Transcript Highlights:

• There are meals and snacks covered depending on the length of time that people are in the facilities
• And if the service is more than four and a half hours a day, adult day will cover a meal as well.
• 39:49.040><c> depending</c><00:39:49.359><c> on</c> meals and snacks covered depending on meals and snacks
• </c><00:40:15.760><c> Um</c> adult day will cover a meal as well.
• Um adult day will cover a meal as well.

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• </c> areas like consistent provision of areas like consistent provision of School<00:35:11.520><c> meals
• </c><00:35:12.520><c> literacy</c><00:35:13.240><c> Charter</c><00:35:13.680><c> School</c> School meals
• literacy Charter School School meals literacy Charter School oversight<00:35:14.359><c> and</c><00:35
• </c><01:09:47.799><c> you're</c> accounts with the universal meals you're accounts with the universal
• meals you're getting<01:09:48.199><c> more</c><01:09:48.359><c> money</c><01:09:48.600><c> in</c><01

Bills: HF957 , HF877

Committee: House Education Finance

Transcript Highlights:

• we are, and one of them is around the public health system, but the other is also the health care delivery
• so I'm looking forward to those experiences, seeing more of the portion of our behavioral health delivery
• so I'm looking forward to those experiences, seeing more of the portion of our behavioral health delivery
• And in that moment, I really found a yearning and a desire to understand the health care delivery system
• That will lead to a sustained delivery system as much as we can in that regard for our providers.

Committee: Joint Joint Select Committee on Health Care and Behavioral Health Oversight

Summary: The committee met to hear updates from state health leaders on current priorities, including agency leadership transitions, licensure backlogs, federal policy changes, and rural health funding. Secretary of Health Dennis Worsham and HCA Director Ryan Moran described their recent listening tours and said their agencies are focused on access, affordability, quality, patient safety, and stronger coordination across public health, Medicaid, behavioral health, and rural systems. In response to questions, Worsham said health profession licensure delays have been reduced from about four months to six weeks, with the backlog expected to be caught up by January 1, and that the department is adding staff and using dashboards to improve turnaround times. A major portion of the meeting focused on implementation planning for H.R. 1 and its effects on Medicaid and SNAP. Governor’s Office health policy advisor Caitlin Stafford, HCA interim Medicaid director Trinity Wilson, and HCA staff said the state is analyzing eligibility changes, work requirements, and six-month redeterminations, while trying to keep most changes out of statute and instead handle them through budget and administrative action. They emphasized close coordination with DSHS, the Health Benefit Exchange, the Office of the Insurance Commissioner, employers, and tribal partners, and said the state hopes to make the process as invisible as possible for enrollees. Wilson said the October 2026 eligibility change for certain lawfully present non-citizens could affect up to 30,000 Apple Health enrollees, while the December 2026 work requirement and redetermination provisions could affect about 620,000 adults, with automated verification expected to cover most cases but 15% to 20% likely needing manual review. Officials also said they are concerned about the cost of technology changes, estimating a possible $30 million system solution, and about the lack of federal guidance. The panel also reviewed Washington’s successful application for the federal Rural Health Transformation Program, which was submitted to CMS on November 5. HCA said the application was shaped by more than 310 public comments, webinars, and tribal consultation, and includes six initiatives: rural hospital innovation, community-based prevention and care management, tribal investments, technology and data, workforce development, and rural behavioral health. Officials said the proposal includes support for rural hospital collaboratives, maternal and obstetric services, dementia and EMS supports, tribal workforce and data investments, telehealth and AI tools, rural training pipelines, and behavioral health services such as mobile crisis and school-based care. They noted that Washington is unlikely to receive the full $200 million annual amount available to each state, and that an advisory committee will likely help guide spending over the five-year program. Later, the committee heard a brief update on the 2023 organ transport law from Department of Health EMS program supervisor Don Felt, who said the state has licensed one organ transport company, has received no complaints, and has seen no operational problems. LifeCenter Northwest then described the organ donation system, explaining the legal framework, donor referral process, and the role of hospitals and organ procurement organizations. The organization said Washington has seen a 140% increase in organ donors over the past decade and a 103% increase in lives saved, while also noting common misconceptions that donation affects emergency care decisions. The final panel from the University of Washington Medical Center began an overview of its transplant programs, including kidney, liver, heart, lung, pancreas, and living donor transplants, but the transcript ends before that presentation was completed.

