Transcript Highlights:

• I know Manny Imperial has a fantastic operation over there.
• I know Manny Imperial has a fantastic operation over there.
• that is good enough to host all the food processing facilities over there.
• They operate on incredibly thin margins. This is not a cosmetic upgrade.
• I mean, I work on operating rooms every quarter. Think about what happens in an operating room.

Summary: The Consumer Protection & Business Committee held public hearings on two bills. House Bill 2616, described as an agriculturally resilient markets act, would create a broad package of agriculture-related policies and appropriations, including a strategy to expand state purchasing of Washington-grown food, temporary packaging and emissions exemptions for certain agricultural uses, changes to labor notice rules for agricultural and dairy layoffs, several grant and study programs, a transfer of cannabis production/processing/testing oversight to the Department of Agriculture, and an appropriation for the tree fruit leadership program. Representative Christine Reeves said the bill was intended as a state-level “farm bill” to address farm losses, food security, and regulatory burdens, and she emphasized stakeholder input and the need to support family farms and farmworker well-being. Testimony on HB 2616 was overwhelmingly supportive, with growers, commodity groups, dairy and potato representatives, and other agricultural stakeholders arguing that Washington farms face low margins, high regulatory and labor costs, refrigeration and processing challenges, and competition from foreign producers. Several speakers said the bill’s exemptions, grants, and studies would help keep farms viable and preserve local food production. Committee members asked about stakeholder outreach, the role of Washington State University and commodity commissions, the impact of federal versus state policy, and possible ways to reduce compliance burdens. The hearing ended without a vote, and the chair noted the bill was after cutoff and would not move this year, but that stakeholder meetings would continue over the summer. The committee then heard House Bill 2721, which would create a registration system for commercial interior designers, expand and rename the Board of Architects, set education, examination, and experience requirements, define the scope of practice, require seals and technical submission attestations, and establish penalties and a fee account. Supporters from interior design organizations said the bill would recognize a profession already performing code- and safety-related work in commercial spaces, align Washington with other states and national model law standards, and remove barriers to ownership and advancement, especially for women. Testifiers also said the bill would clarify responsibility for life safety, accessibility, and non-structural interior construction in schools, health care, and public buildings. The committee heard only supportive testimony, but members raised questions about how the profession compares with architecture, the impact of delaying the bill until 2027, and demographic diversity in the field. The chair closed the hearing noting the bill would not advance this session and that further interim work would be needed.

Transcript Highlights:

• The program must include proposed road and bridge construction work and other transportation facilities
• The program must include proposed road and bridge construction work and other transportation facilities
• By way of background, port districts operate a variety of facilities, and there are 75 port districts
• The land-water interface at port facilities is how communities like ...part of our economy.
• For staff requirements, our operating budget is approximately $1.4 million.

Summary: The committee held public hearings on two transportation-related bills. For Engrossed Substitute Senate Bill 5374, staff explained that the bill would require tribal governments to be included in Growth Management Act transportation coordination and in preparation of county six-year transportation programs, and would create a tribal traffic safety coordinator grant program through the Traffic Safety Commission. Fiscal impacts were described as indeterminate and scalable, with estimates for staffing, grants, and local government coordination costs. The Association of Counties testified in support, saying the bill would better align existing tribal consultation processes with transportation planning and would not force counties to restart plans already near adoption. For Engrossed Senate Bill 5649, staff said the bill would create a Washington State Supply Chain Competitiveness Infrastructure Program to provide grants and loans for public and tribal ports with public operations, with DOT setting priorities and criteria in collaboration with supply chain stakeholders. Fiscal notes estimated significant staffing and program costs, but the amount would depend on appropriations; no funds were included in the current Senate Transportation budget. The Washington Public Ports Association and representatives from the Port of Everett and Port of Port Angeles supported the bill, arguing it would help ports address congestion, improve freight efficiency, and leverage federal matching funds for major infrastructure projects. The Freight Mobility Strategic Investment Board director said many proposed projects would not qualify for FMSIB funding because they are not on strategic freight corridors, which is why a separate program may be needed. Members asked about timing, whether the tribal planning bill would require counties to start over on plans already near completion, and how the port bill would interact with existing funding sources and FMSIB eligibility. Staff and witnesses said the tribal bill was intended to work with existing coordination processes and not force counties to restart, while the port bill was meant to fill gaps where current programs do not apply. The chair then reviewed amendment deadlines for budget and committee bills, and the meeting adjourned for caucuses.

