Transcript Highlights:

• They have to review everything that goes on that website.
• goes through their bureaucratic review.
• I also want to note that in addition to reviewing the ongoing work, CMS will review and approve each
• dollar granted... review and approve each dollar granted under the program.
• As they review..."

Committee: Joint Public Health and Welfare

Keywords: Public Health and Welfare - Room 216, 4 June, 2026; 2:30 PM, 925, all

Transcript Highlights:

• We’re not actually reviewing these documents.
• There’s no review process. There are no standards for reviewing any of these documents.
• There’s no review process.
• There are no standards for reviewing any of these documents that we’re asking them to produce.
• And in terms of review, I mean, I think that details have been reviewed when you applied for the certificate

Committee: House Joint Committee on Administrative Rules

Keywords: 959, house, all

Transcript Highlights:

• and for having OPAGA back to discuss this review.
• We conducted a statutory review of board-related requirements and reviewed literature related to best
• States may also oversee boards via legislative review of proposed or existing rules. Thank you.
• States may also oversee boards via legislative review of proposed or existing rules.
• I am aware that OFAR is required to review all rules, but it's not related to fiscal impact.

Summary: The Senate Health Policy Committee met with a quorum and considered several health-related bills, most of them focused on drowning prevention and public safety. SB 428, by Senator Yarborough, would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. The sponsor and supporting testimony from a pediatric emergency physician and YMCA representatives emphasized Florida’s high drowning rates, especially among very young children, and argued that swim lessons can significantly reduce risk. Senator Harrell noted the need to revisit the funding allocation as eligibility expands. The bill was reported favorably. The committee also heard SB 606, by Senator Smith, which adds drowning prevention and safe bathing practices to postpartum education provided by hospitals, birthing centers, and, after amendment, no longer requires home birth providers to maintain proof of compliance. A parent who lost a child to drowning and Senator Berman spoke in strong support, stressing that the bill would educate new parents at a critical time. The committee adopted the amendment and reported the bill favorably as a committee substitute. SB 162, by Senator Davis, would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively low-cost and already used in many facilities, while several witnesses supported the bill as a worker-safety measure. Other senators raised concerns about the lack of data, possible rural hospital impacts, and whether the mandate could add costs without clear evidence of harm. Despite those concerns, the bill was reported favorably. The committee also passed SB 340, by Senator Harrell, requiring nursing students to complete a two-hour human trafficking course before licensure, after amending the bill to shift the requirement from nursing programs to the students themselves. Testimony from a trafficking survivor and nursing advocates supported the measure, and it was reported favorably as a committee substitute. Finally, SB 192, presented by Senator Trumbull on behalf of Senator Martin, removed the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; chiropractic industry representatives supported the change, and the bill was reported favorably.

Transcript Highlights:

• Have you had a chance to review that? I have.
• Okay, did you by chance get a chance to review the previous Real Estate Commission Sunset Review?
• The complete Sunset Review? Yes, sir. Yes, I did. From 2018-19.
• Not recently, but I did review it when it came out, okay, because one of the shared sunset review interim
• There are review boards that are raising taxes in communities like mine.

Committee: Senate Nominations

Keywords: 1185, senate, all

Transcript Highlights:

• Our intake slash attorney Consumer Assistance program reviews the reviews. The complaint.
• And then the intake staffer who was a lawyer reviews the facts and determines does this need further
• review doesn't need further investigation.
• They review the advertisements for compliance with our rules.
• >> The one 2, it's the one that is that. >> You could review the question chairman. Sure. Yeah.

Keywords: 999, senate, all

Transcript Highlights:

• SB 158 directs the board to review and consider for approval.
• Only someone who commented on the draft permit or spoke at the hearing can petition for review.
• And every year, the board reviews the department's annual priorities.
• reviews or those evaluations is left up in the air, as I mentioned in my remarks.
• We want. ...independent scientific site review. That is what we want.