Transcript Highlights:

• ; those pregnancies ended before delivery.
• </c><00:15:31.240><c> those</c> children died before delivery those children died before delivery those
• </c> those pregnancies ended before delivery those pregnancies ended before delivery and<00:15:34.519
• That's what the bill is for, we think, of birth and what we kind of call that as a delivery plan.
• Delivery room at that moment, it's not just the OB-GYN; it is a neonatal team.

Summary: The Health Services Committee met with a quorum and first considered House Bill 389, a cleanup measure related to the CASPER prescription monitoring program. Representative Duval and staff explained that the bill addresses implementation issues the Office of Inspector General encountered and aligns the definition of “practitioner” for in-state and out-of-state providers. The committee took no questions, then approved the bill unanimously and reported it favorably. The committee then heard House Bill 501, which would allow a pharmacist to fill a prescription for a limited period after the prescribing provider has died, so patients can maintain continuity of care. Sponsors and a pharmacist witness said the bill is intended to reduce uncertainty and liability for pharmacists, excludes controlled substances to comply with federal law, and leaves professional judgment with the pharmacist. Members asked about documentation and verification, and the sponsor said the bill applies when the pharmacist knows of the death and that pharmacies would document the situation as they normally do. The committee discussed the issue briefly and passed the bill unanimously with favorable expression. Finally, the committee took up House Bill 414 for discussion only. Representative Tate and Adia Wisher described it as “Love Them Both,” a perinatal palliative care proposal meant to provide wraparound support for women and families facing fatal fetal anomalies or other serious pregnancy complications. Testimony emphasized that the bill would encourage referrals to programs offering medical, emotional, spiritual, financial, and bereavement support, with examples such as Footprints at St. Elizabeth. Members discussed access, referrals, counseling, coverage language, and the role of fathers, and supporters stressed that the services would be optional and intended to broaden support rather than impose penalties. No vote was taken on House Bill 414.

Transcript Highlights:

• And I'll bring some perspectives from an academic medical center and a delivery system. Thank you.
• I've had presentations that we've done around workforce or around the need for building clinical delivery
• And so within a health care delivery system, a more pragmatic way that that plays out is that now we
• delivery system.
• Delivery system.

Bills: SB37 , SB29 , SB37 , SB29

Committees: Senate Senate Finance , Senate House Appropriations & Finance

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• were strangled to death in separate incidents during conjugal visits with their husband or partner at Meal
• I own California for Meal Creek State Prison, and I confirm support for Mr. Johnson.
• The whole plan also looks at and adds healthy meal options, links folks up to gym memberships, and things

Committee: Senate Rules

Summary: The Senate Committee on Rules first established quorum and took up several routine items, including two governor’s appointments to the Court Reporters Board, references of bills to committees, and floor acknowledgments. Heather Lynn Gonzalez’s appointment was approved 3-1, Allison Salton-Sall’s appointment was approved 4-0, and the other routine items were approved 4-0. The committee then heard testimony on two Department of Corrections and Rehabilitation appointments, Kathleen Ratliff and Joseph Tuggle, both associate directors in the Division of Adult Institutions. Senators focused heavily on the California model, staff safety, prison violence, sexual abuse prevention, retaliation concerns, and visitation. Ratliff and Tuggle said the California model is meant to balance rehabilitation with safety, that CDCR has improved communication and training, and that incidents such as the pepper-spray event at Central California Women’s Facility led to discipline, investigations, retraining, and policy review. They also described PREA reporting systems, anti-retaliation protections, statewide visiting meetings, and efforts to make visiting more family-centered and consistent. Public commenters largely supported both nominees, citing their work on rehabilitation, reentry, and sexual abuse response. The committee unanimously voted 4-0 to send both Ratliff and Tuggle to the Senate floor for confirmation. It then heard from Jason Johnson, nominated as CDCR Undersecretary of Operations. Senators questioned him about parole supervision, public safety, contraband, prison rape prevention, workplace culture, whistleblower retaliation, and repeated allegations in late-filed opposition letters. Johnson said parole risk is assessed through established scoring and supervision levels, that sex offenders are subject to GPS monitoring and treatment, and that operations use investigations, training, and collaboration with law enforcement to address contraband and misconduct. He emphasized rehabilitation, culture change, accountability, and his commitment to staff and public safety, while acknowledging criticism and the difficulty of leading a large institution. No vote on Johnson was taken in the portion provided.

