Transcript Highlights:

• And don't even consider the fact that their malpractice insurance would go sky high.
• This bill would address the insurance coverage problem for Arizonans.
• Health insurance is one of the largest expenses for families and employers.
• They do not apply to many fully insured, state-regulated commercial plans in Arizona.
• We have American insurance data, and we have German insurance data, which is fairly objective, that after

Committee: Senate Senate Health and Human Services COR

Summary: The committee approved the minutes and then took up a large agenda of health-related bills. SB 1214, the Arizona Stem Cell Therapy Act, drew extensive testimony from supporters who said it would create guardrails for regenerative medicine, protect patients, and encourage biotech investment, while opponents argued it was tied to abortion politics and imposed harsh penalties. The bill passed on a 4-3 vote. SB 1194, which would prohibit health professionals and institutions from denying care based on vaccination status, also passed 4-3 after testimony from supporters framing it as an access-to-care and religious-freedom measure and opponents warning it would interfere with private practice policies and parental choice. SB 1814, creating a study committee on substance use disorder treatment standards and oversight, passed unanimously 7-0. SB 1602, increasing stipends for kinship foster parents, passed as amended 7-0, and SB 1603, expanding child-only cash assistance eligibility, also passed as amended 7-0. The committee then considered several bills focused on gender-related care and public funding. SB 1177, which bars public monies from funding gender transition procedures and makes intentional violations a felony, passed 4-3 amid testimony that it protects taxpayers and counterarguments that it is discriminatory and unsupported by evidence. SB 1014, requiring insurance coverage for detransition procedures when transition care is covered and directing data reporting on transition and detransition, passed 4-3 after supporters said it would help detransitioners and collect needed data, while opponents argued it would chill providers and target transgender patients. SB 1094, creating civil liability for physicians who perform irreversible gender reassignment surgery on minors, was heard with testimony from supporters citing malpractice concerns and detransitioner harms and from opponents saying it would create a hostile environment for providers and treat trans patients differently; the transcript cuts off before the vote is shown. SB 1752, which classifies commercial harvesting or sale of mescaline as a felony while preserving bona fide religious use defenses, passed unanimously 7-0. Later, SB 1628, requiring insurers to report claims-denial and prior-authorization data and DIFI to publish standardized reports, passed unanimously 7-0 after supporters emphasized transparency and opponents called it redundant to federal reporting. SB 1629, requiring AHCCCS managed care organizations to give advance notice and network-adequacy documentation before terminating high-volume providers without cause, also passed 7-0; supporters said it would prevent patients from losing access to behavioral health care, while health plans and Access said existing oversight already covers much of this and warned the bill could slow necessary network changes. Throughout the meeting, the committee repeatedly adopted motions for due-pass recommendations and, where applicable, amendments, with several bills passing on party-line or near-party-line votes.

Transcript Highlights:

• I mean, not the gap, amount of private losses are, and which of it is insurance covered and which is
• ... ...is eligible for individual assistance, it's the insurance.
• For the Office of the Insurance Commissioner, each year those insurance providers financial resilience
• This is also the insurance industry standard.
• This is also the insurance industry standard.

Bills: HB2579

Committee: House Technology, Economic Development, & Veterans

Keywords: public media, digital equity, funding, media access, communication technology

Transcript Highlights:

• cell captive insurers or protected cell companies.
• cell captive insurers or protected cell companies.
• Rather than pool its insured risk, a PCC may keep a separate underwriting account for each insured participant
• Murphy, Florida Association of Insurance Agents, waves in support.
• Murphy, Florida Association of Insurance Agents, waves in support.

