Transcript Highlights:

• Now, the agreements that we have do spell out when payment would be made based on those agreements.
• Coast Guard bridge permit and we have to have a construction contract underway in order to process payment
• Now, the agreements that we have do spell out when payment would be made based on those agreements.
• Coast Guard bridge permit and we have to have a construction contract underway in order to process payment
• There must be a date by which we have to have this resolved on the Washington side about the payment

Summary: The Joint Oregon-Washington Legislative Action Committee met for a work session and public hearing on the Interstate 5 bridge replacement program. Program staff outlined major milestones, including the recent biological opinion, the Coast Guard’s opening of a public comment period on the Navigation Impact Report, expected decisions in early 2026 on navigational clearance and the final supplemental environmental impact statement, and a possible amended record of decision in 2026. They also discussed the Bridge Investment Program grant amendment deadline, the need for an initial finance plan, and ongoing community outreach and contractor engagement. Greg Johnson announced he was stepping down as program administrator, and Carly Francis introduced herself as interim administrator. A large portion of the meeting focused on design and cost questions. Staff said the program is studying fixed and movable spans, single- and double-deck configurations, and one versus two auxiliary lanes, with final recommendations to be made through the federal environmental process. They said the Coast Guard’s decision is central to what bridge configuration is permittable and to the timing of the updated cost estimate, which has not yet been released. Members pressed for more detail on cost drivers, potential impacts to businesses upriver, and whether the states would need to seek additional funding. Staff said they had reached agreements with four impacted river users, but the underlying evaluation materials are protected and not publicly releasable. The committee also reviewed transit-related questions. Staff explained that light rail remains part of the modified locally preferred alternative and that ridership and operations estimates are being updated using federal modeling methods. They said projected opening-day transit operations and maintenance costs have dropped from an earlier estimate of $21.8 million to about $10.3 million annually because the current model assumes lower frequency, with Oregon and Washington shares split by geography and fare recovery. Members raised concerns about TriMet’s financial stability and the need for a funding plan by fall 2027, ahead of a planned federal transit funding application in fall 2028. During public testimony, several speakers criticized the delay in releasing a new cost estimate and argued the project scope should be reduced if costs continue to rise. Testifiers from City Observatory and the Just Crossing Alliance said the project appears to be avoiding bad news, urged the committee to consider scope reductions, and questioned whether the active transportation and freeway components align with the project’s core purpose. The meeting ended with thanks to Johnson for his service and a transition to public hearing testimony.

Transcript Highlights:

• But the headline here is really: when hospitals have low or negative operating margins, a cut to payment
• We really want to thank Representative Macri for her work with us to increase Medicaid payments around
• We are concerned that HR1 makes significant changes to directed payment programs called our hospital.
• Right now, our hospital safety net assessment payment program is frozen, so there's not going to be any
• It's not a good payment rate, and it's going to wipe out 81% of the benefit of the current safety net

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• So we have used up most all of the service life in our payments, in our bridges, and you can see that
• If you just drive around a little bit and look at the payments at all or some of the structures at all
• It doesn't include that; it is just preservation, but it does include payments, bridges, and all the
• We set up payment plans. We try to encourage them to pay. Some are willing. Some are not.
• They also arrange payment plans. For next steps, they lumped in some additional items.