Transcript Highlights:

• The House 2 operating budget supports MassDOT operations at $645 million.
• The operating budget supports MassDOT operations at $645 million.
• The non-toll operations budget has increased by 15% year over year to support the ongoing operations
• Support safety in operations.
• So kudos to the bus operation. And kudos to the bus operators, too.

Committee: Joint Joint Committee on Ways and Means

Transcript Highlights:

• It is one of one-of-a-kind facility.
• </c> skill levels utilize the facility. skill levels utilize the facility.
• </c> existing facilities provided on site. existing facilities provided on site.
• c> in</c> facilities.
• However, our facility in facilities.

Bills: HF474 , HF218 , HF210 , HF441 , HF691 , HF720 , HF1068 , HF1314 , HF1465 , HF1860 , HF2046 , HF1389 , HF2404 , HF2854 , HF2985 , HF3128 , HF3103 , HF778 , HF3125

Committee: House Capital Investment

Transcript Highlights:

• Uh, so we would have a plan that would be very similar to what operates, and they operate as a plan.
• </c><00:12:54.880><c> and</c> be very similar to what operates and be very similar to what operates and
• </c><00:33:23.360><c> So,</c><00:33:24.399><c> um,</c> facility there. So, um, facility there.
• Like our our train facilities.
• ><c> are</c><01:28:18.719><c> in</c> Most of Denberry's operations are in Most of Denberry's operations

Committee: Joint Appropriations

Transcript Highlights:

• I think there's only a few city-operated jails, but of course counties have jails.
• far in including all city-operated misdemeanor jails.
• This could force cities to close their municipal jails and shift operations to county facilities.
• This could force cities to close their municipal jails and shift operations to county facilities.
• I know that each tribe negotiates differently, and each facility does.

Summary: The House Appropriations Committee held a public hearing on a series of bills, beginning with House Bill 2689 on Working Connections Child Care. Staff explained that the proposed substitute would keep eligibility at 60% of state median income, eliminate scheduled expansions to 75% and 85%, reduce future subsidy rates from the 85th to the 75th percentile of market, end enhanced regional rates, and change reimbursement rules from prospective enrollment-based payments back to attendance-based payments with a reduced monthly payment after 11 absent days. Child care advocates thanked the committee for removing the proposed cap on the program but opposed the cuts to provider rates and eligibility expansions, warning of harm to families and providers. The committee then heard Engrossed Substitute Senate Bill 5124 on Medicaid network adequacy for post-acute care, with staff noting administrative costs and indeterminate fiscal effects; hospitals supported the bill as a way to reduce discharge delays and reliance on single-case agreements. Senate Bill 5832, which would raise the new motor vehicle arbitration fee from $3 to $6 to support the Lemon Law arbitration program, drew support from the Attorney General’s Office and auto dealers, who said the fee had not been updated since 1995 and the program was underfunded. The committee also heard Substitute Senate Bill 5862, providing a one-time 3% COLA for certain PERS 1 and TRS 1 retirees, with retirees testifying in favor and local government representatives warning about added employer costs. The committee next heard Senate Bill 5922, allowing school districts to transfer money from the Transportation Vehicle Fund to other funds if they reduce their fleet and receive OSPI approval; staff said the bill would mainly add administrative work for OSPI, and no one testified. Substitute Senate Bill 5923 would allow a hospital on an island in Skagit County to qualify as a critical access hospital if federally certified; Island Health testified that the designation would help sustain rural services, and a committee member asked about bed count and Medicaid/charity-care pressures. Senate Bill 5944 would require language access providers to bargain over compensation for missed or canceled appointments and clarify that statutes prevail over conflicting contract terms; WFSE supported the bill, saying it would equalize bargaining rights across agencies. Substitute Senate Bill 5972 would extend interest arbitration rights to correctional employees in city and county jails regardless of population size; labor supported the bill as a retention tool, while cities and counties opposed it, arguing it would raise costs and should include ability-to-pay protections. The committee also heard Senate Bill 5988, authorizing the Department of Health to continue accrediting opioid treatment programs and charge accreditation fees, which DOH said was needed to avoid winding down the program. Later, the committee heard Senate Bill 6151, which would move Ecology fee revenues for landfill methane emissions and laboratory accreditation into dedicated accounts; Ecology supported the bill as improving transparency and reinvesting fees into the programs, and staff said the lab fee shift would be offset by a related budget action. Engrossed Substitute Senate Bill 6194 would pay a rural hospital on a federally recognized Indian reservation, specifically Astria Toppenish, at 150% of the Medicaid fee-for-service rate beginning in 2027; hospital leaders and community members testified that the hospital serves a high-Medicaid, rural, and tribal population and faces persistent losses. Finally, Engrossed Substitute Senate Bill 6302 would direct L&I to investigate possible misclassification of independent contractors on public works projects involving multiple workers doing the same finishing work; labor and business representatives both described it as a negotiated compromise to address underground economy abuses. The committee took no final votes during the hearing and ended by reiterating amendment deadlines for bills scheduled for executive session.