Summary: The joint oversight hearing focused on the Board of Environmental Safety (BES), created by SB 158 in 2021, and on broader DTSC reform efforts, including permitting, community engagement, fee setting, and the hazardous waste management plan. Chair Connolly opened by noting the board’s original goals of improving transparency, accountability, and fiscal stability, and raised concerns about a recent board appointee later becoming a lobbyist with DTSC-regulated clients. Witnesses and members also discussed the long-delayed SB 673 regulations on facility permitting and community vulnerability protections, as well as the board’s role in approving the hazardous waste management plan and reviewing permit appeals. Community and environmental justice witnesses argued that the board has improved access by creating a public forum, ombudsperson, and appeal process, but said it remains too passive and lacks authority over budgets, staffing, and implementation. They urged more statutory direction, stronger community participation, better transparency on how comments are used, and more meaningful authority in permit and plan decisions. One witness suggested the Legislature consider a separate oversight body or stronger legislative engagement, while another called for youth representation and paid fellowships on advisory bodies. Business and regulated-community testimony was more supportive of the board’s structure, emphasizing that SB 158 was a negotiated compromise that improved transparency and accountability while avoiding politicization, and calling for faster fee analysis and clearer budget information. Board Chair Andrew Rakestra and DTSC Director Barbara Butler reported that reform has produced measurable gains: more public engagement, stronger enforcement, fewer continued permits, improved compliance, increased revenues from the generation-and-handling fee, and progress on Exide cleanup, safer consumer products, and community revitalization grants. They acknowledged, however, that the board’s authority is limited, permit appeals can be slow, SB 673 regulations remain unfinished, and public trust still needs work. Both said the board is most effective when involved early and when DTSC shares information proactively. Members asked about fee stability, the hazardous waste management plan, and whether the Legislature should give the board a more formal role in budget change proposals, regulatory processes, and implementation oversight. No votes were taken; the hearing was informational and ended with public comment.

Transcript Highlights:

• It prohibits the reviewing court.
• court from making the determination based on their own review of the situation.
• So typically they speak, what happens is they review the police reports. If there is a.
• Typically, they speak, what happens is they review the police reports.
• If there's a trial, they review the trial testimony.

Bills: HB75 , SB134 , SB201 , SB258 , SB288 , SB313 , SB320 , SB321 , SB325 , SB339 , SB345 , SB393 , SB422 , SB440 , SB470 , SB487 , SB523

Committee: House Administration of Criminal Justice

Keywords: HB75, Act 963, gaming, casino gaming, promotional play, promotional wagers, slot machine proceeds, net gaming proceeds, gross revenue, taxable revenue, gaming operators, gaming tax, Louisiana gaming, gaming revenue deduction, casino tax, gaming promotion, revenue cap, pilot program, child sexual abuse materials, sexting

Transcript Highlights:

• Why do we have 160 conviction review units coming up at the same time as well?
• and validation, but has also been published in peer-reviewed journals.
• has also been published in peer-reviewed journals.
• I participated in curriculum review and development conferences.
• Their POST now reviews lesson plans to ensure interviewing methods are grounded in science.

Bills: HB1982 , HB2156

Committee: House Community Safety

Keywords: Indian rights, treaty rights, convictions, tribal members, criminal justice reform, Attorney General, AG investigators, limited authority peace officer, peace officer certification, economic crimes, financial crimes, white-collar crime, fraud investigation, search warrant service, electronic service, business records, law enforcement authority, criminal background check, training requirements, Washington RCW

Transcript Highlights:

• Why do we have 160 conviction review units coming up at the same time as well?
• and validation, and has also been published in peer-reviewed journals.
• has also been published in peer-reviewed journals.
• I participated in curriculum review and development conferences.
• They have to run them through an associate attorney general who reviews it, and we sign it.