Summary: The committee received a detailed staff presentation on Washington State Ferries’ capital needs, current fleet status, and long-range funding outlook. Staff described the current service pattern, ridership recovery since the pandemic, the aging fleet, and the state’s plan to add three new hybrid-electric Olympic-class vessels under the 2025 budget, with delivery expected around 2030-2032. Members also heard that the fleet is operating with no reserve vessel, that preservation time is below the desired level, and that terminal electrification and vessel conversion plans face timing, cost, and procurement risks. Questions focused on ridership trends, biofuel supply, design-risk allocation in vessel contracts, sequencing of terminal electrification with new vessel delivery, and the cost and feasibility of restoring international Sidney service, which would require a SOLAS-certified vessel. Staff then outlined ferry capital funding, saying recent spending and programmed needs are far above regular ferry-specific revenues and that the system relies on a mix of dedicated accounts, transportation package money, federal grants, and transfers. They said the near-term budget is balanced through 2027-29, but the longer-term capital outlook shows a shortfall of roughly $250 million to $300 million per biennium, with broader unmet needs much higher. The presentation estimated costs for future vessels, life extensions, terminal electrification, and additional Jumbo Mark II conversions, and noted that the current enacted plan does not fully fund fleet replacement, full electrification, or life extension of older vessels. Members asked for follow-up information on terminal seismic/environmental issues, contract options for additional vessels, and the timing and cost of alternative vessel designs. The committee then shifted to WSDOT maintenance and preservation. Pascoe Focktich described maintenance operations, including winter response, guardrail repair, facilities, equipment, and the effects of underfunding and inflation. He said most of the maintenance budget is fixed cost and labor, that material prices have risen sharply, and that many facilities are in poor condition with asbestos issues and deferred upkeep. He also noted growing guardrail damage, increasing pavement claims, and the burden of maintaining aging bridges and facilities. Members asked about prior planning for these needs, the role of asbestos, and whether more proactive sequencing could help budget decisions. Troy Suing then presented the highway preservation program, saying WSDOT is in the early stages of critical failure and has stretched preservation dollars as far as possible. He explained the distinction between pavement, bridge, and other highway asset preservation, said the department is largely reactive, and estimated that delaying work can make it three to five times more expensive later. He said about 40% of roadways are currently due or overdue for preservation, bridge conditions are nearing the federal poor-bridge threshold, and the department’s 10-year preservation need is about $8 billion. Members asked about the cost of deferring work, whether the department could do more if funded, how priorities are set, and whether other states face similar problems. Finally, Evan Grimm and Mike Fay briefed the committee on bridge strikes by overheight vehicles. They described recent incidents on I-90 near Cle Elum and SR 410 near White River, the damage and closures caused, and possible countermeasures such as public outreach, improved trip-planning tools, and a pilot warning system with sensors and flashing beacons. Fay explained the state’s financial recovery process for third-party damage, saying WSDOT recovers roughly $20 million per biennium and about 78% to 80% of billed damages, with money going to the motor vehicle fund. Members asked about prevention, insurance recovery, and whether the state uses claim data to inform future design or safety changes.

Transcript Highlights:

• This includes a significant increase from other revenues, such as payments for Medicaid, Medicare, and
• one of the first big changes. that you'll see on slide nine are the changes to the state-directed payments
• Medicaid program, matched it with Medicaid revenue, and sent it back out in the form of a directed payment
• 26 that we're projecting hospitals are going to get, they're going to phase down these directed payments
• So, this just gives you an idea of the state-directed payments to hospitals and nursing facilities when

Transcript Highlights:

• I'll explain how meal programs work and how the payment mechanisms work, highlight the various organizations
• model through the prospective payment system, allowing us to cover costs that may not be traditionally
• This rolls into the prospective payment system, which has allowed us to do some great things.
• In those cases, the reality is that MCO's insurance companies profit from delaying payments.
• So, in CCBHC, that's kind of the federal model; the way the prospective payment rate is based on your

Transcript Highlights:

• The National Housing Coalition says 30% of what you make should be your house payment.
• Down payment assistance; Housing New Mexico has DPA.
• It's something that allows for affordability, right, to bring those monthly payments down.
• It's the cheapest option for folks to get qualified, with the lowest down payment and the lowest closing
• Back in the day, I think you needed actually a $20,000 down payment to qualify for the federal loans,

Transcript Highlights:

• Why is there a difference in the payment rate between the... care unit is attached to a nursing home
• find out that I was actually right about this one what why why is there a difference in the in the payment
• rate between the In the payment rate between this population and the usual basic care rate, Mr.
• Part of that was that when you do federal research, there's an F&E that you get back, a payment that
• And this is really a huge part of our per-pupil payment. Very, very important.