Summary: The committee first confirmed six appointees on a single roll-call vote, then took up a series of bills, many of them on land use, housing, public safety, child welfare, education, and professional licensing. Early debate centered on CS/SB 208, which would require development fees to better reflect review costs and impose objective compatibility findings for residential projects. An amendment folded in additional housing-related provisions, including manufactured housing and a study of urban development boundaries, prompting extended discussion about Miami-Dade’s Everglades protection area and local control. A late-filed rural-boundary amendment was withdrawn. The bill was reported favorably after support from business, housing, and advocacy groups, with some senators voicing district-specific concerns. The committee then approved CS/CS/SB 686 on agricultural enclaves after amendments added conservation easement, wildlife corridor, and critical state concern protections, plus a further Everglades-related amendment. Members discussed balancing smart growth, infrastructure costs, and protecting environmentally sensitive areas. Other land-use and growth bills also advanced, including CS/SB 1434 on infill redevelopment, CS/SB 1138 on qualified contractor pre-application review, and SB 218 limiting the reach of prior hurricane recovery zoning protections in counties not affected by the 2024 storms. SB 1474 on biosolids management was amended to reduce the distance threshold for land application restrictions and delay the effective date, and SB 1708 on veterinary licensure by endorsement removed a three-year recent-practice requirement to address shortages. Several public safety, health, and family-related measures also passed. CS/CS/SB 436 expanded felony battery enhancement to include resisting an officer with violence and certain law-enforcement battery offenses. SB 830 extended public-records protections to county and city administrators and related family information. CS/CS/CS/SB 600 revised bail bond rules, and an amendment preserved the current treatment of charitable bail funds and nonprofits; the committee heard testimony from The Bail Project and others on both sides. CS/SB 914 expanded dry-needling supervision options for occupational therapists, CS/SB 1092 clarified podiatric use of certain cellular/tissue products, and SB 1504 and SB 1718 updated insurance licensing and educator certification pathways. On the education side, CS/CS/SB 7038 made broad postsecondary changes, including tuition waivers, residency clarification, and licensure rules, while CS/SB 186 required seizure-response training and action plans in schools. The committee also advanced multiple child welfare and health bills. CS/CS/CS/SB 560 streamlined psychotropic medication procedures for children in state custody and added youth-voice and insurance-review provisions. CS/CS/CS/SB 902 combined several Department of Health changes, including medical marijuana distance rules, autism microcredential eligibility, a neurofibromatosis grant program, and NICU nutrition information. SB 1002 expanded child welfare definitions to address parental drug abuse and neglect, and SB 1708 eased endorsement licensure for out-of-state veterinarians. Most bills were reported favorably on roll-call votes, with several amendments adopted along the way and limited opposition or abstentions noted on some measures.

Transcript Highlights:

• And this is our 80/20 insurance proposal.
• And so, APS is self-insured, right?
• Chair, and John, and this is about benefits, health insurance, and others.
• And I'm just here to ask you all to support the 80-20 insurance share.
• our insurance.

Transcript Highlights:

• Morning, Franco Palka, Louisiana Department of Insurance. So there...
• Morning, Franco Pelka, Louisiana Department of Insurance.
• Charges to the insurer or to the health plan.
• And then that would become part of the rate development of that insurer.
• And we just heard from Frank with the insurance. I have red cards.

Committee: Senate Finance

Summary: The Senate Finance Committee met with eight members present and deferred HB 127. It then considered a series of bills, most of which were reported favorably without opposition. HB 22 revised COLA rules for the clerks of court retirement system, allowing more frequent COLAs when the system is better funded; HB 324 made judicial stipends permanent and added future COLAs subject to available funding; HB 233 increased jury mileage reimbursement; HB 47 reorganized assessor retirement COLA statutes; HB 533 allowed St. Tammany Parish to transfer unused witness-fee account balances to the 22nd Judicial District Court; HB 980 adjusted eligibility for the Firemen’s Supplemental Pay Board; HCR 45 urged Congress to clarify ARPA deadlines for water projects; HB 559 increased court costs in the 4th Judicial District; HB 290 recreated the Department of Treasury and related entities in statute; and HB 382 addressed Joint Legislative Committee on the Budget review authority over Group Benefits plans. The committee also reported HB 1157 favorably, creating a financing bank mechanism for infrastructure projects, and HB 575 favorably, giving youth aging out of foster care preferred access to surplus state vehicles through the Louisiana Property Assistance Agency. Several measures drew more discussion. HB 1236, dealing with pharmacy benefit managers and professional dispensing fees, prompted extensive testimony from the sponsor, the Legislative Fiscal Office, the Department of Insurance, independent pharmacies, and PBM representatives. Supporters said it clarifies and strengthens enforcement of existing PBM law and protects independent pharmacies; opponents argued the bill’s requirement that PBMs bear dispensing-fee costs would be difficult to implement and could raise premiums. The sponsor said he would work on amendments, including clarifying language and a delayed effective date, and the bill was nevertheless moved favorably. SB 25, on registrar of voters compensation, was amended to a revised pay structure and then reported favorably. HB 47 and HB 533 were also presented as funding and administrative cleanups for retirement and court-related accounts, with local support noted. The committee also heard HB 233 on jury duty mileage reimbursement, which the sponsor said updates a 1961 rate and would be funded locally at an estimated average increase of about $4,000 per judicial district. HB 324 on judicial salaries was described as self-funded by the judiciary and subject to available funding, with no budget impact. HB 575 on foster youth transportation was presented as a non-appropriation measure aimed at helping youth aging out of foster care by giving them preferred access to surplus vehicles. HB 382, which concerns the Joint Legislative Committee on the Budget’s role in approving Group Benefits plans, was reported favorably with little discussion. The meeting ended after a motion to adjourn.

