Transcript Highlights:

• Perimenopause and menopause are not niche conditions.
• Perimenopause should never be a diagnosis of exclusion.
• No one named perimenopause as the cause.
• The clinical impact of perimenopause and menopause is substantial.
• By expanding access to evidence-based perimenopause and menopause care, it helps ensure perimenopause

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:

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

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:

• Perimenopause and menopause are not niche conditions.
• Perimenopause should never be a diagnosis of exclusion.
• No one named perimenopause as the cause.
• The clinical impact of perimenopause and menopause is substantial.
• By expanding access to evidence-based perimenopause and menopause care, it helps ensure perimenopause

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:

• In Delaware, coverage for menopause and perimenopause varies greatly from one plan to another.
• state of Delaware to cover medically necessary diagnostic and treatment services for menopause, perimenopause
• all commercial, state group health insurance, and Medicaid plans to include vital menopause and perimenopause
• all commercial, state growth health insurance, and Medicaid plans to include vital menopause and perimenopause

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:

• And it's created very loosely, but it starts with the perimenopause, menopause, and postmenopause.
• And it's created very loosely, but it starts with the perimenopause, menopause, and postmenopause.
• But when you look at when perimenopause can start... ...and reproduction.
• As early as 30 years old, a young girl can start perimenopause.
• Perimenopause and menopause is exclusively within the female population.

Summary: The committee met on April 1 and considered several health-related bills and one resolution. HB 933, by Rep. Charles Owen, would create commemorative birth certificates and adjust vital records fees; after adopting a technical amendment, the committee reported the bill favorably. HB 288, by Rep. Boyer, would require the term “miscarriage” to appear alongside “spontaneous abortion” in medical documentation and billing; after an amendment changed the bill from mandatory “shall” language to permissive “may,” the committee heard emotional testimony both in support and opposition and then reported the bill favorably as amended. HB 420, by Rep. Berault, would require criminal background checks and registry review for all DCFS employees, not just those with direct contact with children; it was reported favorably. The committee also voluntarily deferred HB 927 and HB 962. The committee then heard HB 971, by Rep. Stagney, which seeks to equalize Medicaid reimbursement rates for independent rural health clinics and hospital-owned provider-based clinics. Supporters, including clinic owners and practitioners, testified that independent clinics provide the same services under the same rules but receive far lower reimbursement, making it difficult to retain staff and avoid sale to hospital systems. The author said the bill is intended to prompt discussion and eventual parity without harming hospitals, and the committee reported the bill favorably. HB 815, by Rep. Carver, would allow federally insured financial institutions to receive death certificate information from vital records to reduce losses and help reconcile account issues after a death; credit union representatives supported the measure, and it was reported favorably. The committee also adopted HR 74, by Rep. Sterling, which urges the Department of Education and local school authorities to report on how schools accommodate students with seizure disorders. Sterling described personal experience with epilepsy and said the resolution is meant to gather data on implementation of existing seizure action plan law and identify gaps in access to rescue medication and training. Finally, the committee took up HB 915, by Rep. Dickerson, which would place Medicaid prior authorization and utilization management timelines into statute. After technical and substantive amendments, including changing some deadlines from five business days to seven calendar days, the bill drew support from providers and health groups concerned about delays in care, and the committee reported it favorably as amended. The committee also began consideration of HB 944, by Rep. Hilferty, creating a women’s consortium within LDH focused on menopause and related women’s health issues; technical amendments were adopted and testimony emphasized coordination of existing research and resources, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• And it's created very loosely, but it starts with the perimenopause, menopause, and postmenopause.
• But when you look at when perimenopause can start... ...and reproduction.
• But when you look at when perimenopause can start for an individual, now these are your grandparents
• As early as 30 years old, a young girl can start perimenopause.
• Perimenopause and menopause is exclusively within the female population.

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Transcript Highlights:

• of the Delaware Code relating to coverage for diagnostic services and treatment for menopause, perimenopause
• , and menopause and perimenopause symptoms.
• In Delaware, coverage for menopause and perimenopause varies greatly from one plan to another.
• state of Delaware to cover medically necessary diagnostic and treatment services for menopause, perimenopause