Keywords: 908, all

Summary: The committee first heard Senate Bill 2271, which would formally place adult residential facilities in code and rebase their Medicaid reimbursement rates. Sponsor Chairman Ruby and HHS staff explained that these facilities, often serving people with dementia or acquired brain injury, are reimbursed at a much lower rate than skilled nursing care and help reduce bottlenecks in higher-level facilities. Members questioned how the program differs from basic care and nursing facility memory care, and the bill was referred to the HR section for deeper review before possible action on Monday. The committee then took up Senate Bill 2396, as amended, which would authorize an independent third-party performance audit of the Department of Commerce and the North Dakota Development Fund, with findings shared with the state auditor. Sponsors said the proposal was prompted by concerns raised in testimony and that a private audit could begin faster than a state audit. The committee adopted an amendment adding an emergency clause and directing the report to the Legislative Audit and Fiscal Review Committee, then passed the bill 20-0 with 3 absent. Next, Representative Clemine presented Senate Bills 2226, 2036, and 2037. SB 2226 would presume an incarcerated person indigent at initial appearance so counsel can be provided at that critical stage; the commission said the appropriation would fund contract attorney hours, and the bill was sent to HR for further review. SB 2036 would create procedures for determining juvenile fitness to proceed in delinquency cases, with a $500,000 appropriation for mental health evaluations, and SB 2037 would begin a juvenile criminal code framework and include a $300,000 appropriation for fitness-to-proceed evaluations; both were also referred to HR, with some concern raised about staffing and overlapping functions. After a short break, the committee heard education-related appropriations bills. SB 2234 would replace expired ESSER funding for Choice Ready grants, but members noted the program was not included in the K-12 budget and sent it to E&E for comparison with existing appropriations. SB 2286, a University of North Dakota request for a new nursing school facility, drew extensive discussion about the age and condition of the current building and the size and scope of the project; the committee ultimately adopted a do-not-pass motion 22-0. SB 2213, the “science of mathematics” bill modeled on the science of reading initiative, would fund math professional development and implementation; it was also referred to E&E for further review. The committee then briefly passed the Racing Commission budget, SB 2023, and began discussion of the Trust Lands budget, SB 2013, including a proposed retention increase for investment-related positions.

Transcript Highlights:

• Um, key differences are that they negotiate the terms, payment, scope of each contract and job.
• Um, key differences are that they negotiate the terms, payment, scope of each contract and job.
• Um, key differences are that they negotiate the terms, payment, scope of each contract and job.
• Um key differences are that they negotiate the terms, payment, scope of each contract and job.
• Um, key differences are that they negotiate the terms, payment, scope of each contract and job.

Keywords: 1187, senate, all

Transcript Highlights:

• He added that claims bills do not direct payments from a respondent's insurer because the relationship
• liens, provides that a waiver or release of lien form include specific language for progressive payments
• or final payment. ...release of lien form include specific language for progressive payments or final
• payment.
• It clarifies that a waiver or release is authorized on receipt of funds rather than a payment by check