Transcript Highlights:

• We have some kids who don't have insurance.
• Then you have the Self-Insurance Fund.
• Ninety-five cities came together to say we want to pool our insurance and insure ourselves, and so we
• We insure it or re-insure it to make sure whatever is damaged, we can give them the resources to get
• ; we call it an SIR, self-insured retention.

Committee: House New Mexico Finance Authority Oversight Committee

Transcript Highlights:

• THE CURRENT METHOD FOR RESOLVING PAYMENT DISPUTES BETWEEN INSURERS AND OUT-OF-NETWORK PROVIDERS IS AN
• PAYMENT DISPUTES BETWEEN INSURERS AND OUT-OF-NETWORK PROVIDERS IS AN EFFECTIVE.
• WE HAVE JOY RYAN WITH FLORIDA INSURANCE COUNCIL IS AN OPPONENT. YOU WISH TO APPEAR IN PERSON?
• FOR HEALTH INSURERS.
• UNCHECKED, THESE WASTEFUL PRACTICES DRIVE UP OF YOUR BUDDIES HEALTH INSURANCE.

Transcript Highlights:

• These are like the medical insurance pieces of workers' comp, for instance, or car insurance.
• </c> contractors, and I don't trust insurance contractors, and I don't trust insurance companies<02:00
• The insurance company still forth.
• It's adopted. insurance company and this language insurance company and this language actually<02:06:
• Uh, insurers to private homeowners.

Committee: Senate Commerce and Consumer Protection

Transcript Highlights:

• Okay, and he wanted... he thought the insurance company should pay for it.
• </c><00:05:31.360><c> company</c> that you need if the insurance company that you need if the insurance
• </c> was advocating that the insurance was advocating that the insurance companies<00:05:55.919><c> pay
• </c><01:22:46.679><c> networks</c> providers joining uh Insurance networks providers joining uh Insurance
• </c><01:39:20.480><c> department</c> bill is so that the insurance department bill is so that the insurance

Summary: The committee first took up House Bill 167, a PFAS-related measure expanding the state’s restrictions to include ski wax and related fluorocarbons. The sponsor said the bill was a follow-up to last year’s PFAS law and largely targeted products already off the market, describing it as a reaffirmation of the state’s intent to keep PFAS out of water. The committee voted unanimously to recommend the bill ought to pass and then placed it on the consent calendar. Next, the committee considered House Bill 275 on health career credentialing requirements. The discussion centered on a proposal that would have required insurance companies to pay for training mandated by federal requirements. Members concluded that approach was not appropriate and voted unanimously to make the bill inexpedient to legislate, then placed it on the consent calendar. House Bill 276, dealing with on-premise beverage license requirements, was then reconsidered after an initial ITL vote. The committee adopted an amendment creating a tavern license for establishments limited to patrons over 21, with a higher fee and no food requirement, and then voted 15-0 to recommend the bill ought to pass as amended; it was also placed on the consent calendar. The committee then took up House Bill 310, which would establish a commission to study a regulatory framework for stable tokens and tokenization of real-world assets. The sponsor said the amendment added blockchain-based trusts and discussion of privacy and environmental concerns. The committee approved the amendment 16-0 and then voted 16-0 to recommend the bill ought to pass as amended, placing it on the consent calendar. House Bill 312, concerning intercollegiate student athletes’ right to earn compensation from name, image, and likeness, was retained because members said the issue was not ready and the NCAA had not resolved how to handle it. Finally, the committee began discussion of House Bill 316 on ground ambulance reimbursement, with an amendment that would replace the bill’s reimbursement provisions with a study commission; members debated how it related to another bill, HB 725, and whether the amendment would delay immediate relief for ambulance providers.