Transcript Highlights:

• were strangled to death in separate incidents during conjugal visits with their husband or partner at Meal
• I own California for Meal Creek State Prison, and I confirm support for Mr.
• It's also, that whole plan also looks at and adds healthy meal options, links up folks to gym memberships

Summary: The committee first handled routine actions, including quorum, governor’s appointments not required to appear, references to bills, and floor acknowledgments, with those items approved on 3-1 or 4-0 votes and left open for add-ons where noted. It then heard testimony on several CDCR appointments: Kathleen Ratliff and Joseph Tuggle as associate directors for adult institutions, and later Jason Johnson as Undersecretary of Operations. All three nominees emphasized long careers in corrections, support from family and colleagues, and a commitment to public safety, rehabilitation, and improving staff and institutional culture. Much of the questioning focused on the California model, staff safety, sexual abuse prevention, use-of-force incidents, visitation, and rehabilitation. Ratliff and Tuggle said the California model was poorly communicated at rollout but is intended to improve both staff wellness and rehabilitation, not weaken security. They described training, root-cause reviews, statewide calls, and direct engagement with staff and incarcerated people. On a widely criticized pepper-spray incident at Central California Women’s Facility, Ratliff said staff were disciplined, some terminated, and the facility received additional training on de-escalation, communication, use of force, and report writing. On sexual abuse and retaliation concerns, both nominees pointed to PREA training, multiple reporting channels, anti-retaliation monitoring, and a zero-tolerance policy. Members also pressed the nominees on visitation consistency, family reunification, contraband, and the San Quentin transition program. CDCR leaders said visitation is essential to rehabilitation and that the department is working toward more consistent statewide rules and a more family-friendly visiting environment. They also said contraband interdiction is being strengthened through K-9 searches, drone interdiction, and information sharing. Johnson, whose confirmation drew late opposition letters and a lawsuit alleging retaliation and workplace culture problems, said he was driving culture change, had improved reentry and community partnerships, and viewed rehabilitation as central to CDCR’s mission. After public support from former incarcerated people, advocates, and nonprofit leaders, the committee voted 4-0 to advance the appointments to the Senate floor.

Transcript Highlights:

• were strangled to death in separate incidents during conjugal visits with their husband or partner at Meal
• I own California for Meal Creek State Prison, and I confirm support for Mr. Johnson. Thank you.
• It's also that whole plan also looks at and adds healthy meal options, links up folks to gym memberships

Committee: Senate Rules

Transcript Highlights:

• On page 55, don't be, again, it looks like on line 24, we're cutting AAA meal distribution.
• We're going from 629, 21 to 1099 a meal, so that's good news.
• We're going from 629, 21 to 1099 a meal, so that's good news.

Committee: House Budget

Transcript Highlights:

• Delivery system.
• Delivery system.
• The terminology moves from delivery, or, I'm sorry, delivery device to delivery systems.
• The terminology moves from delivery, I'm sorry, delivery device to delivery systems. Perfect.
• The term delivery device to now say delivery system.

