Transcript Highlights:

• Care more about the building.
• That are sitting on your desks care about the people that you work with.
• He took care of me, but he took care of the incumbent even better because he was... Anyway, I won.
• I’m directed that the point of order has been withdrawn.
• Correct, we were careful to say. We didn't say 51%.

Bills: HB5560, HB2, HB24, HB3233, HB1397, HB2067, HB3133, HB5696, HB5680, HB2885, HB3966, HB3556, HB3595, HB144, HB26, HB2038, HB521, HB4, HB 1178, HB42, HB 1211, HB783, HB3963, HB2240, HB1690, HB 1234, HB3372, HB27, HB4211, HB2243, HB2853, HB4638, HJR7, HB 100, HB 126, HB3783, HB5138, HB2512, HB5616, HB4751, SB17, SB1637, SB1833, SB2155, SB21, SB2778, SB260, SB8, SB12, SB37, SB379, SB441, SB1566, SB2878, HB4112, HB3866, HB4749, HB2844, HB150

Keywords: groundwater, civil penalties, water conservation, drought contingency, environmental protection, public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, zoning, public notice, local government, residential development

Transcript Highlights:

• I am directed by the Senate to inform the House that the Senate has taken the vote.

Bills: HB5560, HB2, HB24, HB3233, HB1397, HB2067, HB3133, HB5696, HB5680, HB2885, HB3966, HB3556, HB3595, HB144, HB26, HB2038, HB521, HB4, HB 1178, HB42, HB 1211, HB783, HB3963, HB2240, HB1690, HB 1234, HB3372, HB27, HB4211, HB2243, HB2853, HB4638, HJR7, HB 100, HB 126, HB3783, HB5138, HB2512, HB5616, HB4751, SB17, SB1637, SB1833, SB2155, SB21, SB2778, SB260, SB8, SB12, SB37, SB379, SB441, SB1566, SB2878, HB4112, HB3866, HB4749, HB2844, HB150

Keywords: groundwater, civil penalties, water conservation, drought contingency, environmental protection, public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, zoning, public notice, local government, residential development

Bills: HB2391, HB2294, HB2374, HB1997, HB2147, HB2185, HB1641, HB2195, HB2023, HB2031, HB2033, HB1937, HB2586, HB2575, HB2030, HB2115, HB2233, HB1801, HB1546, HB2132, HB2102, HB2356, HB2457, HB2292, HB2554, HB676, HB1528, HB2061, HB2094, HB2095, HB2181, HB2369, HB2578, HB2493, HB1642, HB1991, HB1652, HB2104, HB2593, HB1553, HB1823, HB1918, HB1860, HB2604, HB2605, HB2001, HB2437, HB1947, HB2384, HB2473, HB2140, HB1458, HB2603, HB2411, HB1611, HB2138, HB2141, HB2284, HB1568, HB1924, HB1928, HB2570

Keywords: tax holiday, school supplies, general excise tax, Hawaii, consumer savings, education, land transfer, public schools, Department of Education, property conveyance, Act 307, Kauai, Maui, shade trees, fruit trees, educational program, climate change, tree canopy, environmental education, native plants

Transcript Highlights:

• I'd rather them be out in rural Oklahoma taking care of business.
• I'd rather them be out in rural Oklahoma taking care of business.

Bills: HB2936, HB2937, HB2951, HB2960, HB2979, HB2980, HB3062, HB3082, HB3087, HB3148, HB3152, HB3262, HB3264, HB3266, HB3268, HB3269, HB3278, HB3299, HB3544, HB3606, HB3678, HB3790, HB3903, HB3996, HB4139, HB4140, HB4142, HB4143, HB4144, HB4260, HB4272, HB4296, HB4324, HB4339, HB4341, HB4342

Keywords: HB2936, children, child protection, adoption, Oklahoma Adoption Code, gestational carrier, gestational agreement, surrogacy, intended parent, preplacement home study, home study, prospective adoptive parent, foster placement, child abuse, child neglect, child sexual abuse, child sexual exploitation, lewd molestation, sex offender registry, Oklahoma Sex Offenders Registration Act

Transcript Highlights:

• I'd rather them be out in rural Oklahoma taking care of business.