Transcript Highlights:

• </c><00:50:30.000><c> insurance</c><00:50:30.400><c> industry</c> unique to the insur insurance industry
• unique to the insur insurance industry and<00:50:31.160><c> uh</c><00:50:31.319><c> Salvage</c><00:50
• </c> process where uh if the insurance process where uh if the insurance company<00:51:20.280><c> has
• The Minnesota Insurance Guarantee Association provides coverage for policyholders where the insurer has
• </c> does it's a simple solution if insurer does it's a simple solution if insurer fails<01:50:06.880

Committee: Senate Commerce and Consumer Protection

Transcript Highlights:

• reviewing health insurance rates.
• reviewing health insurance rates.
• years, it's very similar the way they do insurance, home insurance, and other insurance.
• And I think about it related to homeowners insurance or insurance policies that we discussed in that
• I own a business and my insurance rates went up.

Committee: Senate Health

Transcript Highlights:

• And then at the last minute, opposition arose from the insurance company, opposition arose from the insurance
• I represented employers, self-insured funds, and insurance carriers in the workers’ comp industry for
• I represented employers, self-insured funds, and insurance carriers in the workers’ comp industry for
• The insurance companies are making money.
• That's really more of a Department of Insurance question.

Committee: House Labor & Industrial Relations

Summary: The committee first took up Senate Bill 408 by Senator Myers, a workers’ compensation overhaul creating an all-claims medical database, requiring electronic reporting and billing, and setting up confidentiality, rulemaking, and penalties. Senator Myers said the bill was meant to modernize a paper-based system, speed injured workers back to care and work, reduce disputes through a more predictable fee schedule, address outliers and abuse, and generate reliable data for future fee-schedule decisions. Representative Melarine then offered a large amendment package combining portions of House Bills 780 and 1101 into SB 408, adding preliminary-determination procedures, changes to benefit durations, fraud language, and a deadline for the department to establish a fee schedule if no agreement is reached. Supporters said the package would create a more complete reform; opponents argued the additions were rushed, not germane, and would harm injured workers, especially those without lawyers, by adding technical filing burdens and stricter fraud consequences. After debate, the committee adopted the amendment package, then adopted a follow-up amendment removing the word “potential” from a fines provision and deleting the fraud section, and finally reported SB 408 with amendments on a divided vote. Testimony on SB 408 was sharply split. Proponents, including Alton Ashy and Trey Mustian, argued the bill’s transparency and data-collection provisions were the most important part, that the system needs a modern fee schedule, and that the added reforms would help control costs and speed payment. Opponents, including Shannon Lindsay and another injured-worker advocate, said the original bill was a good compromise but the added provisions changed its character and would disadvantage pro se claimants, remove materiality from fraud law, and reduce benefits for seriously injured workers. Committee members also questioned the timeline for the database and fee schedule, the effect of historical data gaps, and whether the reforms would help employers and injured workers alike. The committee ultimately agreed the bill still contained its core goals of faster care, predictable fees, anti-abuse measures, and modernization. The committee then moved to House Bill 585 by Representative Chasson, a workplace-violence/safety measure for small-box discount retailers. Chasson explained that the bill had been narrowed to require retailers to submit an existing written workforce safety plan, or develop one if they do not already have one, with no penalties attached. The committee adopted a substitute bill incorporating prior amendments. Representative Glorioso noted continuing concerns about civil-liability implications and the duty to protect against third-party criminal acts, but the bill was advanced from committee after the substitute was adopted.

Transcript Highlights:

• This is a bill about enforcement at the Department of Insurance.
• Current law authorizes the insurance commissioner to conduct examinations of insurers to evaluate their
• And so this law would allow the Insurance Commissioner to assess a fine to an insurer for failing to
• This bill requires health insurance brokers and agents, ...
• The most important factor in an insurance transaction is the price.