Summary: The Senate received communications from the House listing numerous bills, substitutes, amendments, and concurrent resolutions passed by the House or returned to the Senate, and it also noted a Senate amendment being stricken from House Bill 190. Committee reports were read on a wide range of nominations and bills, including favorable reports on several executive nominations and legislation involving nurse preceptors, voting, agricultural/forestry grants, child care, Title IX coordination, vehicle security devices, dry needling, human remains disposition, child care assistance, autism-related oversight, nursing advancement, correctional oversight, massage and bodywork, probate letters, computer security breaches, automobile insurance, medical debt protection, and technical corrections. The Senate also assigned House Bill 300, House Bill 64, and House Bill 385 to the Finance Committee. The chamber confirmed several gubernatorial nominations by roll call vote, each receiving the required majority: Heidi J. A. Gilmore to the Marijuana Appeals Commission; Lee Wynne and Ruth J. Tucker to the Delaware River and Bay Authority Board; Jennifer R. Hallman and Lindsay E. Alexich to the Professional Standards Board; Jason M. Munion and F. Todd Kulata to the Environmental Appeals Board. The Senate also passed House Substitute 1 for House Bill 383, which changes overtime eligibility for certain DelDOT employees and clarifies covered positions, and Senate Bill 315 with Senate Amendment 1, which revises the Delaware Technical Innovation Program to give the Division of Small Business more flexibility in using federal grant funds. Consent Agenda M passed unanimously, including Senate Substitute 1 for Senate Bill 319 on menopause and perimenopause coverage, House Bill 411 on alcohol/tobacco/marijuana enforcement, House Bill 271 on marijuana establishment spacing, House Bill 258 on alcohol licenses, House Bill 303 on juvenile probation/parole officers and DCYF employees, and House Bill 377 on Ocean View municipal election deadlines. Consent Calendar 63 also passed unanimously, including resolutions recognizing Day of Service, National Adoption Month, National Coaches Day, Free Speech Week, Women’s Equality Day, and Spirit of America 250, along with resolutions encouraging a veteran cemetery in Kent County, seeking plans for repurposing underused public buildings, and honoring Delaware Boys State. The Senate spent significant time on floor remarks about the Boys State delegates and on a tribute to emergency responders who helped save a seven-year-old child trapped by a seatbelt; the responders were recognized individually and thanked for their work. Additional remarks explained the purpose of the menopause coverage bill, the adoption month resolution, the free speech resolution, and the America 250 resolution. The session ended with no further business and the Senate recessed until June 18.

Transcript Highlights:

• Decker relative to a special commission on perimenopause and menopause care to the Committee on Public
• The House bill authorizing the Select Board of the Town of Hull to establish, the Senate... on perimenopause

Keywords: 995, all

Summary: The House convened, led the Pledge of Allegiance, and welcomed the Walpole High School field hockey team. The chamber then adopted several procedural orders: extending reporting deadlines for the Committee on Health Care Financing and the Committee on Public Health, and suspending Joint Rule 12 to allow a petition creating a special commission on perimenopause and menopause care to go to the Committee on Public Health. The Committee on Steering, Policy and Scheduling also reported several bills for House consideration, including measures concerning Social Security numbers on death certificates and a Hull local option bill on parking fines. The House suspended Rule 7A and advanced three bills to third reading: House No. 2383, relative to Social Security numbers on death certificates; House No. 2438, removing Social Security numbers from death certificates; and House No. 4247, authorizing the Town of Hull to establish a schedule of fines for parking violations. All three were ordered to a third reading. The House then took up two local bills released from the third-reading committee: House No. 862, regarding the recall of elected officers in Sharon, and House No. 4399, further amending the charter of Middleton. Both bills were passed to be engrossed. Finally, the House adopted an order to adjourn and recessed, then formally adjourned to meet Thursday next at 11 a.m. in an informal session.

Transcript Highlights:

• We have perimenopause, menopause, and postmenopause.” Thank you.
• Perimenopause is the transitional stage before menopause when estrogen levels begin to decrease.
• Some women may enter perimenopause as early as their mid-30s through surgical outcomes, and it can last
• Having said that, perimenopause and menopause are natural biological phases that women will go through
• Having said that, perimenopause and menopause are natural biological phases that women will go through

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.

Transcript Highlights:

• governor just recently signed an executive order to support women in the workplace experiencing perimenopause
• First, it helps workers experiencing perimenopause, menopause, or postmenopause to understand their existing
• Adding perimenopause, menopause, and postmenopause is a list of events.
• Adding perimenopause, menopause, and postmenopause is a list of events.
• that up to $1.8 billion in loss annually to work productivity occurs because of menopause and perimenopause

Keywords: 987, senate, all

Transcript Highlights:

• sections of the Code of Virginia, all related to the Virginia Human Rights Act and menopause or perimenopause
• and prohibits discrimination under the Virginia Human Rights Act on the basis of menopause or perimenopause
• and prohibits discrimination under the Virginia Human Rights Act on the basis of menopause or perimenopause
• This bill will ensure individuals experiencing menopause or perimenopause are protected from discrimination

Keywords: March 06, 2026 - Regular Session, 976, house, all

Transcript Highlights:

• AB 1940 changes this by updating the Fair Employment and Housing Act to explicitly include perimenopause
• Adding perimenopause, menopause, and postmenopause to this list of normal events is something that will
• I'll call her Lucy, who had been working for a tech company for 15 years, and when she started perimenopause

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:

• AB 1940 changes this by updating the Fair Employment and Housing Act to explicitly include perimenopause
• Adding perimenopause, menopause, and postmenopause to this list of normal events is something that will
• I'll call her Lucy, who had been working for a tech company for 15 years, and when she started perimenopause

Keywords: 988, house, all

Transcript Highlights:

• governor just recently signed an executive order to support women in the workplace experiencing perimenopause
• First, it helps workers experiencing perimenopause, menopause, or postmenopause to understand their existing
• Adding perimenopause, menopause, and postmenopause is a list of events.
• shows that up to $1.8 billion in annual loss to work productivity occurs because of menopause and perimenopause