Summary: The committee first took up CS for Senate Bill 304, which would address child protective investigations involving children with certain genetic or medical conditions that can mimic signs of abuse. Senator Sharif and several family members and advocates described cases in which children were removed after injuries were initially misread as abuse, and argued the bill would give parents more opportunity to obtain qualified medical opinions. The committee adopted a substitute amendment that removed language imposing analysis duties on certain medical professionals, then passed the bill favorably after testimony in support from the Florida chapter of the American Academy of Pediatrics and several affected families. The committee then considered SB 1430 on post-judgment execution proceedings for terrorism victims, SB 96 on relief for Jacob Rogers, SB 382 on affordable housing rent agreements, SB 4 and SB 6 on claims bills for Patricia Armini and Jose Correa, SB 1142 on release of conservation easements, SB 658 on waiver or release of liens, SB 28 and SB 30 on claims involving South Broward Hospital District and the Broward County Sheriff’s Office, SB 24 on relief for Mandy Penny Lemon, SB 72 on campaign funds for child care expenses, and SB 1622 on recreational customary use of beaches. Most of these bills were explained by their sponsors as narrow relief or technical measures, and the committee heard a mix of support and opposition from claimants, local governments, industry groups, and advocacy organizations. Several bills drew substantive debate. On SB 382, members discussed rent stability and whether the bill should better address lease language and future rent increases; the amendment and bill were both reported favorably. On SB 1142, members raised concerns about environmental and drainage impacts and whether releases of conservation easements should be mandatory or discretionary, but the bill still passed favorably. On SB 72, members questioned the scope of allowable campaign child care expenses and the need for stronger guardrails against abuse; the bill nevertheless passed favorably. On SB 1622, testimony sharply divided between supporters of restoring public beach access and opponents defending private property rights; debate continued when the transcript ended, so no final vote on that bill is reflected here.

Transcript Highlights:

• Uh, let's see the payments.
• Um, so Uh, let's see the payments.
• It's a tax property tax payment.
• So, so that they would go ahead payment.
• We've completed 227 home payment.

Keywords: Meeting Start 00:00:03 Roll Call 00:00:08 Discussion of Indiana Residential Infrastructure Fund 00:01:27 Discussion of Affordable Housing Trust Fund 00:33:30 Discussion of Urban Infill 01:12:37 Approval of Minutes from July Meeting 01:39:00 Adjournment 01:39:42, 958, all

Summary: The Housing Task Force heard a presentation from Anita Sanford of the Homebuilders Association of Kentucky and Sheri Cybert of Indiana’s Residential Infrastructure Fund about Indiana’s low-interest loan program for local housing infrastructure. They described the program as a voluntary, locally driven model that helps communities finance roads, sewers, sidewalks, traffic lights, turning lanes, and other infrastructure needed for new housing development. Sanford emphasized that infrastructure and regulation are major drivers of housing costs, citing estimates that infrastructure can account for up to 30% of a home’s cost and regulations another 25%, and said the association is studying Kentucky-specific regulatory costs. She also noted that every $1,000 added to new home construction can price out about 2,000 Kentucky households. Cybert explained that Indiana’s program, administered through the Indiana Finance Authority, began in 2023 with $75 million appropriated over two years and has since closed 17 loans totaling $60.7 million, with more than 2,700 projected housing units. The program reserves 70% of funds for rural communities and 30% for urban communities, requires applications from local governments rather than developers, and asks communities to show need through a market study, describe the infrastructure and housing to be built, and provide preliminary engineering plans and a repayment source. She said the loans currently carry an interest rate around 3.5%, reset quarterly, and that the program has generated about $25 million in savings to communities compared with private borrowing. She also described recent Indiana legislative changes that encourage higher density and other zoning reforms, and said a majority of those local ordinance changes must be adopted for an application to be fundable. Members asked about the ordinance requirements, the funding split between rural and urban areas, repayment mechanisms, and whether there were caps on project size. Cybert said repayment is worked out case by case, often through existing or project-specific TIFs, temporary tax agreements, or letters of credit, and that the program has no cap on request size or income/affordability restrictions. She said the largest request funded was $19 million for a 700-unit project. Co-chair Mills and others discussed whether Kentucky could adopt a similar model and what it would cost, while Sanford and Cybert said they were still refining budget estimates. Later, Scott Welch, president of the Homebuilders Association of Kentucky, testified that upfront infrastructure costs are a major barrier in his projects, citing a $1 million pump station and road-widening and utility relocation costs as examples, and said an infrastructure fund would help get projects off the ground.