Summary: The Assembly Appropriations Committee met on August 5, 2026, and first approved a large consent calendar of bills, then heard and voted on a long series of measures covering health care, housing, energy, labor, public safety, insurance, and immigration-related issues. Several bills were moved on roll call with no or limited opposition, including SB 999 on delaying the Health Minimum Essential Coverage report deadline, SB 931 on Diablo Canyon’s mitigation fund, SB 952 on State Water Project clean energy procurement, SB 1288 on nonprobate asset beneficiary notification, SB 1371 on solid waste labor-dispute contract clauses, SB 1014 on housing development fee estimates, SB 1283 on EV charging station permitting, SB 1209 and SB 1244 on insurance enforcement and broker compensation disclosure, SB 1359 on gas utility infrastructure oversight, SB 677 and SB 908 on housing streamlining, SB 1323 on medical facility procedures for people in immigration custody, SB 938 on peace officer training waivers for former federal immigration officers, SB 1272 on code-violation enforcement timelines for new homeowners, SB 1117 on ADU impact fees, SB 1196 on utility hookups for small energy projects, SB 1299 on sprinkler fitter certification, and AB 2597 appropriating funds for state legal settlements. The committee also approved its suspense calendar and later lifted SB 1359 from call with an added aye vote. Testimony generally followed the bills’ themes. Supporters argued that the measures would improve transparency, reduce costs, streamline housing and energy projects, protect consumers, and strengthen public safety or worker protections. Opponents or “opposed unless amended” witnesses raised concerns about implementation burdens, disclosure mandates, labor and compliance issues, local government costs, and the scope of some proposals. Notable points of contention included SB 869, where restaurant groups objected to the on-menu sugar warning approach and urged more flexible disclosure methods, and SB 1244, where insurance industry representatives argued the bill would impose unworkable disclosure obligations on brokers and agents. SB 1272 drew opposition from code enforcement and county groups who warned it could delay health-and-safety enforcement, while SB 1117 drew opposition from special districts, counties, and fire-related groups concerned about reduced fee revenue for infrastructure. The committee also heard public comment on several bills not presented that day, including opposition to wildfire mitigation/CEQA-related legislation, staffing regulation fees, and education and demographic-data bills. Overall, the hearing was dominated by fiscal and policy debates over housing affordability, energy infrastructure, consumer transparency, and the balance between regulatory streamlining and local or industry compliance costs.

Transcript Highlights:

• That is totally not how the insurance system currently works.
• The insurance companies are not going to pay for it.
• And it's not how people expect their insurance to work.
• Thank you. expect their insurance to work.
• The insurance companies are not going to pay for it.

Summary: The committee began by waiving the five-day notice rule for engrossed substitute House Bill 2095 so it could be heard that day. It then took public testimony on House Bill 2248, a technical cleanup bill affecting Secretary of State corporate and nonprofit filings, trademarks, foreign entities, and apostille procedures. The prime sponsor said the bill makes no policy changes or fee increases, while the Secretary of State’s office supported it as a clarification measure. One testifier raised concerns about multiple LLCs and transparency in manufactured home communities, asking for stronger oversight and verification. The committee then heard engrossed substitute House Bill 2508, which expands the Office of Independent Investigations’ jurisdiction over deadly-force and related non-deadly-force incidents, broadens notification and records access requirements, and exempts certain records from disclosure. The sponsor and OII testified in support, emphasizing that the bill clarifies authority and procedures; members asked about how far back investigations could go, and staff confirmed there was no time limit for deadly-force cases under the bill. The committee also heard Substitute House Bill 2203, creating the offense of reckless interference with emergency operations for driving around closures on hazardous roadways. The sponsor described it as a response to flood and disaster rescues, and fire chiefs supported it as a safety and accountability measure. Defense attorneys opposed it as unnecessary and disproportionate, warning of criminal penalties, license suspensions, restitution, and fiscal costs for conduct they viewed as more appropriately handled civilly. Next, Second Substitute House Bill 1909 proposed a Court Unification Task Force to study inefficiencies and inequities in Washington’s fragmented court system; the sponsor and a legal aid attorney supported it as an access-to-justice reform, while the committee noted a large number of signed-in opponents. Finally, engrossed substitute House Bill 2095 would create a rebuttable presumption of negligence for drivers who injure or kill vulnerable road users in designated areas, along with education requirements and damages provisions. Supporters, including a widow, bicycling advocates, and a bike commuter, said it would improve accountability and help injured people who cannot easily prove fault; opponents from cities, trucking, and defense groups argued it would expand litigation, create liability and fee-shifting problems, and go beyond existing negligence law. After public hearings, the committee moved into executive session and advanced several bills. Substitute House Bill 2158 received a do pass recommendation. Substitute House Bill 2239, concerning family burial grounds on private property, was amended to increase a setback from public rights-of-way and easements and then received a do pass recommendation as amended. Substitute House Bill 2178 on court rules and procedures also received a do pass recommendation. House Bill 2543 on county clerk fees was advanced despite concerns about fee increases. Engrossed Substitute House Bill 2165 on false identification as a peace officer was amended to clarify intent and then passed out of committee. The committee also adopted an amendment to Engrossed Substitute House Bill 2320 on firearm manufacturing, including a change allowing certain digital code and manufacturing activity for repair purposes, and discussed another amendment removing some possession prohibitions for personal use.