Transcript Highlights:

• So when I need a facility, I have to find the money, usually in operational funds.
• That did not teach me how to manage facilities.
• I need to cover my facility, which is not fully covered by the capital outlay that I received for facility
• And I would also add, for my school facility, we do not have an adequate facility.
• And we desperately need More facility funding and more facility flexibility to build. Thank you.

Transcript Highlights:

• This is just operating dollars, correct?
• So this bill would potentially impact up to two facilities, but you don't know of any other facility
• So this bill would potentially impact up to two facilities, but you don't know of any other facility
• new facilities, particularly renewable facilities, and maintaining those facilities, they get to pass
• Schools operate on an annual budget.

Summary: The committee opened with roll call and a review of special-session procedure: bills would be heard in filing order, with related school-lunch bills grouped together, and any bill advancing would require a motion, second, and majority vote to be introduced. Members also discussed that the committee was functioning much like a delayed-bills committee, with final referral to either Appropriations or Policy depending on the bill’s fiscal impact. The first major proposal was Senator Schibley’s bill to create a narrow, statewide Bank of North Dakota bridge-loan program for struggling nonprofit medical facilities, prompted by Jacobson Memorial Hospital’s financial crisis. He argued the hospital and surrounding EMS services could close without short-term help, while committee members questioned the added language, the population cap, the $10 million fund with $5 million per applicant limit, and whether the program could open the door to future requests. Representative Headland then presented two cleanup bills from the prior property-tax session: one to fix notice and tax-certification issues for local taxing districts, and another to correct how the primary residence credit is applied so taxpayers receive the full benefit rather than counties retaining part of the reimbursement. Members asked about township hearing timing, the estimated $10–15 million annual impact, and whether the credit issue could be fixed retroactively; Headland said the bill was intended to correct the problem going forward. Three school-lunch bills drew extensive discussion. Representative Vetter proposed a small administrative appropriation to add an FTE to help eligible families enroll in the existing free/reduced lunch program, saying the goal was to ensure needy children are signed up and that the state should not subsidize meals for wealthy families. Representative Nathe offered a broader bill mirroring the pending initiated measure but placing the program in statute instead of the Constitution, moving implementation up a year, and funding it with a one-time $65 million from the strategic investment fund; he said this would preserve legislative flexibility and avoid constitutional entrenchment. Representative Dressler proposed raising the state-funded eligibility threshold from 225% to 300% of poverty, arguing it would expand access while still preserving federal reimbursements and encouraging better enrollment systems. Members debated costs, future budget pressure, whether the bills set a precedent for responding to ballot measures, and whether the program should include breakfast and other operational details. Other proposals included Senator Powers’ bill to create a hyperbaric oxygen board and support rural access to hyperbaric chambers for wounds, concussions, PTSD, and other conditions; Representative Tolman’s reporting-requirements bill to force new or expanded programs to justify purpose, alternatives, evaluation methods, and full implementation costs; Representative Frelich’s bill addressing the ongoing redistricting litigation and what happens if the Supreme Court or lower courts alter the current map; and a bill requested by the Public Service Commission and ITD for FERC litigation support and ADA website/document compliance. The committee also heard a rural-health eligibility bill from Representative Twait aimed at steering federal rural health dollars toward rural providers, with questions focused on whether the mileage limits would exclude some communities. One Holocaust education item was deferred until the sponsor could be located.

