of menopause.
• For menopause care from nationally recognized professional associations or the Menopause Society.
• to base their criteria on generally accepted standards of menopause care from nonprofit professional
• symptoms, the menopause transition, and how to access treatment and evaluation.

Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.

Transcript Highlights:

• From a clinical standpoint, menopause is not a single event.
• Adding perimenopause, menopause, and postmenopause is a list of events.
• Adding perimenopause, menopause, and postmenopause is a list of events.
• I'm Michelle Corpus, Chief of Staff at the Menopause Education Center. I strongly support.
• Protections for women experiencing menopause already exist.

Keywords: 987, senate, all

Transcript Highlights:

• For those who may not know, there are three stages of menopause.
• We have perimenopause, menopause, and postmenopause.” Thank you.
• Menopause itself is a defined moment rather than a prolonged stage.
• We need education about menopause.
• And there is a section on reproduction and menopause.

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.