Committee: House Health and Mental Health

Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training and guidance on recognizing and responding to food allergies and anaphylaxis. Sponsors described the bill as a response to the death of Elijah, whose daycare did not administer epinephrine quickly enough after a food exposure. Witnesses in support, including a parent and food allergy advocate, said the measure would improve preparedness and save lives. Committee members asked about whether the bill should use broader epinephrine terminology, whether the requirements could also be handled through child care licensing rules, and whether the bill was already included in a larger measure. No opposition was presented, and the hearing on those bills was closed. The committee then heard House Bill 1965, which would require insurers to reimburse athletic trainers for covered services and add athletic trainers to the practitioner definition for billing purposes. The sponsor and athletic training witnesses said the bill would recognize athletic trainers as licensed health care providers, improve access in rural and underserved areas, and allow reimbursement when trainers work in clinics, hospitals, or other non-school settings. Committee members raised repeated questions about the difference between athletic trainers and physical therapists, whether school-based services were already paid through contracts, whether the bill would increase costs or create double payment, and how diagnosis and billing would work under the current scope of practice. Opponents from Blue Cross and Blue Shield of Kansas City and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before clarifying the underlying scope of practice. No vote was taken in public hearing. The committee then moved into executive session and voted several bills do pass. A substitute was adopted for House Bill 1826 and the committee substitute for House Bills 1826, 2560, 2349, and 2194 passed 17-0. House Bill 1783 also passed 17-0. House Bill 2372, which incorporated multiple related provisions including changes to epinephrine terminology and other committee items, passed 17-1 after a substitute and amendment were adopted. House Bill 1827, the occupational therapy bill related to disabled placards and license plates, passed 18-0. The committee then returned to public hearing and heard House Bills 1941 and 2279, which would prohibit copay accumulator programs for fully insured plans so that third-party assistance counts toward a patient’s deductible and out-of-pocket maximum. Sponsors and a rheumatologist testified that the bills would prevent patients with serious illnesses from being forced to pay the same deductible twice and said similar laws have been enacted in many other states. Opponents from America’s Health Insurance Plans argued the measure would affect only a minority of plans, raise costs in the individual and small-group market, and could worsen affordability for remaining enrollees. The hearing ended without a vote on those bills.

Transcript Highlights:

• The current improving the current delivery of care for Minnesotans.
• The current delivery of care for Minnesotans.
• The current delivery of care for Minnesotans.
• The current delivery of care for Minnesotans.
• of care for spinal cord the delivery of care for spinal cord injury,<00:16:19.279><c> traumatic</c><

Summary: The meeting focused on a House counteroffer to a higher education budget and policy agreement, with Ken Savory walking members through spreadsheet changes and Mr. Hopkins reviewing policy items. On the budget side, the House adjusted several appropriations and savings targets, including state grants, child care grants, student teacher and shortage area grants, student parent support, spinal cord injury and traumatic brain injury research grants, dual training grants for legal cannabis employers, and University of Minnesota cannabis research. The House also noted no change to Minnesota State, alignment with the Senate on the summer academic enrichment program, and that remaining state grant parameters would continue to be negotiated. On policy, the House said some items were agreed to and grayed out, including campus sexual misconduct policy and treatment of appropriations. The House kept its original position on the NN Mayo Clinic Partnership and did not include K-12 direct admissions or the College Financing Literacy Act. It also proposed adjusting OHEI appropriations for competitively and legislatively named grant programs so administrative cost reserves would conform to 10% and 5% parameters when current law is below those levels. The committee then heard testimony in support of continuing the spinal cord injury/traumatic brain injury grant program at its current level. Joey Carlson described his spinal cord injury, his career path, and how the program helped advance research and industry connections, while Matthew Broadick argued the program has produced clinical trials, FDA approval-related progress, jobs, and strong return on investment. He also said the program belongs at the Office of Higher Education rather than the Department of Health because its mission better fits research and innovation. Members asked about the program’s long-term home, and the witnesses defended OHE’s role. No votes were taken; the chair thanked the House for the offer, said it would be reviewed, and recessed the meeting.

Transcript Highlights:

• Arranged transportation to ensure staff could get to work, and invested in online ordering and delivery
• Arranged transportation to ensure staff could get to work, and invested in online ordering and delivery
• Thousands of students have shifted to uh remote learning, reducing daily uh school meals.
• Thousands of students have shifted to uh remote learning, reducing daily uh school meals.
• Thousands of students have shifted to remote learning, reducing daily school meals. Uh, in St.