Bills: HB2936, HB2937, HB2951, HB2960, HB2979, HB2980, HB3062, HB3082, HB3087, HB3148, HB3152, HB3262, HB3264, HB3266, HB3268, HB3269, HB3278, HB3299, HB3544, HB3606, HB3678, HB3790, HB3903, HB3996, HB4139, HB4140, HB4142, HB4143, HB4144, HB4260, HB4272, HB4296, HB4324, HB4339, HB4341, HB4342

Keywords: HB2936, children, child protection, adoption, Oklahoma Adoption Code, gestational carrier, gestational agreement, surrogacy, intended parent, preplacement home study, home study, prospective adoptive parent, foster placement, child abuse, child neglect, child sexual abuse, child sexual exploitation, lewd molestation, sex offender registry, Oklahoma Sex Offenders Registration Act

Summary: The committee heard a long series of House bills, mostly on criminal justice, public safety, transportation, and administrative procedures. Measures included lowering school-zone speed issues on certain highways (HB 2979), allowing DMV staff to accept physical proof of insurance (HB 2980), barring people convicted of pedophilia from adopting children (HB 2936), allowing lawful weapon carry on boats (HB 2937), and restricting fire departments from hiring people required to register as sex offenders (HB 382). Other bills addressed warrant fee increases for counties (HB 3262), making strangulation in domestic violence cases an 85% crime (HB 3264), creating offenses for reckless driving tied to racing and collisions (HB 3266), criminalizing knowingly making or displaying fictitious license plates (HB 3268), and allowing electronic arrest warrants (HB 3269). The committee also advanced bills on Open Meetings Act enforcement, OCC port-of-entry arrest authority, expanding protections for municipal officials and notaries, creating vessel titling, and modernizing vehicle inspection/title procedures. Several members raised questions about costs, enforcement authority, and whether new penalties would shift burdens to consumers or local governments. For example, HB 3262 drew concern about passing warrant-fee costs to the public, and HB 3268 prompted questions about existing law and the need for a new felony for fake tags. The OCC port-of-entry bill generated extended discussion about whether a regulatory agency should have arrest authority, with supporters arguing it would free up Highway Patrol and sheriff resources and opponents questioning the expansion of quasi-law-enforcement powers. Other bills were presented as request bills from agencies or constituents, including the Attorney General, Oklahoma City police, the Bomb Squad, the Corporation Commission, and local residents. The committee also approved a number of bills with little or no opposition, including a domestic violence strangulation measure, a bill on Open Meetings Act remedies, a bill allowing sentence modification requests by district attorneys, and a bill requiring domestic violence incident reports and judicial training. Later, the committee considered additional public safety and criminal procedure bills such as making firearm theft a felony, increasing the damage threshold for police response in property-damage crashes, and requiring the state to pay expert witness costs in capital appeals. Most measures were reported out do pass, with several unanimous votes and a few split votes, including HB 3262 and the OCC port-of-entry bill. The meeting ended after laying over a few bills and adjourning.

Transcript Highlights:

• Whereas the Louisiana Opportunity Youth Alliance is a network of direct service providers and advocacy
• House Resolution 17 by Representative Turner to authorize and direct the Board of Regents, Louisiana

Bills: HR19, HR20, HR21, HR22, HR23, HR24, HR25, HR26, HR27, HR28, HR29, HR30, HR31, HR32, HR33, HR34, HR35, HR36, HR37, HR38, HCR15, HCR16, HCR17, HCR18, HB115, HB208, HB465, HB832, HB964, HB965, HB966, HB967, HB968, HB969, HB970, HB971, HB972, HB973, HB974, HB975, HR14, HR15, HR16, HR17, HR18, HCR14, SCR4, SCR7, SCR8, HB362, HB963, HB207, HB300, HB331, HB428, HB464, HB587, HB618, HB629, HB801, HB853, HB891, HB78, HB112, HB148, HB149, HB190, HB221, HB346, HB354, HB355, HB356, HB358, HB384, HB427, HB657, HB675, HB716, HB901

Keywords: HR19, House Resolution 19, Louisiana Nursery and Landscape Association Day, LNLA, nursery industry, landscape industry, horticulture, green industry, environmental stewardship, beautification, sustainability, state capitol, special day resolution, commemoration, trade association, wholesale growers, landscape architects, grounds maintenance, interiorscapers, Louisiana agriculture