Transcript Highlights:

• From the insurance market perspective in the state of California, the report describes an insurance market
• It's not covered by your insurance.
• Another insurance bureau—what is it called?
• —National Crime Insurance Bureau said there was an 84% drop in these.
• Insurance Bureau, what is it called, National Crime Insurance Bureau said there was an 84% drop in these

Committee: House Judiciary and Civil and Criminal Jurisprudence

Summary: The Judiciary Committee met in executive session and approved House Committee Substitute for House Bill 2765, which was amended to revise hemp beverage retailer delivery language, adjust retailer fees and renewals, require product registration, and remove residency requirements. The substitute was adopted and the bill was reported do pass by a 10-0 vote. The committee also voted House Bill 2848, relating to mass intimidation offenses, do pass by a 9-0 vote. In public hearing, the committee took testimony on House Joint Resolution 130, which would ask Missouri voters to authorize retrospective civil laws for child sexual abuse claims. The sponsor and survivor advocates argued the measure is needed to allow revival windows and address delayed disclosure, while opponents from the insurance, tort reform, and business communities warned it could expose third parties such as schools, churches, nonprofits, and employers to broad, open-ended liability and higher insurance costs. No vote was taken on the resolution. The committee also heard House Bill 2254, which would speed capital post-conviction review by requiring earlier appointment of counsel and aligning Missouri procedures with federal standards. Supporters, including victims’ family members and the Attorney General’s office, said it would reduce years of delay and bring closure, while opponents raised concerns about wrongful convictions, conflicts from simultaneous representation, and increased public defender workload. Finally, House Bill 2206 on catalytic converter theft was heard; the sponsor and law enforcement supported stronger recordkeeping and licensing rules, while scrap/recycling and press representatives objected to added paperwork and a separate provision affecting public notice for self-storage sales. The hearing on HB 2206 was interrupted by the floor schedule and not completed in the transcript.

Transcript Highlights:

• So, you know, those costs may be shifted onto people that have insurance.
• The insurance premium surtax is a tax on health insurance companies that comes in as revenue.
• What is the percentage that we tax our insurance or health insurance premiums? Anybody know? Mr.
• Superintendent of Insurance, so that we'll get to veterans and the public insurance—I mean, school insurance—hopefully
• So I thought maybe it was because of insurance. Mr.

Committees: Senate Senate Finance , Senate House Appropriations & Finance

Transcript Highlights:

• I'm Nico Jansen with the Office of the Insurance Commissioner.
• This is administered by the Office of the Insurance Commissioner.
• This is administered by the Office of the Insurance Commissioner.
• This is administered by the Office of the Insurance Commissioner.
• And a proportion of those have health care insurance.