Summary: The committee opened with a work session on effective interrogation techniques, hearing from two remote experts, retired homicide detective Matt Jones and former federal agent Mark Fallon. Both argued for science-based, information-gathering interviewing over confrontational or deception-based tactics, emphasizing rapport, open-ended questioning, corroboration, and avoiding coercion, especially with vulnerable interviewees. They said these methods improve reliability, reduce false confessions and wrongful convictions, and better withstand court scrutiny. Members asked for source materials and raised concerns about how friendly or minimization-style questioning could affect victims; the witnesses said they would provide research and noted that some common tactics can be problematic in sexual assault cases. No votes were taken in the work session. The committee then held a hearing on House Bill 1982, which would expand Washington’s existing process for vacating convictions tied to treaty rights. Staff explained that current law mainly covers pre-1975 fishing convictions, while the bill would extend relief to convictions involving treaty fishing, hunting, gathering, and pasturing rights, remove the date limit, include local ordinances, authorize the Office of Public Defense to provide direct representation and consultation, and create a tribal liaison position. The prime sponsor and tribal leaders testified in support, describing the bill as a way to correct historical wrongs and remove barriers to jobs, housing, and other opportunities. The Office of Public Defense said it supports the bill but needs statutory authority and a hub to identify and process cases; an Attorney General’s Office tribal liaison also supported the concept and suggested clarifying amendments. Some members questioned the scope of the affected population, costs, and whether the legislature could vacate the convictions directly, while others raised concerns about competing resource demands and the need for judicial action case by case. No final action was taken. Finally, the committee began hearing House Bill 2156, which would expand the Attorney General’s Office investigators’ authority in limited circumstances. Staff said the bill would let AGO investigators exercise only the authority of the entity granting concurrent jurisdiction, allow them to serve business search warrants only when authorized by a judicial officer, and clarify that they cannot detain, arrest, or carry weapons. The bill sponsor said it would reduce delays in economic-crime cases by allowing investigators to serve electronic warrants themselves instead of relying on local officers. Opponents from the sheriffs and police chiefs association and a retired veteran argued the bill blurs the line between investigation and prosecution, lacks sufficient oversight, and could create constitutional and training concerns. AGO representatives responded that the bill is narrowly focused, that most investigators are retired law enforcement, and that it would mainly streamline service of electronic warrants in cases such as organized retail theft and wage theft. The hearing was still in progress when the transcript ended, and no vote was recorded on this bill.

Transcript Highlights:

• It does not waive the National Council licensure examination or the professional review process.
• He briefly mentioned the AHA Valley and site plan review.
• I'm not going to reiterate everything Anastasia from NAIOP said about site plan review.
• Well, Abundant Housing Massachusetts regarding site plan review and commercial conversion. Yeah.
• I wanted to address both the sections related to site plan review.

Committee: Joint Joint Committee on Economic Development and Emerging Technologies

Keywords: 995, all

Summary: The committee held a hearing on Governor Healey’s economic development proposal, H. 5386, also referred to as the Mass Winds Act, focused on global investment, talent, innovation, housing, and business competitiveness. Governor Healey, Secretary of Economic Development Eric Paley, and Secretary of Administration and Finance Matt Gorzkowicz described the bill as a response to federal uncertainty and global competition, building on the 2024 Mass Leads Act. They highlighted proposed investments in a Global Mass initiative, including a $50 million innovation access fund and $20 million for sites to help international companies locate or expand in Massachusetts, along with support for AI, quantum, robotics, defense innovation, climate tech, downtown revitalization, and creative/cultural economy projects. They also emphasized measures to lower business costs, including reducing the LLC filing fee, expanding the small business energy tax exemption, and streamlining housing and development rules. Committee members questioned the administration about non-compete reform, AI and data-center infrastructure, housing affordability, and whether the bill would help retain workers and companies in Massachusetts. The governor and secretaries argued that the non-compete changes would restore the original compromise by requiring any alternative to garden leave to be negotiated at separation, and they said the bill’s housing and workforce provisions are intended to help young workers stay in the state. They also said Massachusetts is already investing in AI training, an AI hub, and energy-related planning, while acknowledging that data-center growth will require careful attention to water, electricity, and ratepayer impacts. Several witnesses testified on specific sections. Northeastern University supported the internship tax credit, saying experiential learning helps students gain jobs and remain in Massachusetts. The Latino Empowerment Advisory Council supported the waiver of redundant English testing for internationally trained nurses, saying it would speed entry into the workforce without lowering clinical standards. Russell Beck opposed the non-compete changes, arguing they would undermine the 2018 compromise and could reduce other forms of employee compensation. The Secretary of the Commonwealth’s office opposed the LLC fee reduction, citing revenue loss and fraud concerns. Municipal and regional groups, including the MMA and the Metro Mayors Coalition, supported site plan review codification and downtown/arts investments, while urging continued municipal input. The AFL-CIO asked for trigger language to preserve labor protections if federal law changes, and business and industry witnesses generally supported the bill’s competitiveness and global investment provisions. No votes were taken; the hearing was informational, with written testimony invited after the meeting.