Summary: The House convened with 97 members present, heard an invocation by Pastor Morris St. Angelo, and recited the Pledge of Allegiance. The chamber then received Senate messages noting concurrence in HCR 8, HCR 9, and HCR 12, and the adoption of SCR 10, which expressed condolences on the death of Dr. Norman Christopher Francis. The House also received an enrollment report confirming several resolutions as properly enrolled. A series of personal privilege recognitions highlighted local and civic observances, including Amite Oyster Festival Day, Opportunity in Action Day at the Capitol, and a visit from international policy fellows. The House introduced numerous resolutions and bills, including measures to designate special days and highways, express condolences, commend individuals and organizations, create or modify local districts, address bail, parole, rural health clinic Medicaid reimbursement, and establish a Department of Public Service. Several committee reports were also received, including transportation and ways and means reports on multiple bills. The House adopted, without objection, several resolutions already lying over, including HR 14, HR 16, HR 18, SCR 4, SCR 7, and SCR 8, while other resolutions and bills were referred or left to lie over. Members also moved to discharge and withdraw certain bills from committee files without objection. The chamber was reminded of upcoming committee meetings, an interim emergency board ballot deadline, and adjourned until 1:00 p.m. the following day.

Transcript Highlights:

• The Louisiana Opportunity Youth Alliance is a network of direct service providers and advocacy organizations
• House Resolution 17 by Representative Turner to authorize and direct the Board of Regents, Louisiana
• House Resolution 17 by Representative Turner to authorize direct the Board of Regents, Louisiana Works

Bills: HR19, HR20, HR21, HR22, HR23, HR24, HR25, HR26, HR27, HR28, HR29, HR30, HR31, HR32, HR33, HR34, HR35, HR36, HR37, HR38, HCR15, HCR16, HCR17, HCR18, HB115, HB208, HB465, HB832, HB964, HB965, HB966, HB967, HB968, HB969, HB970, HB971, HB972, HB973, HB974, HB975, HR14, HR15, HR16, HR17, HR18, HCR14, SCR4, SCR7, SCR8, HB362, HB963, HB207, HB300, HB331, HB428, HB464, HB587, HB618, HB629, HB801, HB853, HB891, HB78, HB112, HB148, HB149, HB190, HB221, HB346, HB354, HB355, HB356, HB358, HB384, HB427, HB657, HB675, HB716, HB901

Keywords: HR19, House Resolution 19, Louisiana Nursery and Landscape Association Day, LNLA, nursery industry, landscape industry, horticulture, green industry, environmental stewardship, beautification, sustainability, state capitol, special day resolution, commemoration, trade association, wholesale growers, landscape architects, grounds maintenance, interiorscapers, Louisiana agriculture

Transcript Highlights:

• I know Harris County doesn't have it, but that somewhat takes care of these issues.
• This makes sure that the mother is taken care of. prenatal care and postnatal care.
• Our foster care system is one of the areas where a lot of our homeless come from.
• We don't currently have the... the water necessary to take care of the future growth.
• Probably takes care of other people along the way a lot better.

Bills: SJR 12, SCR 39, SB 7, SB 8, SB 27, SB 29, SB 125, SB 241, SB 371, SB 396, SB 406, SB 464, SB 568, SB 578, SB 608, SB 617, SB 660, SB 689, SB 693, SB 707, SB 731, SB 732, SB 763, SB 779, SB 836, SB 854, SB 857, SB 875, SB 878, SB 879, SB 906, SB 920, SB 921, SB 922, SB 942, SB 965, SB 985, SB 996, SB 1029, SB 1035, SB 1036, SB 1059, SB 1084, SB 1098, SB 1101, SB 1185, SB 1188, SB 1321, SB 1332, SB 1366, SB 1388, SB 1396, SB 1453, SB 1484, SB 1494, SB 1536, SB 1563, SB 1596, SB 1610, SB 1619, SB 1737, SB 1738, SB 1741, SB 1816, SB 1822, SB 1841, SB 1939, SB 2155, SB 2188, SB 2230

Keywords: parental rights, education, constitutional amendment, school choice, child education, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border, National Guard, state guard, border wall, border barriers

Summary: In this meeting, significant discussions revolved around the passage and modification of various Senate Bills, including SB1388, which pertains to family support services under the Health and Human Services Commission. Senator Kolkhorst advocated for the bill, emphasizing its focus on pro-life, family-centered care. The committee passed the bill after thorough examination, showcasing a collaborative effort among the members to ensure its alignment with successful past initiatives. In another session, Senator Hughes presented SB942, aimed at retroactive child support linked to prenatal care, which sparked a constructive dialogue reflecting bipartisan support for maternal and child welfare.