Committee: Senate Health & Long-Term Care

Summary: The committee held a work session on the long-term care workforce, hearing first from DSHS Assistant Secretary B. Rector and then from representatives of Washington Health Care Association, SEIU 775, and Behavioral Health Solutions. Presenters described rapid growth in the 85-and-older population, increasing demand for home- and community-based services, and persistent shortages in direct care, nursing, and behavioral health staff. They cited low wages, unstable hours, benefits, certification and testing delays, immigration-related workforce concerns, and burnout as major barriers to recruitment and retention. DSHS highlighted recruitment and retention initiatives funded with federal dollars, including high school training programs, a retention toolkit, transportation support, workforce navigators, tribal partnerships, and remote caregiving pilots. Industry and labor witnesses urged higher reimbursement and compensation, better training pathways, and more worker voice; they also noted that Washington ranks highly nationally on some workforce measures but still faces shortages and turnover. Behavioral Health Solutions added that credentialing delays and mental health staffing gaps are affecting nursing home behavioral care, and that its programs aim to reduce hospital transfers and improve resident outcomes. No votes were taken. The committee then received an overview from the Office of the Insurance Commissioner on the palliative care benefit work group created by 2024 legislation. OIC explained that the work group, with actuarial analysis from Milliman and input from multiple stakeholder organizations, studied a proposed palliative care benefit for commercial plans, Medicaid, PEBB, and SEBB. The report concluded that a new benefit would likely increase costs, estimating about 28 cents per member per month overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. OIC said the evidence was insufficient to conclude that palliative care would produce offsetting savings, though several provider members disagreed and submitted response letters. Members asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said the issue remains unsettled and that additional data may emerge as other states implement similar benefits. Finally, the Health Care Authority provided a broad overview of health care price transparency tools in Washington and federally. Staff described federal hospital and health plan transparency rules, the state all-payer claims database, consumer-facing price and quality tools, prescription drug price transparency reporting, the Health Care Cost Transparency Board, and the Prescription Drug Affordability Board. They emphasized that these tools provide useful but incomplete information because of data lags, proprietary restrictions, limited self-insured employer participation, and the complexity of machine-readable files. The committee also discussed the role of AI in making transparency data more usable and the limits of current tools in helping consumers afford care. No formal action or vote was taken on any item.

Transcript Highlights:

• I'm Nico Jansen with the Office of the Insurance Commissioner.
• Do any self-insured employer plans voluntarily provide their data?
• This is administered by the Office of the Insurance Commissioner.
• This is administered by the Office of the Insurance Commissioner.
• This is administered by the Office of the Insurance Commissioner.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• In 2024, Rehoboth was insured for $34 million maximum per event.
• So two years ago, we had $34 million worth of Insurance per incident.
• **Witness**: That insurance companies pay, right?
• Who's your current insurance carrier?
• So your insurer.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• This is a letter from the Commerce Insurance Department again.
• It's supported by tuition fees and insurance reimbursements.
• We're expecting to get between 80% and 90% insurance reimbursement.
• So it's co-insurance. The policy is co-insurance. So we are liable for the first 10%.
• So there's a variance on what our insurance covers as far as our co-insurance. Okay.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee considered and approved several temporary appropriation requests in Section B, including spending authority for the Court of Appeals to pay appointed counsel in criminal appeals, Commerce/Aeronautics airport and aviation grants, and Insurance Department items for workers’ compensation benefits and premium tax refunds. It also approved ARPA-related requests in Section C to return unused federal funds from DHS aging, mental health, substance abuse, and Older Americans Act grants. In Section D, the committee reviewed and approved Infrastructure Investment and Jobs Act requests, including Agriculture grants for wildfire preparedness and forestry capacity, a large Commerce broadband BEAD request, environmental recycling-related reallocations, and Oil and Gas Commission grants for facility repairs and sample preservation. Members questioned the broadband program’s audit process and performance safeguards; the State Broadband Director said the funds are federal, subject to audits, and payments are released only after engineering certification of completed work. The committee also approved DHS reallocations in Section E, including major transfers within Medical Services from hospital medical appropriations to private and public nursing home lines, as well as transfers for children and family services, developmental disabilities, and youth services. The committee then reviewed cash fund requests, miscellaneous federal grants, pay plan and performance fund transfers, methods of finance, and a large set of contracts. A Northwest Arkansas Community College official explained storm-damage repairs and insurance settlement issues, and DHS explained its hospital medical transfer was moving excess appropriation rather than cash. Members also questioned several UAPB tobacco prevention subgrants, especially arts-based outreach, and asked for more data on effectiveness; the committee later voted to expunge and re-refer the J-2 item for further review at a later ALC meeting. Additional discussion covered a DEQ grant to Free Geek of Arkansas for e-waste recycling, a UAPB tobacco program, and various contracts for universities, DHS services, corrections, and public safety. The meeting ended with reports filed for information and a brief member comment thanking others for concern after a tornado in Stone County; no one was injured.