Transcript Highlights:

• This bill aims to add health insurance rate reviews and an affordability focus.
• We're in the process of reviewing the amendments that the senator just outlined.
• Yeah, I mean, that would be a part of the rate review process.
• We're in opposition, but we'll be reviewing the amendments. Thank you.
• We're reviewing it. We're very open to further discussions.

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• At that point, the review and the investigation were ongoing.
• review process or with some cadence.
• review process or with some cadence.
• Budget and Finance reviewed and considered these.
• Budget and Finance reviewed and considered these.

Committee: Joint Higher Education Institutions Committee

Keywords: 908, all

Transcript Highlights:

• Line 216 also gives the special reviews unit the ability to follow up on prior special reviews.
• Line 216 also gives the special reviews unit the ability to follow up on prior special reviews.
• Line 216 also gives the special reviews unit the ability to follow up on prior special reviews.
• Line 216 also gives the special reviews unit the ability to follow up on prior special reviews.
• ,</c> And as to the the special reviews, And as to the the special reviews, that's<00:22:10.720><c> been

Bills: HF1151 , HF1239 , HF1240 , HF2020 , HF2514 , HF2515 , HF2451

Committee: House State Government Finance and Policy

Keywords: Compensation Council, salaries, state officials, judicial compensation, legislative process, public funds, misuse, law enforcement, accountability, state government, legislative auditor, compliance, transparency, retirement benefits, health insurance, dependents, state employees, Medicare, legislative studies, government oversight

Transcript Highlights:

• We advocate through environmental review and valley improvement projects. Thank you.
• You're just talking about the certainty of the 270-day review process. It's the judicial review.
• I know there's been some concerns regarding environmental review.
• I know there's been some concerns regarding environmental review.
• This bill does not weaken environmental standards or public review.

Summary: The committee hearing centered first on AB 1243, the Polluters Pay Climate Superfund Act of 2025, which would direct CalEPA to identify major fossil fuel companies, study California’s climate damages, and assess fees on the largest polluters to fund resilience, recovery, and related projects. The author and supporters argued the bill would make polluters help pay for climate harms, protect taxpayers, create jobs in construction and clean energy, and dedicate at least 40% of funds to disadvantaged communities. Support testimony came from environmental justice groups, labor, youth advocates, health organizations, and many individual witnesses, while opponents from the building trades, chambers of commerce, petroleum, and business groups warned it would raise fuel and consumer costs, threaten refinery jobs, and create legal and economic uncertainty. Committee members debated the bill’s impact on affordability, jobs, refinery closures, and whether cap-and-trade already addresses climate funding needs. The committee ultimately voted to give AB 1243 a due pass recommendation to the Judiciary Committee, with the roll left open. After AB 1243, the committee moved to another bill on wildfire mitigation and related resilience work. The author said the measure addresses a long-running wildfire problem and accepted committee amendments, describing the bill as a response to increasingly severe wildfire seasons and the need to help communities stay safe and rebuild after disasters. The transcript cuts off as that presentation begins, so no final action on the second bill is shown in the excerpt.