Transcript Highlights:

• First, it directs a school district to immediately notify law enforcement.
• First, it directs a school district to immediately notify law enforcement if a school employee has inappropriately

Bills: SB137, SB504, SB1213, SB1216, SB1221, SB1224, SB1232, SB1238, SB1255, SB1256, SB1258, SB1264, SB1266, SB1325, SB1441, SB1448, SB1450, SB1460, SB1496, SB1543, SB1589, SB1597, SB1621, SB1655, SB1679, SB1687, SB1716, SB1730, SB1733, SB1769, SB1921, SB1932, SB1936, SB1980, SB2011, SB2030, SB2084, SB2112, SB2170, SB2182

Keywords: electronic monitoring, Department of Corrections, criminal justice, rehabilitation, public safety, SB504, marriage, child marriage, minor marriage, age of consent, minimum marriage age, underage marriage, teen marriage, parental consent, judicial approval, marriage license, Oklahoma Title 43, family law, juvenile justice, Department of Human Services

Transcript Highlights:

• First, it directs a school district to immediately notify law enforcement if a school employee has inappropriately

Bills: SB137, SB504, SB1213, SB1216, SB1221, SB1224, SB1232, SB1238, SB1255, SB1256, SB1258, SB1264, SB1266, SB1325, SB1441, SB1448, SB1450, SB1460, SB1496, SB1543, SB1589, SB1597, SB1621, SB1655, SB1679, SB1687, SB1716, SB1730, SB1733, SB1769, SB1921, SB1932, SB1936, SB1980, SB2011, SB2030, SB2084, SB2112, SB2170, SB2182

Keywords: electronic monitoring, Department of Corrections, criminal justice, rehabilitation, public safety, SB504, marriage, child marriage, minor marriage, age of consent, minimum marriage age, underage marriage, teen marriage, parental consent, judicial approval, marriage license, Oklahoma Title 43, family law, juvenile justice, Department of Human Services

Summary: The committee heard a long series of Senate bills covering criminal justice, public safety, family law, and administrative changes. Measures discussed included penalties for impersonating a notary or law enforcement officer, consolidating DUI charges, allowing motor carriers to represent themselves at Corporation Commission hearings, drone trespass penalties over critical infrastructure, expanding protections for contract employees under assault and battery laws, copper theft felony penalties, raising the marriage age to 18 with no exceptions, expanding the definition of great bodily injury for domestic abuse cases, post-adoption contact for services, driver’s license and testing changes, expungement system automation delays, consumer protection clarifications, gambling penalty updates, OSBI authority and fee changes, gift card protections, medical parole eligibility decisions, firearm transport on boats, caps on wrongful termination settlements at public institutions, GPS monitoring for certain domestic violence defendants, mandatory school reporting of inappropriate employee contact with students, expedited driver’s license delivery and tracking numbers, DOC credit modifications, drug court discretion, repeat peeping Tom and clandestine recording penalties, open pasture signage requirements, supervised visitation after DHS findings of sexual abuse, and victim notification by email from the Pardon and Parole Board. Most bills were presented by members as request or cleanup measures, with brief explanations and limited debate. Several bills drew questions about implementation, due process, costs, and scope, especially the domestic violence GPS monitoring bill and the DOC credit bill. The committee also discussed a bill to lower the age for marriage, which was reported out 10-1, and a domestic violence-related GPS tracking bill that passed 12-0 after questions about monitoring and payment. Another domestic violence bill expanding great bodily injury definitions passed 12-0, and a bill requiring supervised visitation after a DHS sexual abuse finding passed 13-0. Nearly all measures were reported out with unanimous or near-unanimous votes, including multiple 11-0, 12-0, 13-0, and 14-0 recommendations. A few bills had split votes, including the marriage-age bill at 10-1, the gambling penalty bill at 12-1, the OSBI record-check fee bill at 13-0, and the wrongful termination cap bill at 8-5. Several bills were laid over for a later meeting, and the committee adjourned after announcing it would continue work on Thursday.