Transcript Highlights:

• New positions related operating costs for pretrial, we're still at three on that, Colby.
• Operating. Yep. And so now, well, we're down to just four FTE from the 31.5.
• And then, but obviously, then the operating number will increase. The line item operating number?
• to a 304-bed facility.
• That's going to have SAU, a full Facility to a 304-bed facility that's going to have SAU, a full infirmary

Committee: House Appropriations - Human Resources Division

Summary: The committee met to review Department of Corrections and Rehabilitation budget items, with Representative Steeman asking for clarification on FTE counts and dollar amounts in several line items. DOCR officials explained that the Hart River Correctional Center request was reduced from 26 new FTEs to 7, focused on pre-opening staffing such as security leadership, HR, staff development, warehouse support, and a dentist and dental assistant to address a long dental waiting list. The MRCC temporary housing unit line was adjusted from 7 FTEs to 12.5 FTEs to add case management, treatment, nursing, and maintenance staff, while pretrial, corrections temporary positions, education services, and maintenance items remained unchanged. The Grand Forks line was reduced from 31.5 FTEs to 4, with the remaining staffing tied to case management and treatment rather than full facility operations, and officials estimated that personnel cost at about $670,000. Members also discussed how the staffing changes would be viewed against the closure or transition of Dakota Women's Correctional and Rehabilitation Center in New England. DOCR said the comparison would not be apples-to-apples because Hart River will expand from a 126-bed to a 304-bed facility with more services, and because Dakota Women's staff are not state employees and therefore not counted as state FTEs. Officials noted anticipated efficiencies through shared services such as warehousing, commissary, laundry, kitchen, medical, and dental support across facilities, but acknowledged those savings would be difficult to quantify. The chair thanked the witnesses, noted the committee would return later to address amendments and the bill, and then recessed the meeting.

Transcript Highlights:

• LDH personnel attended its trainings, or whether its position statements have shaped department operations
• Facilities that are operated by nonprofits might be reviewed in this, but it would only be those that
• And I appreciate your concerns. facilities that are operated by non-prolations. your concerns, facilities
• Senate Bill 405 by Senator Talbot, relative to nursing facilities, to provide for a statewide quality
• It establishes a statewide quality oversight initiative for our nursing facilities.

Committee: House Health and Welfare

Summary: The House Committee on Health and Welfare met on May 26 for what was described as the last meeting of the legislative session. H.R. 318 was voluntarily deferred without discussion. The committee first took up H.R. 298, which would have directed the Louisiana Department of Health, with the legislative auditor, to study LDH’s relationships with certain nonprofits, foundations, professional associations, and other nongovernmental entities. The author presented amendments narrowing the definitions, but LDH testified the language was still too broad, would still require substantial review of contracts, memberships, conferences, and related interactions, and would still carry a significant fiscal note. Members raised concerns that hospitals, provider associations, nonprofit care facilities, and other stakeholders could be swept in. The author then voluntarily deferred the resolution, and the committee agreed without objection. The committee then heard Senate Bill 405, which establishes a statewide quality oversight initiative for nursing facilities, directs LDH to work with facilities on care standards and remediation for lower-rated homes, and requires reporting and transparency for families. The bill drew broad support from members and stakeholders, including nursing home and senior advocacy groups, and was reported favorably without objection. House Resolution 290, which asked LDH to study a possible correlation between gender-affirming hormone therapy medications and psychosis or related psychiatric conditions in people 26 and younger, prompted questions about the purpose of the study and concerns that it could affect broader policy debates. The author, a licensed clinical social worker, said the request was intended to examine whether medications were being used too quickly and what effects they might have on adolescent mental health; after discussion, the author voluntarily deferred the resolution, and the committee agreed. Finally, the committee considered Senate Concurrent Resolution 61, urging LDH and commercial insurers to increase reimbursement rates for behavioral health crisis centers operating under a crisis receiving center license. Testimony focused on the Bridge Center for Hope, described as the state’s only Level 3 crisis receiving center, and the need to revisit Medicaid reimbursement for the first 23 hours of crisis care. With no questions or objections, the resolution was adopted. The meeting ended with members thanking the chair and staff, and the committee adjourned for the year.