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:

• governor just recently signed an executive order to support women in the workplace experiencing perimenopause
• This bill will importantly add perimenopause, menopause, and postmenopause to the list of normal life
• First, it helps workers experiencing perimenopause, menopause, or postmenopause understand their existing

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:

• Decker, relative to the special commission including members of the General Court on perimenopause and

Keywords: 995, all

Summary: The Senate opened with the Pledge of Allegiance and then took up several committee and floor matters. The Committee on Rules reported two municipal property tax relief bills, Senate Nos. 1933 and 1935, and both were referred to the Committee on Ways and Means. Senator Tarr emphasized the urgency of advancing the bills, describing them as measures to address property tax shocks and provide relief through a rebate or credit mechanism. The Senate then enacted House No. 3916, authorizing Westfield to set an age limit for original appointment as a police officer, and took a brief recess to sign the bill. On third reading, the Senate passed to be engrossed Senate No. 24, amending the charter of the town of Sandwich, after accepting a committee report recommending a new draft, Senate No. 2859. It also passed to be engrossed House No. 4173, further regulating appointments to the Acton Memorial Library, and House No. 4031, increasing the age limit for retired police officers serving as special police officers in Weston, after adopting an amendment offered by Senator Barrett. The Senate also considered House No. 3912, increasing the Marblehead Board of Health from three to five members, which had been returned by the Governor with a recommended amendment under Article 56. The Senate suspended its rules, adopted the Governor’s amendment, and returned the bill to the House for reenactment. Finally, a House petition concerning a special commission on perimenopause and menopause care was referred to the Committee on Public Health, and the Senate adopted an order to adjourn until Monday at 11:00 a.m.

Transcript Highlights:

• ..being a process that more than 50% of the population will go through if we live long enough, perimenopause
• Menopause will directly affect half of the population, and women will live half of their lives in the perimenopause
• As an individual, Kristen Heidelbach, a woman going through perimenopause, I support.

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:

• Everything before that is called the perimenopausal period, and those are symptoms.
• functional uterus and ovaries may stop having menses at some point, but not all of them may experience perimenopausal
• And so when the recommendation was to change it from 'may experience menopause' to 'perimenopausal,'

Summary: The Senate Committee on Budget and Fiscal Review heard the 2026-27 budget package, including AB 111 and AB 112 plus 16 trailer bills and two policy bills. Chair Laird described the budget as balanced over two fiscal years, with about $351.7 billion in total spending, $251.5 billion General Fund, and record reserves, while emphasizing investments in child care, homelessness, housing, Medi-Cal, education, courts, and other core programs. The Department of Finance presented each bill, outlining major items such as Medi-Cal adjustments tied to federal H.R. 1, child care and early learning funding, education and higher education investments, human services, developmental services, health, skilled nursing, resources, energy, transportation, housing, labor, state government, courts, taxation, and two policy bills on education governance and ballot measure placement. The LAO said it had no additional comments but was available for questions. The committee later achieved quorum and moved to member questions and comments, with no votes taken in the portion provided. Members largely focused on the budget’s fiscal structure and policy implications. Several senators praised staff and noted the compressed timeline, while Vice Chair Niello criticized the process as overly complex and burdensome. Senator Smallwood-Cuevas supported the budget but raised concerns about Medi-Cal changes for people with unsatisfactory immigration status, asking about access to care, the number affected, and county eligibility support; Finance said about two million people would transition to fee-for-service and that $39 million was included for care coordination, along with additional county eligibility funding. Senator Durazo said the agreement delayed, but did not resolve, cuts to immigrant health coverage, dental, and clinic payments, and argued that the budget did not create a true restoration mechanism. Senator Richardson highlighted hospital funding, public hospital definitions, DMV data protections, and court construction and maintenance needs, while Senator Grove questioned the sustainability of spending, the Medi-Cal savings assumptions, distressed hospital funding, Planned Parenthood transparency, developmental services changes, high-speed rail costs, and the property tax postponement program. Other members emphasized different priorities. Senator Blake Spear praised climate and parks investments, support for HAP homelessness funding with accountability, transit stabilization, and Care Court referral funding, while expressing concern about the lack of wildlife coexistence funding and long-term transit operating support. Senator Weber Pearson raised a technical concern in the health trailer bill regarding menopause language, arguing that the bill should refer to perimenopausal symptoms and should not narrow provider participation through contracting language. Throughout the hearing, Finance repeatedly explained that many of the budget’s savings came from reduced caseloads or delayed implementation of prior proposals, while some new spending was added to mitigate impacts and support administration of the changes. No final committee action or vote was shown in the excerpt.

Transcript Highlights:

• Everything before that is called the perimenopausal period, and those are symptoms.
• functional uterus and ovaries may stop having menses at some point, but not all of them may experience perimenopausal
• And so when the recommendation was to change it from 'may experience menopause' to 'perimenopausal,'

Keywords: 987, senate, all

Transcript Highlights:

• menopause will directly affect half of the population, and women will live half of their lives in the perimenopause
• Thank you for this legislation as an individual Kristen Heidelbach a woman going through perimenopause

Keywords: 988, house, all