Committee: Senate Jobs and Economic Development

Transcript Highlights:

• Rather, it ensures that water deliveries operating under an approved state control plan can continue.
• The need for AB 1894 became evident when imported water deliveries intended for groundwater recharge
• Rather, it ensures that water deliveries operating under an approved state control plan can continue.
• The need for AB 1894 became evident when imported water deliveries intended for groundwater recharge
• At its core, AB 1894 is a water delivery bill.

Summary: The Senate Natural Resources and Water Committee heard several measures focused on conservation, coastal protection, water supply, and invasive species. AB 1987 by Assemblymember Aguiar-Curry would direct fees and lease revenues generated by state wildlife areas back to those areas for operation and maintenance; the author accepted committee amendments, and Audubon California testified in support with no opposition. AB 1448 by Assemblymember Hart would strengthen California’s restrictions on offshore oil and gas development by limiting the use of existing infrastructure for new offshore drilling and adding review requirements for lease transfers and related actions; it drew broad support from coastal governments and environmental groups and no opposition, and was sent to Appropriations. AB 1894 by Assemblymember Rubio addressed imported water deliveries for groundwater recharge in the context of golden mussel control plans, aiming to prevent local restrictions from blocking deliveries that comply with state-approved invasive species plans; supporters said it protects groundwater reliability, while opposition argued it could weaken local authority and liability protections. After discussion, the committee approved the bill 6-0 and sent it to Appropriations. The committee also considered ACR 107 by Assemblymember Bauer-Kahan, a resolution recognizing the Diablo Range as a major conservation priority and highlighting its habitat, watershed, and 30 by 30 value. Support came from Save Mount Diablo, and members emphasized the range’s ecological importance and regional reach; the resolution was adopted on a 7-0 vote. Finally, AB 1946 by Assemblymember Bryan sought to elevate investment in urban conservation and park creation in historically underserved communities as part of California’s 30 by 30 goals. Testimony from Los Angeles County Parks and Recreation and park/recreation organizations stressed the need to reduce “nature poverty,” improve access, and remediate degraded urban lands; members discussed equity, biodiversity, and park maintenance, and the bill passed 7-0 to Appropriations. Several items, including AB 1987 and the consent calendar, were also approved on unanimous or near-unanimous votes, with some measures held on call before final roll calls were completed.

Transcript Highlights:

• And then really conclude with, as we always do, some of our project delivery updates.
• And so I wanted to share a few things that you'll see new in this delivery platform dashboard.
• So with that, we'll transition quickly to project delivery updates.
• And so very excited about that along with our project delivery initiative.
• Transitioned back, we have our last update on the project delivery side.

Summary: The Senate Joint Transportation, Highways and Public Works Committee received an update from DOTD Secretary Glenn Ledet and Deputy Secretary Bo Black on the department’s transformation efforts. DOTD highlighted its new project delivery dashboard, key performance indicators, and litter abatement work, including nearly $15 million spent on litter pickup and a new highway sponsorship pilot. Members also received updates on LTIF 1.0 and 2.0, with officials reporting that most LTIF 1.0 work is complete and that LTIF 2.0 is progressing under budget. The committee also heard updates on the Office of Highway Construction’s bridge bundling program, the Calcasieu River Bridge project, and the Cameron Ferry boat replacement and privatization solicitation process. The committee reviewed the draft 2026-2027 highway priority program, which DOTD said includes $913 million for construction and about $1.2 billion across 302 projects. Members discussed the public roadshow comments, project acceleration, and corridor planning, including the I-12 corridor and the Calcasieu River Bridge environmental review and public meetings. No vote was taken on the highway priority program at this meeting. The statewide flood control program presented six recommended projects for fiscal year 2026-2027, including projects in Gretna, St. John, St. James, Mandeville, and two Lafourche-area projects, with officials saying the projects meet benefit-cost criteria and would reduce flood damage. The airport construction and development priority program was also reviewed, with 31 air carrier projects and 99 general aviation projects recommended. The rail program reported no new projects but said it expects a $13 million request and has 19 projects in the queue, while the port program presented three unfunded projects for future consideration. The Louisiana Highway Safety Commission and LSU’s Center for Analytics and Research presented crash data focused on impaired driving. They said 2024 saw 753 traffic fatalities, with impaired driving accounting for about one-third of fatal crashes, and estimated the economic cost of impaired driving at roughly $700 million. Members discussed youth driving, marijuana and alcohol trends, ignition interlock, DWI courts, and enforcement challenges on waterways. The meeting concluded with no formal votes or final actions on the major program items presented.