Transcript Highlights:

• So if the consequence of these provisions are that people don't make their premium payments and they
• Litman say is that we don't know what our provisions would be for non-payment and that he's going to
• premium payments and they lose<01:54:38.679> coverage<01:54:39.520> they<01:54:39.639>
• and that he's going be for non-payment and that he's going to<01:54:59.040> work<01:54:59.239
• flat so so the their their payments flat so so we're<02:05:55.880> just<02:05:56.079> going

Keywords: 928, house, all

Summary: The committee first recessed briefly, then took up HB 570, the prescription drug affordability board (PDAB). The chair and several members discussed the House amendment to repeal the board, which removed the fiscal note. The main concern raised was that the PDAB had not yet produced a clear business case showing value for the taxpayer investment, despite several years of work and four annual reports. Supporters of the repeal said the board’s recent report was largely redundant and that the board should either demonstrate a strong return on investment or be shut down; others cautioned against discarding the program too quickly and urged more time to refine the mission and legislative language. No vote was taken, and the committee appeared to agree to retain the bill for further work, with the possibility of revisiting it in a formal executive session on Tuesday. Members also shifted into discussion of HB 2, beginning with Section 85 on opioid abatement trust fund dollars for shelter programs. Department of Health and Human Services officials explained that the provision would provide $10 million from the opioid abatement trust fund, replacing general funds in the governor’s budget, while also noting an additional $2.5 million prioritized needs request for shelter care that was already fully funded. Committee members asked about shelter bed capacity, job placement efforts, and the remaining balance in the opioid fund; DHHS said there are 934 contracted beds and that case management includes help with housing and employment. Officials also said the current proposed budget includes another $1 million later in HB 2 from the opioid fund. The committee then began discussion of Sections 86 through 87, which would preserve the department’s ability to transfer funds between personnel lines. DHHS said the provision is operationally critical and that losing it would make it extremely difficult to manage the department, though it would not have a direct fiscal impact. The next item introduced was Section 88, extending a suspension related to eligibility for services until July 1, 2027; DHHS indicated that if the suspension were not continued, it would likely increase expenditures for Community Mental Health Centers and potentially others. No votes were taken during this portion of the meeting.

Transcript Highlights:

• That required the processing of over 3 million returns, over 2.3 million electronic payments, 270,000
• Because of the large estate tax payment, and then in 2026 it falls. So it goes to negative 1.5.
• Because of the large estate tax payment, and then in 2026 it falls. So it goes to negative 1.5.
• We're at 12.3 right now after we take into account all the tax payments and things.
• We're at 12.3 right now after we take into account all the tax payments and things.

Keywords: 912, senate, all

Transcript Highlights:

• This bill eliminates all that statutory language addressing these methods of payment.
• year after year the labor payment year after year the labor committee<06:18:26.600> has<06:18
• At any time an employer intends to change its method of payment, each employee shall be given written
• <06:21:36.680> is<06:21:36.920> made the manner in which payment is made the manner
• <06:24:39.240> the has agreed on a form of payment the has agreed on a form of payment the

Keywords: 1189, house, all

Transcript Highlights:

• So it's important that California be prepared to impose a 100% tax on payments that would be made from
• up for California's values and those of all Americans by saying that we would have a 100% tax on payments
• Americans by saying that we would have a 100% tax on payments from that anti-weaponization fund.
• that the MCO tax revenues must be used to strengthen the Medi-Cal program by improving provider payments
• And I will rephrase the purpose to provide improvement in provider payments because we all know that

Keywords: 987, senate, all

Transcript Highlights:

• negotiate with local developers to help kickstart housing development with an annual housing incentive payment
• process, the local government will be able to negotiate with the developer an annual housing incentive payment
• It will encourage developers to start more housing development or projects, and these incentive payments
• <00:40:59.720> should<00:40:59.960> help these incentive payments should help these
• incentive payments should help lower<00:41:00.960> the<00:41:01.080> total<00:41:01.480