Transcript Highlights:

• Her practice includes, well, children and women exams, preventative health care. with prevention and
• health care outcomes so what are we going to do about prevention, right?
• Taxpayer funded health care of tomorrow, right? Isn't that one of the goals of your bill?
• We need to go back to and that's that preventative health care essentially through education.
• It ensures that the majority of contributions are directed toward their intended purpose.

Bills: SJR18, SCR9, SCR13, SB10, SB11, SB19, SB20, SB25, SB62, SB260, SB263, SB293, SB314, SB384, SB412, SB441, SB442, SB494, SB523, SB569, SB616, SB688, SB707, SB766, SB842, SB869, SB890, SB914, SB929, SB971, SB992, SB1066, SB1145, SB1621, SJR36, SJR18, SCR9, SCR13, SB616, SB565, SB384, SB372, SB495, SB842, SB971, SB1066, SB929, SB765, SB523, SB62, SB19, SB18, SB666, SB688, SB707, SB888, SB687, SB706, SB847, SB869, SB890, SB992, SB1145, SB494, SB290, SB766, SB11, SB10, SB13, SB263, SB412, SB20, SB441, SB442, SB1621, SB569, SB314, SB25, SB293, SB914, SB260, SB1248, SB740, SB14, SB1006, SB20, SB25, SB260, SB293, SB314, SB384, SB442, SB494, SB616, SB869, SB890, SB929, SB992, SB1145, SB1621, SR232, SR237, SR242, SB16, SB22

Keywords: capital gains, taxation, constitutional amendment, state revenue, individual investment, Supreme Court, judicial independence, Keep Nine, checks and balances, water rights, treaty compliance, Rio Grande, agriculture, drought, international water, Texas water supply, education, Ten Commandments, public schools, religious display

Transcript Highlights:

• I RECEIVED CARE AT FLORIDA'S MOFFITT CANCER CENTER, AND I GIVE THANKS TO THE BRAVE, BOLD, AND COMPASSIONATE
• were a few of the concerns some of the providers had, particularly regarding the Medicaid managed care
• practitioners made it clear that many of those who are on Medicaid, once they are assigned to the managed care
• plan, each of them has their contract, and they are obligated to cover the intervention services and care
• the services in specialized education settings like their home, which also provides a continuity of care

Bills: SJR18, SCR9, SCR13, SB10, SB11, SB19, SB20, SB25, SB62, SB260, SB263, SB293, SB314, SB384, SB412, SB441, SB442, SB494, SB523, SB569, SB616, SB688, SB707, SB766, SB842, SB869, SB890, SB914, SB929, SB971, SB992, SB1066, SB1145, SB1621, SJR36, SJR18, SCR9, SCR13, SB616, SB565, SB384, SB372, SB495, SB842, SB971, SB1066, SB929, SB765, SB523, SB62, SB19, SB18, SB666, SB688, SB707, SB888, SB687, SB706, SB847, SB869, SB890, SB992, SB1145, SB494, SB290, SB766, SB11, SB10, SB13, SB263, SB412, SB20, SB441, SB442, SB1621, SB569, SB314, SB25, SB293, SB914, SB260, SB1248, SB740, SB14, SB1006, SB20, SB25, SB260, SB293, SB314, SB384, SB442, SB494, SB616, SB869, SB890, SB929, SB992, SB1145, SB1621, SR232, SR237, SR242, SB16, SB22

Keywords: capital gains, taxation, constitutional amendment, state revenue, individual investment, Supreme Court, judicial independence, Keep Nine, checks and balances, water rights, treaty compliance, Rio Grande, agriculture, drought, international water, Texas water supply, education, Ten Commandments, public schools, religious display

Transcript Highlights:

• Uh, the 6.7% that I mentioned earlier on the managed care side, uh, that is due to directed payments,
• of what we pay to the managed care organizations is actually paid out through a directed payment.
• Uh, the 6.7% that I mentioned earlier on the managed care side, uh, that is due to directed payments,
• Earlier on the managed care side, uh, that is due to directed payments, the growth in state-directed
• of what we pay to the managed care organizations is actually paid out through a directed payment.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• Direct care and treatment has 5,000 employees.
• <c> uh,</c> Services, direct care and treatment, uh, Services, direct care and treatment, uh, and,<00
• Direct medical care to constituents, not just paying for it, but they are in our care.
• Direct medical care to constituents, not just paying for it, but they are in our care.
• Direct medical care to constituents, not just paying for it, but they are in our care.