Transcript Highlights:

• line because that paragraph talks about rotating into credit, but the last line is talking about delivery
• This is the timeline of the delivery call proceeding for the last irrigation season.
• IDWR has taken enforcement on the delivery call very seriously.
• reasons that existed, but that they would be subject to reevaluation in the future. ...into the delivery
• After sitting through many updates like you just did on delivery call proceedings on the Eastern Snake

Committee: Senate Resources and Environment

Transcript Highlights:

• Our system consists of 408 miles of pipe, seven delivery facilities, one terminal, and nine pumping stations
• The 16-inch line was able to get restarted on November 16th, and we were able to get a large delivery
• And we were able to get a large delivery into CTAC airport, which was good.
• We were able to ensure ongoing truck deliveries.
• our burn rate would continue to far surpass ongoing emergency deliveries.

Committee: Senate Transportation

Transcript Highlights:

• Our system consists of 408 miles of pipe, seven delivery facilities, one terminal, and nine pumping stations
• We were able to get a large delivery into Sea-Tac Airport, which was good.
• We were able to ensure ongoing truck deliveries.
• Then those suppliers work directly with Olympic Pipeline to coordinate the delivery of the refiners'
• Then those suppliers work directly with Olympic Pipeline to coordinate the delivery of that fuel into

Summary: The Senate Transportation Committee met on January 20, 2006, for two work sessions focused first on aircraft fuel pipeline resiliency and then on flooding impacts to the state highway system. On the fuel topic, BP and Olympic Pipeline described the pipeline system serving Washington and Oregon, its regulatory oversight, inspection and leak-detection programs, and the November 11 Mile Post 78 release near Everett. Witnesses said the leak was initially too small for the system to detect, was found by a farm worker, and led to shutdowns, excavation, soil removal, and repairs while the site later faced flooding that complicated access but did not stop both lines from remaining operational. Committee members questioned why the leak was not detected sooner, how much fuel was released, and what safeguards exist for future environmental protection. BP also described emergency response and recovery efforts, including trucked fuel deliveries to Sea-Tac and coordination with refineries and Canadian partners. The Port of Seattle and Alaska Airlines explained the airport response, including expanded truck offloading capacity, fire and police support, communication with airlines and other airports, reduced fuel use, and the impact on flights. Tim Zenk of Earth Finance argued that Washington’s fuel system lacks redundancy and that regional renewable fuels production and storage, including sustainable aviation fuel, could improve resilience; he suggested a regional goal of producing at least 33% of fuels locally. The committee then heard from WSDOT on the December flooding and storm damage. Emergency manager John Hemel and Olympic Regional Administrator Steve Rourke described statewide emergency operations, use of WebEOC tracking, and efforts to secure FEMA and FHWA funding. They said the state EOC was activated for 10 days, four regional EOCs were activated, and more than 100 sites were impacted. WSDOT reported roughly 50 emergency work sites, about 16 emergency contracts, and a preliminary damage estimate of $40 million to $50 million. They reviewed major repairs on US 2, I-90, SR 12, SR 410, SR 542, and US 101, noting that some roads reopened quickly with temporary fixes while others would require later permanent work and environmental permitting. Members asked about the 30-working-day emergency contracting authority, federal reimbursement, and whether emergency response contracting methods could be used to speed ordinary projects. The committee then adjourned.