Transcript Highlights:

• </c><00:10:26.760><c> in</c> back to their homes funding facility in back to their homes funding facility
• </c><00:20:43.520><c> treatment</c> placement in a state operated treatment placement in a state operated
• bed to another state state operated bed to another state operated<00:24:09.440><c> bed</c><00:24:10.120
• They need professional mental health care and an appropriate facility.
• Mental health care and an appropriate facility.

Committee: House Human Services Finance and Policy

Transcript Highlights:

• options for a new R&D facility.
• options for a new R&D facility.
• options for a new R&D facility.
• options for a new R&D facility.
• for a new R&D facility.

Committee: Senate Taxes

Transcript Highlights:

• There is no expectation for extension of those facilities.
• to extend those facilities, those once-through cooling facilities that were in the strategic reserve
• in the near future, facilities that are going to be operating for the next 10 to 15 years.
• in the next coming near future, facilities that are going to be operating for the next 10 to 15 years
• And we've started to see those announcements be made. facilities that are going to be operating for the

Transcript Highlights:

• I'm the Director of Operations at Tribal Nations Research Group. We work with...
• I'm the Director of Operations at Tribal Nations Research Group.
• And through the ND TAP program, she has about 20-some hours to be an LAC in our facility.
• The IMD exclusion also does not apply to facilities of 16 beds or less.
• The IMD exclusion also does not apply to facilities of 16 beds or less.

Committee: Joint Tribal and State Relations Committee

Summary: The meeting focused on Turtle Mountain’s public health and behavioral health priorities, especially access to rural health transformation funding and a long-running data use agreement with the state. Tribal public health leaders described how, during COVID, a temporary data-sharing arrangement allowed them to do their own contact tracing and case management, and they argued that a similar agreement is now needed to respond more quickly to very high syphilis rates and other infectious disease concerns. Committee members generally expressed support and said they would follow up with state officials, while tribal representatives emphasized that they already have the staff and infrastructure to use timely data effectively. A major portion of the meeting was devoted to the Turtle Mountain Recovery Center and the broader issue of the IMD exclusion and residential treatment capacity. Tribal leaders described the center’s opening, its five levels of care, its 16-bed limit, and its efforts to become financially sustainable through billing, grants, and partnerships. They shared success stories and argued for an IMD waiver or similar flexibility so the center could expand to 32 beds and better meet local need. Committee members discussed the policy barriers to expanding residential treatment, including federal approval timelines, state funding choices, and the need to preserve a continuum of care that includes outpatient and community-based services. The committee then heard a detailed presentation from Hector Hernandez-Dogato of the National Health Law Program on the history and mechanics of the IMD exclusion and Section 1115 waivers. He explained that the exclusion limits Medicaid payment for services in facilities with more than 16 beds, but noted existing exceptions and alternatives such as state plan options, managed care arrangements, telehealth, and community-based services. He also reviewed mixed results from states that have used IMD waivers, warning that they do not automatically improve overdose deaths, emergency room use, or access to community care, and may risk reinforcing institutionalization if not paired with strong upstream services. The committee discussed a draft bill to appropriate $49,000 and one FTE for HHS to pursue an IMD waiver, with members suggesting the bill may need to explicitly include serious mental illness as well as substance use disorder and asking for department input at a future meeting.

Transcript Highlights:

• And has going through this process helped the overall court operations?
• Has going through this process helped the overall court operations?
• their facility needs as Judicial branch needs as it relates to facility needs and their trial court
• operations.
• It's only limited to their operations.

Transcript Highlights:

• , when I say operate, thank you.
• Operate out of a public airport, or when I say operate, doing their business, that they would have to
• customer service center near the toll facility.”
• “Have a toll facility near a toll customer service center near the toll facility so you don’t have to
• You know, there's conversations about the facility to be able to go there.