Keywords: 1187, senate, all

Transcript Highlights:

• care workers about five years ago, when we created a team that does nothing but direct care workforce
• direct care workers... ...and care managers and others play in making sure that direct care workers'
• and things that support direct care workers.
• who work for Consumer Direct Employer or other Home care aides in Washington who work for Consumer Direct
• care component some certain percentage has to be spent on direct care workforce.

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:

• </c><00:04:23.919><c> Care</c> clinicians and expertise Direct Care clinicians and expertise Direct Care
• Direct Care and treatment agency Mr stor Direct Care and treatment agency Mr stor Camp<00:34:46.280><
• c> has</c> important Direct Care and treatment has important Direct Care and treatment has about<00:39
• Direct Care and treatment the fact that Direct Care and treatment does<00:40:44.800><c> highly</c><00
• The executive board will run Direct Care and Treatment, can fire and hire a CEO to run Direct Care and

Keywords: 1187, senate, all

Transcript Highlights:

• support professional program. people who rely upon the direct care people who rely upon the direct care
• support professional for the direct care, for all of the direct care lines of service here to help testify
• direct care workers is turnover rate for direct care workers is 44%<00:10:12.240><c> creating</c><00
• c> nursing</c> direct care workers certified nursing direct care workers certified nursing assistants
• protect</c> support direct care workers and protect support direct care workers and protect the<00:14

Keywords: 1187, senate, all

Transcript Highlights:

• On that kiosk, so please take care of that.
• Consequently, we may not have blood to send to hospitals. ...to take care of cancer patients, to care
• Because a directed donation, the chain of custody of a directed donation is vastly different than the
• That's new donors versus directed donors. The new donors to yours versus directed donors.
• , do you want to get your direct donors?

Keywords: 1184, house, all

Transcript Highlights:

• Direct admissions creates a direct pipeline to certificate programs, associate degrees, and four-year
• </c> that my high school is a direct that my high school is a direct admission<00:42:56.359><c> High<
• directed how to best Implement directed admissions<00:52:56.559><c> and</c><00:52:56.640><c> then</c
• care.
• health care workforce.

Keywords: 1187, senate, all

Transcript Highlights:

• </c> all necessary training prior to caring all necessary training prior to caring for<00:04:51.360><
• care providers.
• care providers.
• care providers.
• The National Family Child Care Association, it's family child care providers.

Keywords: 919, house, all

Summary: The committee took up House File 2617, and first adopted a DE1 amendment. The bill, as amended, was presented as a major child care licensing reform that would narrow licensing to core health and safety requirements, reduce what supporters described as punitive or overly technical citations, and shift quality standards toward accreditation and professional organizations. The author also described the bill as a response to long-standing problems in the current licensing structure and county oversight of family child care. Public testimony was uniformly supportive. Child care providers and directors from Duluth, Rochester, and Esko said the current system penalizes minor clerical or cosmetic issues, creates inconsistent interpretations, and contributes to provider burnout and the child care shortage. They argued the bill would separate health-and-safety licensing from quality measures, which they said are better addressed through accreditation, coaching, and national standards. One testifier also said the bill would help with background study delays by creating a liaison to improve visibility into the process. Members asked about the difference between licensing and accreditation, how other states handle similar models, and how the bill would interact with the department’s licensing modernization work. The bill’s supporters said licensing would remain focused on foundational health and safety items such as ratios, background checks, hygiene, and facilities, while quality standards would be left to national organizations like NAEYC or the National Family Child Care Association. They cited Connecticut, Indiana, and Florida as examples of states using national standards in some form. The committee closed public testimony, took member questions, and the author renewed his motion to lay over House File 2617 as amended.