Transcript Highlights:

• This pertains to delivery network companies, so I'm going to let Representative Murphy explain the sub
• There was a lot of controversy over what was a delivery availability time and what was a delivery time
• There was a lot of controversy over what was a delivery availability time and what was a delivery time
• That's just by codifying in statute that the delivery availability period, where they're not actually
• That's just by codifying in statute that the delivery availability period, where they're not actually

Committee: House Insurance and Banking

Summary: The Committee for Insurance met with a quorum and first took up three bills in executive session. House Bill 2902 was amended with a committee substitute that removed the commission language while keeping provisions on software and key-emulating devices, and members confirmed it still included a Class D felony penalty. The committee adopted the substitute and voted the bill do pass, with one member voting no. House Bill 1789, dealing with delivery network companies and insurance coverage during the delivery availability period, was also amended and adopted; the substitute clarified that the availability period is not commercial activity and that auto insurance applies until a driver is actually engaged in delivery. The committee then voted the bill do pass, with one no vote and one present. House Bill 1647 was amended to remove it from the collateral source rule section and clarify that it applies only to civil actions for damages and property claims; the substitute was adopted and the bill voted do pass, with several no votes recorded. The committee then held a public hearing on House Bill 1894, which would implement federal nondiscrimination requirements for licensed health care providers in Missouri insurance law. The sponsor said the bill is about patient choice, fairness, and access, especially in rural areas, and does not expand scope of practice or require coverage of new services. Supporters from chiropractic, nursing, occupational therapy, podiatry, and nurse anesthetist groups said the bill would ensure equal reimbursement for the same covered services and improve access to local providers. Opponents from the insurance industry argued the bill would interfere with network design, reduce negotiating leverage, and require equal payment regardless of provider type or credentials; they also said current federal law already governs network adequacy and that the bill’s rulemaking language was standard but the reimbursement mandate was the main concern. The committee also heard House Bill 3314, which updates Missouri’s insurance guaranty association laws. The sponsor and supporters explained that the bill would clarify coverage for cyber policies, ensure coverage follows the policyholder in insurance business transfer or corporate division transactions, and allow limited pre-liquidation information sharing from the Department of Commerce and Insurance to guaranty associations so claims can be handled faster after insolvency. Witnesses said the bill is technical and intended to modernize the system without expanding coverage or increasing taxpayer exposure. Members asked about the $300,000 property and casualty claims cap, the definition of high-net-worth individual, oversight of guaranty associations, and confidentiality concerns; supporters said the cap is longstanding, high-net-worth means over $25 million, and the department’s existing oversight and confidentiality protections are sufficient. The hearing closed after a final supportive statement from the Missouri Insurance Coalition, and the committee adjourned.

Transcript Highlights:

• Restricts permitted use of value-based purchasing models in our managed care service delivery system,
• One quarter of expecting mothers in Kitsap leave the county for care or delivery.
• Our first report in 2012 focused on reducing elective deliveries and C-sections.
• Our first report in 2012 focused on reducing elective deliveries in C-sections.
• Washington state is also a hotbed of innovation, especially in our lower-resource delivery centers.