Transcript Highlights:

• records to ensure state laws and reviews records to ensure state laws are<00:16:28.000><c> followed<
• Those are our primary ones that we review.
• as well, so we're sitting at approximately five weeks for plan review of those.
• Those are our primary ones that we review.
• as well, so we're sitting at approximately five weeks for plan review of those.

Committee: Senate Labor

Keywords: 1187, senate, all

Transcript Highlights:

• if we have bills that are going to further my purpose as the Chair, I'm happy to look at them and review
• There's purpose to having the judge be able to review, and there's a role for the judge to be able to
• review jury awards, regardless of whether it's in the scope of employment or any other.
• And so to restrict that for a specific scope and not to do it as part of a larger review, I think Mrs
• We don't remove judicial review as part of this process.

Committee: Senate Judiciary

Keywords: 993, senate, all

Summary: The Judiciary Committee chair opened by emphasizing that the committee would consider bills from any member, regardless of party, so long as they would make the judiciary more streamlined, efficient, and accessible. The committee then took up Senate Print 410, which would change how judges review jury awards in employment discrimination cases. The sponsor argued the bill would curb consistently low awards and reduce pressure on plaintiffs to settle, while a member raised concerns about limiting judicial review. After discussion, the bill was moved and reported to the floor, with one member recorded without rights. The committee next advanced Senate Bill 548, authorizing the sale of a specific parcel of Forest Preserve land associated with Camp Gabriels Correctional Facility, and Senate Print 887A, a Surrogates’ Court filing bill, with a suggested amendment clarifying that initial filings may not yet have a file number. It also reported Senate Print 947, barring residential landlords from charging fees for rent payments made by ACH or online systems, and Senate Print 1142, extending the statute of limitations for employment discrimination actions. Other measures reported included the homeowner protection program bill (2627A), skier and snowboarder duties bill (3209), a constitutional amendment on voter qualifications allowing eligible 17-year-olds to vote in primaries if they will turn 18 by the general election (3231), and a bill increasing county court judges in certain jurisdictions (4836A), which was referred to Finance. Additional bills advanced were Senate Print 5089 creating a residential condominium owner bill of rights, Senate Print 5288 on the proper form of exhibits in civil practice, and Senate Print 9037 exempting senior citizens from jury service, with discussion noting the bill’s opt-in feature for seniors who wish to continue serving. Most measures were approved by voice vote with little or no opposition, and the meeting concluded after all listed bills were reported onward.

Transcript Highlights:

• </c><00:22:58.880><c> of</c> didn't make was uh there is review of didn't make was uh there is review
• </c> the statute allows or requires a review the statute allows or requires a review of<00:26:23.760>
• </c><00:29:06.880><c> of</c> mentioned ISO New England review of mentioned ISO New England review of
• </c> &gt;&gt; very constrained review time period. &gt;&gt; very constrained review time period.
• </c><00:50:26.720><c> of</c> is setting up a process for review of is setting up a process for review

Committee: Senate Energy and Natural Resources

Keywords: 1191, senate, all

Transcript Highlights:

• </c> Hampshire from old audits and reviews. Hampshire from old audits and reviews.
• , one quality assurance review, and one third-party review.
• Those reviews are some of our programs get reviewed every single year.
• Those reviews are some of our programs Those reviews are some of our programs get<00:51:20.960><c> reviewed
• </c> get reviewed every three or four years. get reviewed every three or four years.