Keywords: 958, all

Summary: The Senate convened with prayer and the Pledge of Allegiance, established a quorum, approved the prior journal, and received committee and House messages. The Families and Children’s Committee reported Senate Bill 191 favorably, and the House transmitted several passed bills requesting concurrence. New filings included Senate Bill 203 on community health workers and several resolutions honoring individuals and observances, including Marie Childers, Military Kids Day, and Reverend Jesse Jackson Sr. The chamber then considered and passed Senate Bill 141 on legal advertisements. The sponsor said the bill updates longstanding legal notice requirements to better balance public transparency with lower costs for cities and counties, reflecting an agreement among the Kentucky Press Association, Kentucky League of Cities, and Kentucky Association of Counties. The bill passed 36-1. The Senate also passed Senate Bill 69, creating an autism spectrum disorder trust fund to support services, research, and grants through the Cabinet for Health and Family Services, with an emergency clause; it passed 37-0. Senate Bill 9, as amended by Senate Committee Substitute 1, was also passed 35-2. The bill creates two local housing tools: a residential infrastructure development district to finance infrastructure for larger developments, and a housing development district to encourage new housing through negotiated incentive payments and expedited review. The sponsor said the measure is intended to address Kentucky’s housing shortage. The Senate also adopted Senate Resolution 102 honoring Marie Childers for decades of service on the Pike County Board of Elections, with remarks praising her bipartisan election work and influence in Pike County politics. Later, the Rules Committee recommitted Senate Bill 125 to Appropriations and Revenue, and the Committee on Committees referred several bills and resolutions to standing committees or to the floor. Announcements were made about upcoming committee meetings, and the Senate took up Senate Resolution 104 honoring Reverend Jesse Jackson Sr., with remarks describing his national and international civil rights legacy.

Transcript Highlights:

• Care Administration's hand to go after fraud, abuse, overpayment, and neglect, including wrongful payments
• for schizophrenia or bipolar disorder would no longer have to be hospitalized to qualify for a DRG payment
• The fifth reform in this bill requires DCF to implement a statewide fraud reduction and payment accuracy
• As a result, Florida currently has a SNAP payment error rate of over 15%.
• DCF is required to submit its plan for SNAP and EBT payment reforms to the governor and the legislature

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• The prompt payment rule requires prime contractors to pay DBE contractors quickly, typically within seven
• Our cabinet must actively monitor payments, performance, and subcontractor substitutions.
• We check prompt payment compliance and track whether the DB commitment on paper matches what's happening
• We check prompt payment compliance for.
• We check prompt payment compliance and<00:25:23.440> track<00:25:23.679> whether<00:25:

Keywords: 958, all

Summary: The August 2025 interim meeting of the Commission on Race and Access to Opportunity began with roll call, confirmation of a quorum, approval of the June meeting minutes, and welcoming a new member, Ivonne Smith, who noted her background in MWBE and DBE work. The chair also offered condolences to a member whose father recently passed away and explained that the committee had invited agency officials to answer questions raised at the prior meeting. The first presentation was from Singer Buchanan of the Kentucky Finance and Administration Cabinet, who described the state’s equal opportunity and contract compliance office and its certification programs for service-disabled veteran-owned small businesses and minority/women business enterprises. He outlined outreach efforts, including partnerships with veterans’ organizations, the Kentucky Department of Veterans Affairs, UK, and transportation-related groups; explained that the programs are intended to expand market access rather than provide grants; and said the office has moved to an online application portal that has processed 227 new applications since December 2023. He reported 536 total vendors across the programs, including 29 service-disabled veteran-owned small businesses, and said the office is considering website testimonials to improve outreach. Members asked about staffing, application assistance, and whether the state program conflicts with federal policy; Buchanan said the office has three staff members and that the program is state-funded and, based on legal advice, should continue under Kentucky law. Tony Yusefi of the Kentucky Transportation Cabinet then presented on the federal Disadvantaged Business Enterprise program. He explained the program’s legal basis under federal DOT regulations, its eligibility standards, and its purpose of creating a level playing field while helping firms grow and eventually compete without assistance. He described certification requirements, annual documentation, prompt-payment protections, commercially useful function reviews, good-faith effort requirements, and sanctions for violations. He also discussed barriers facing DBEs, including access to capital, bonding, insurance, training, and prequalification requirements, and noted that 50 firms were removed last month for noncompliance with annual documentation rules. Yusefi said the cabinet has expanded supportive services, including an online application platform, bid notifications, and a nine-class business development program; 95 DBEs are enrolled this year, and the bid-matching system reaches an average of 377 DBEs monthly.