Bills: HB345 , HB503 , HB511 , HB590 , HB655 , HB685 , HB692 , HB707 , HB715 , HB748 , HB776 , HB856 , HB860 , HB868 , HB887 , HB888 , HB896 , HB999 , HB1000 , HB1086 , HB1233

Committee: Senate Transportation, Highways & Public Works

Summary: The Senate Committee on Transportation and Public Works met with five members present and approved the April 29, 2026 minutes. The committee then heard and reported a series of bills, including HB 1233, which lowers the contract threshold for hospital service districts using the Seymours program; HB 715, requiring aerial applicators operating from public airports to have transponders and radios and removing proposed ADS-B fee restrictions in favor of separate legislation; and HB 999, allowing impoundment of uninsured out-of-state vehicles. It also advanced HB 692 to let parishes and municipalities use group purchasing organizations, with an added sole-source procurement amendment for certain repairs and parts, and HB 511 to create a pursuit-intervention technology grant program, using a technical amendment to establish the fund structure. The committee also reported HB 590, creating a program to help law enforcement identify drivers with autism or other mental/physical disabilities through special envelopes and related notice technology; HB 503, a local bill cleaning up golf cart and utility terrain vehicle definitions in Golden Meadow; HB 655, authorizing DOTD cost-plus contracts for state-owned ferries; HB 748, clarifying that school board-owned or leased vehicles are exempt from tolls; HB 860, allowing fillable electronic bids; HB 896, addressing tolling rules and fees in Plaquemines Parish and requiring a nearby customer service center; and HB 1000, a cleanup bill on highway priority program reporting and local district contract limits. Later, the committee reported HB 887, which establishes a more consistent scoring and ranking framework for certain procurement processes, and HB 888, a cleanup bill on temporary tags and temporary license plates with added anti-counterfeiting and safety features. HB 1086, a major overhaul moving Louisiana toward a fully electronic vehicle title and lien system, was amended but voluntarily held for a week so members could review the extensive new language. The committee also reported HB 776, expanding port priority funding to larger projects and allowing flexibility in annual amounts, HB 707, shifting LPG commission promotional work to Agriculture and Forestry, HB 868, requiring safety chains or other manufacturer-specified safety equipment on farm trailers, HB 856, authorizing indefinite delivery/indefinite quantity contracting for DOTD maintenance and construction work, HB 345, adding rail infrastructure at ports to the rail improvement program, and HB 685, allowing transit agencies to use FAST Act cooperative procurement for buses and other rolling stock. At the end, the committee corrected its action on HB 856 by reconsidering and withdrawing the technical amendment set 2332 for later floor work, while leaving the bill reported with the department’s substantive amendments.

Transcript Highlights:

• and local facilities.
• All three of those facilities are fully operational as of January 2025, so we finally got everybody up
• Available to everyone who is just in the system, in state facilities. In state facilities.
• In state facilities. In state facilities.
• They’re in our facilities. They just don’t—it’s not a phone call. They come to our facilities.

Committee: House Administration of Criminal Justice

Transcript Highlights:

• Specifically, it's a disincentive for these facilities when they're trying to open.
• Some of these facilities only have operating budgets around $60,000 a year, which is, I'm surprised they're
• able to even operate with that.
• related to the operation of a safe injection site.
• related to the operation of a safe injection site. the amendment does Activities related to the operation

Bills: HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5995 , SB5831 , SB6134 , SB6136 , SB6137 , HB2689 , SB5922 , SB5944 , SB5957 , SB5988 , SB5994 , SB6011 , SB6065 , SB6103 , SB6151 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002