Keywords: 928, house, all

Summary: The committee met with DHS Chief Financial Officer Nathan White to receive an update on the department’s budget lapse and vacancy rates. White explained the difference between the “back-of-the-budget” reduction and lapse assumptions, saying DHS is facing a current biennium reduction of about $23 million and estimating roughly a $60 million general fund lapse in state fiscal year 2025, compared with about $13.5 million the prior year. He said DHS’s lapse is driven largely by program utilization, labor market conditions, contract spending, and statutory carry-forwards in areas such as Medicaid and developmental disabilities, which tend to produce a smaller lapse in the first year of the biennium and a larger one in the second year. He also noted that the House and Senate budgets differ on some operating items, including Medicaid rates, with the Senate having struck a House proposal to reduce rates by 3%. Members questioned White about whether DHS ever spends down lapse money on last-minute purchases. He said the department does not engage in that practice, though it does retain some flexibility in its facilities budget for emergencies. He also described the process for transferring funds within and between class lines, including the need for fiscal committee approval above statutory thresholds, and gave examples such as moving funds to cover overtime in the SYSC budget and to ensure Medicaid payments for nursing facilities. White said such transfers are public and transparent and are reviewed by the governor and Executive Council. The committee then discussed DHS staffing. White said the department has a little over 3,200 authorized positions, with a vacancy rate around 14.5%, and that a hiring freeze had been imposed a few months earlier while exempting direct care positions. He said DHS is planning for about a $30 million general fund reduction to personnel, equivalent to just under 400 positions, and is managing postings centrally to stay within budget by July 1. In response to questions about the loss of about $80 million in federal funds, White and Associate Commissioner Patricia Tilly said DHS avoided layoffs by shifting staff into vacant positions, but that the cuts affected community contracts, public health workers, laboratory work, and some IT/data projects. Tilly said roughly 20 positions were affected, most were reassigned, a few staff left voluntarily, and the department has less flexibility going forward if more federal funding ends.

Transcript Highlights:

• since 2001, and it followed the path of a similar review committee, which was the child fatality review
• The child fatality review committee was codified in statute.
• </c> the path of a of a similar uh Review the path of a of a similar uh Review Committee<01:20:01.159
• </c> fatality Review fatality Review Committee<01:20:22.719><c> the</c><01:20:22.920><c> goal</c><01:
• </c> violence what makes the fatality Review violence what makes the fatality Review Committee<01:33:

Committee: Senate Judiciary

Keywords: 1191, senate, all

Transcript Highlights:

• The MCOs then review the prior authorization of the treating provider to determine medical necessity
• They then determine the necessary number of nursing hours based on medical necessity review.
• DSHS assesses eligibility and clinical need through medical necessity review.
• number of units is approved based upon what the utilization contractor has done in their clinical review
• The utilization contractor has done in their clinical review.

Summary: The House Health Care and Wellness Committee met at policy cutoff and first took up executive session on four bills. It considered a proposed substitute for HB 1589 on health carrier contracting practices, which would require carriers to provide providers advance notice and clean copies of contract changes and payment methodologies, and would also add notice requirements for significant payer contract modifications. The committee also considered HB 2402 on phthalates in IV solution containers and tubing, with a substitute delaying implementation dates and creating shortage and FDA-related exemptions. HB 2555, concerning Medicaid coverage of traditional health care practices, and HB 2685, concerning tribal data and disease reporting to tribal health jurisdictions, were also before the committee. HB 2599 was deferred. The committee reported HB 1589, HB 2402, HB 2555, and HB 2685 out of committee with do pass recommendations, with recorded votes showing some members voting no or no without recommendation on the more contested bills. The committee then held a work session on private duty nursing in the Medically Intensive Children’s Program. Health Care Authority and DSHS staff described how the program serves children with complex medical needs through managed care and fee-for-service pathways, the role of prior authorization and medical necessity review, and the ongoing shortage of nursing staff. They said many approved hours are not filled, especially in rural areas, and that family members often provide unpaid care to fill gaps. Committee members asked about the structure of the children’s and adult PDN programs and about how many authorized hours are actually being served. The committee also heard testimony from a home care agency representative and a parent caregiver, both of whom described severe staffing shortages and the burden on families when nursing shifts go unfilled. They supported models that would allow trusted family caregivers to be paid for some of the skilled care they already provide. The committee then heard examples from Montana and Massachusetts of similar family caregiver or complex care assistant programs. Montana described its pediatric complex care assistant model as a gap-filling service with prior authorization and a set hourly rate, while Massachusetts outlined its complex care assistant program, including training, supervision, wage pass-through requirements, and early growth in participation. The meeting concluded after the work session.