Transcript Highlights:

• We used money from bond proceeds, and we expected the payments to ultimately make those bonds whole.
• What the bondholders need to make that fund available is also what we charge in terms of lease payments
• Next year, the loan is coming due, and they will have a balloon payment.
• That's a real tough scenario for us with that smaller dollar amount to try and save up for a down payment
• And does the future interest go away when the early payment occurs? Yes, Mr. Chairman.

Transcript Highlights:

• SR197, urging all towing companies to have on-site automated tower machines to ensure accessible payment
• passed last session, active July 1, which requires tow companies to accept credit and debit card payments
• So any tow company not allowing these types of payments are in violation of state consumer protection
• > is<00:38:26.320> still<00:38:26.480> an<00:38:26.720> ongoing card payments
• So it is still an ongoing card payments.

Keywords: 912, senate, all

Summary: At a joint Senate hearing on SCR 198 and SR 178, the committees considered resolutions urging Hawaii insurers and the Hawaii Property Insurance Association to seek subrogation claims against polluters linked to worsening climate impacts and higher insurance costs. Testimony was overwhelmingly supportive, with 47 written testimonies in support and additional oral support from former Honolulu chief resilience officer Josh Tamro. The committees recommended passage with amendments, narrowing the language to refer specifically to polluters who knowingly engaged in misleading and deceptive practices about the connection between their products and climate change, along with technical non-substantive edits. Both committees adopted the amended resolutions by vote. At a separate joint hearing on STR 226 and SR 201, which urged changes to Medicaid 1915 home and community-based services waiver eligibility criteria, supporters argued the current rules and administrative guidance were inconsistent and left some people with intellectual and developmental disabilities, including those with mental health dual diagnoses, without proper access. The Hawaii State Council on Developmental Disabilities and Hawaii Disability Rights Center supported the intent but noted factual issues and said a memo from the department addressed only part of the problem, not the mental health-related concerns. After discussion, the chair concluded the resolution was not the best vehicle and deferred it, suggesting a more comprehensive bill would be needed. The Commerce and Consumer Protection committee also took up HB 799 HD2 SD1 on healthcare and recommended passage with amendments, including striking a written transfer-agreement requirement, shortening the sunset to June 30, 2028, removing a related timeline, and making technical corrections. In another joint hearing, SCR 222 and SR 197, which would have urged towing companies to have on-site ATMs for vehicle owners, drew opposition from the Office of Consumer Protection, which said Act 60 already requires credit and debit card acceptance and that ATMs could let companies evade the law. Members noted ongoing complaints and weak enforcement, and the chair recommended turning the issue into a task force for further study, with decision-making deferred because of quorum issues. The committee also heard several other resolutions: STR 57 and SR 41, urging Congress to create a national reinsurance program, received only supportive testimony; STR 70 and SR 54, calling for a pharmacy reimbursement working group, also drew support; and STR 123, proposing an attorney general-led landlord-tenant working group, received comments from the Attorney General’s Office suggesting a more appropriate lead agency and noting the Legislative Reference Bureau may be better suited to assist. No final adverse action was taken on those measures during the hearing segment described.

Transcript Highlights:

• This is for purposes of payments to counties for the Native American tax exemption.
• This is for purposes<00:30:58.240> of<00:30:58.559> payments<00:30:58.880> to<00
• :30:59.120> counties<00:30:59.600> for<00:30:59.840> the purposes of payments to
• counties for the purposes of payments to counties for the Native<00:31:00.399> American<00:31
• health insurance uh payments. health insurance uh payments.

Keywords: 916, all