Summary: The House received a Senate message that Substitute House Bill 1570 had passed the Senate, then moved several bills from Rules to the second reading calendar, including Substitute Senate Bill 5242 on anaphylaxis medications in schools and Senate Bill 6132 on Inland Port District debt. The chamber then took up several bills, beginning with Senate Bill 5988 on Department of Health accreditation fee authority for opioid treatment programs. Amendment 2336 to cap the fee at $17,000 was debated at length but rejected, and a separate amendment to add safe-injection-site language was ruled out of scope. Senate Bill 5988 then passed 62-34. Substitute Senate Bill 6309 on enhanced municipal permitting tools for high-capacity transit projects drew multiple amendments focused on Sound Transit’s authority. Amendments to require written consent from abutting property owners, to add flood-zone and seismic/critical-area protections, and to address public-records issues were either rejected or ruled beyond scope, though the local government committee amendment was adopted. The bill passed 56-38. The House also passed Substitute Senate Bill 5886 on digital personality rights and Senate Bill 6136 on transparency in workers’ compensation rate-setting, both with strong bipartisan support. Later, the House passed a series of additional bills: Substitute Senate Bill 6034 codifying the Governor’s Office of Indian Affairs; Gross Second Substitute Senate Bill 5395 on prior authorization reform, with remarks emphasizing limits on AI in health care decisions; Substitute Senate Bill 6248 creating the Washington Travel Insurance Act; Substitute Senate Bill 5720 establishing uniform consumer debt default judgment procedures; Senate Bill 5995 on port modernization funding and labor considerations; Senate Bill 6103 affecting rural hospitals; Engrossed Substitute Senate Bill 6110 creating a work group on e-motorcycles; Engrossed Substitute Senate Bill 5156 allowing smaller elevators to support accessible, more affordable housing; Substitute Senate Bill 6269 updating motor fuel definitions to include hydrogen; Substitute Senate Bill 6189 giving Thurston County more time to pursue an aquatics public facilities district; and Senate Bill 6134 requiring unemployment applicants to acknowledge repayment obligations if retroactive union pay is received. Most of these bills passed with large margins, and the House adjourned after completing final passage votes.

Transcript Highlights:

• ><c> level,</c><00:04:24.800><c> they</c> typically at the facility level, they typically at the facility
• Yeah, it depends on the size of the actual generator. >> Yeah, they don't run the entire facility operations
• </c> &gt;&gt; they don't run the entire facility &gt;&gt; they don't run the entire facility operations
• , operations, operations, &gt;&gt; right?
• Um so, to operate one program.

Committee: Joint Appropriations

Transcript Highlights:

• So the human developmental centers, which we call HDCs, are intermediate care facilities and are operated
• and running of an intermediate care facility.
• The Warren facility. That's right. I'm sorry. The Warren facility.
• “The consultants, and part of their job, is that to do an assessment of just that facility or all facilities
• about the Warren facility prior to this event happening?”

Summary: The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended hearing on the death of Zachary Moore at the Southeast Arkansas Human Development Center. DHS officials Lori McDonald, Jennifer Brise, and Melissa Weatherton described the HDC system, staffing and resident needs, and said Moore died after being held in a prone restraint for about 13 minutes, followed by a delayed chemical restraint and delayed CPR. They said the family settled a wrongful death claim for $725,000, 13 staff were terminated, the facility leadership was changed, and at least five staff had been criminally charged, with the death certificate later described as homicide and the cause of death as physiologic stress associated with struggle and prone restraint. Members pressed DHS on why the family was not kept informed, whether there was a written restraint protocol, how staff are trained, and why the agency did not have more complete information ready for the hearing. DHS said staff receive CPI restraint training, annual restraint training is mandatory, and a consultant is reviewing policies, retraining staff, and conducting a root cause analysis under a directed plan of correction from the Office of Long-Term Care. Legislators also raised broader concerns about low pay, staffing shortages, use of float and contract staff, and a waiting list of about 2,000 people for home- and community-based care. DHS said it is working on a retention and recruitment plan and a rate report for certain PASS services, but that the PASS rate study does not cover CNA pay. Several members said the incident reflected both a failure of restraint practice and a broader staffing and oversight problem. DHS acknowledged that prone restraint should not have been used, that the chemical restraint was given at the wrong time, and that multiple breakdowns occurred in supervision, communication, and equipment use. The committee also discussed whether there should be more regular independent audits of HDC policies, and DHS said it does not currently have a separate annual policy audit beyond existing oversight. At the end of the meeting, the committee asked DHS to keep it updated on recruitment, consultant reports, and to contact Moore’s mother about the communication she had been promised. The meeting adjourned without any additional formal action beyond approving the minutes.