Summary: The Senate Health and Long-Term Care Committee met on July 30, 2026, to hear two main briefings. The first, from the Health Care Authority, focused on implementation of federal H.R. 1 Medicaid changes and Washington’s rural health transformation funding. HCA said the state is preparing for major eligibility changes, including the October 1 loss of Medicaid coverage for about 14,000 lawfully present non-citizens and January 1, 2027 work requirements, six-month renewals, and reduced retroactive coverage for roughly 600,000 Medicaid expansion adults. Officials described outreach efforts, new automated verification systems, a verification hub, and plans to use available data sources to reduce manual paperwork, while noting that about one-third of the affected population may still need manual processing. They also said H.R. 1 will limit state-directed payments over time, with an estimated long-term impact of up to $1.5 billion in hospital reimbursements. On rural health transformation, HCA said it is moving quickly to obligate its $181 million federal award through contracts and competitive grants for rural hospitals, workforce, behavioral health, technology, and tribal and community partners. Committee members asked about the impact on rural providers, community service as a work-requirement pathway, emergency Medicaid, tribal and federal reimbursement issues, and whether the state would submit comments on the federal work-requirement rule. HCA said it would file comments, that emergency Medicaid coverage for certain services remains available, and that it is working with tribes and other agencies to avoid erroneous terminations and to move eligible people into other coverage where possible. Members also raised concerns about the administrative burden on families and providers and the need for congressional attention on issues such as TRICARE reimbursement. The second briefing addressed maternal health and the Department of Health’s Maternal Mortality Review Panel report. DOH said maternal mortality in Washington increased for the first time in the report series, but most pregnancy-related deaths remain preventable. Nearly half were linked to behavioral health conditions, especially overdose deaths, with suicide, cardiovascular disease, and COVID-19 also significant causes; most deaths occurred postpartum rather than during delivery. The report found higher mortality rates among American Indian and Alaska Native, Black, Native Hawaiian, Pacific Islander, multiracial, rural, and Medicaid-covered populations, and identified lack of access to care, financial hardship, housing instability, discrimination, bias, and systemic inequities as major contributors. DOH highlighted existing state actions such as one-year postpartum coverage, doula reimbursement, inpatient substance use treatment coverage for birthing people, and vaccine coverage requirements, and offered 12 legislative recommendations focused on affordable and high-quality care, basic needs and community supports, and equitable, culturally responsive services. Presenters from the Suquamish Tribe and Kitsap OBGYN described how the tribe acquired and stabilized a threatened OB-GYN practice to preserve regional access amid provider shortages and hospital service losses. They said rural obstetric care is difficult to sustain because of thin margins, workforce shortages, long travel distances, and higher-risk patients, and emphasized that tribal health systems can offer stronger reimbursement and integrated family-centered care. The Foundation for Healthcare Quality and the Bree Collaborative then outlined statewide maternity-care quality efforts, including work on perinatal behavioral health, care coordination, postpartum screening, doula support, and better-aligned payment models. They said Washington has strengths in innovation but still needs more OB-GYN capacity, better transitions of care, and more culturally responsive, trauma-informed maternal and Native health services.

Transcript Highlights:

• This meals tax is the same.
• Do we uh for hotels and meals and rooms?
• </c> meals and rentals taxes? meals and rentals taxes?
• I also pay the meals and rooms tax.
• about $15,000 a year in my meals and rooms tax to the state, or gain this penalty tax?

Committee: House Ways and Means

Summary: The committee heard testimony on House Bill 1596, which would raise New Hampshire’s cigarette excise tax from $1.78 per pack to about $2.80, using an inflation-based adjustment since the rate was last set in 2008. Representative Jerry Stringham, the bill’s sponsor, said the measure would keep New Hampshire competitive with neighboring states, generate revenue, and help offset other budget pressures. He also described the bill as repealing an income-based premium charge in Medicaid/CHIP-related programs and restoring cuts to the University System of New Hampshire, arguing that the combined package would still leave the state in a positive fiscal position. He said the tobacco tax increase would likely have some cessation effect but would remain low relative to other New England states, and he cited prior testimony from health groups supporting a larger increase. Members questioned the sponsor about how the new rate was calculated, the prior tobacco tax reduction and restoration, whether tobacco companies would absorb or pass on the tax, and the fiscal note’s estimates for Medicaid premium revenue and UNH funding. Stringham said he used Bureau of Labor Statistics inflation data, that the earlier 10-cent reduction did not produce the expected sales increase, and that the current bill would eliminate the premium charges now in the budget. He later clarified that the Department of Medicaid Services had updated the revenue estimate, but said the bill still showed a surplus overall. He also said the federal government already imposes a $1-per-pack tax and that New Hampshire would remain below neighboring states even after the increase. Two public witnesses testified in opposition to the tax increase. Anna Bettincourt, a tobacco category manager, argued that higher tobacco taxes would unfairly target smokers, reduce New Hampshire’s tax advantage, and likely shift purchases to other states or illicit markets rather than reduce use. She said tobacco companies generally do not lower prices and that Massachusetts’ flavor restrictions had not eliminated sales. In response to questions, she maintained that a smaller increase would still be harmful and that enforcement problems make bans ineffective. The sponsor and some members countered that smokers impose higher health costs and that tobacco taxes are a policy tool for both revenue and public health. No vote or final committee action was taken in the portion of the meeting provided.