Transcript Highlights:

• synthesized kratom material or other chemicals that increase potency; or five, are mixed with another compound
• current adulteration language, particularly the language that prohibits combining kratom with another compound
• current adulteration language, particularly the language that prohibits combining Kratum with another compound

Summary: The Ways and Means Committee met on February 6, 2026, and first voted to suspend the five-day notice rule for all bills on the agenda. Senators Braun and Gildon objected, arguing the bill needed more public review and that the fiscal note had only just been released, but a roll call vote passed 15-9 and the committee proceeded to Senate Bill 6346. Staff briefed SB 6346 as a proposal to create a 9.9% income tax on Washington taxable income above a $1 million per-household standard deduction, with a $50,000 charitable deduction, apportionment rules for nonresidents and certain professions, quarterly estimated payments, and credits for capital gains tax and certain business taxes. Staff said the tax would begin in 2029 and eventually raise about $3.5 billion annually from roughly 30,000 taxpayers. The bill also would expand the Working Families Tax Credit, create a sales tax exemption for grooming and hygiene products, increase the small business B&O tax credit and filing threshold, and end the B&O surcharge on high-grossing businesses one year early. Members questioned the bill’s constitutionality, its exemption from referendum, treatment of student athletes, natural-resource industries, and whether real estate gains would be captured. Public testimony was sharply divided. Supporters, including labor groups, educators, health care advocates, counties, child care workers, and some business owners and high-income individuals, said the bill would make the tax code more progressive and provide stable funding for health care, education, child care, public defense, and other services, while expanding the Working Families Tax Credit. Opponents, including many small business, construction, housing, and taxpayer advocates, argued the measure would function as a tax on pass-through businesses and retained earnings, harm housing production and investment, encourage wealthy residents and businesses to leave the state, and violate the state constitution or the will of voters. No final action on SB 6346 was taken during the hearing.

Transcript Highlights:

• if it is accident then I'm also thinking about the thinking about the thinking about the the the compound
• that that would have the the compound that that would have the the compound that that would have you

Keywords: 1136, house, all

Transcript Highlights:

• question about, uh, that, uh, in looking at the information from our previous testifier, that the compound
• With that, then, the committee is adjourned. previous testifier that the um compound previous testifier
• that the um compound annual<01:38:20.440><c> growth</c><01:38:20.800><c> rate</c><01:38:21.760><c> was

Keywords: 1187, senate, all

Transcript Highlights:

• This really gets compounded in a bad, bad way when we go to the next step with the affidavit problem.
• This really gets compounded in a bad, bad way when we go to the next step with the affidavit problem.
• 01:38:52.599><c> this</c><01:38:52.800><c> really</c><01:38:53.080><c> gets</c><01:38:53.520><c> compounded
• </c><01:38:54.080><c> in</c> to do now this really gets compounded in to do now this really gets compounded

Keywords: 1189, house, all

Transcript Highlights:

• increased regulation on the sale and distribution of xylazine, limiting it to only medical and pharmaceutical

Keywords: 995, all

Summary: The Special Commission on xylazine held its first meeting, with House Chair Mindy Domb and Senate Co-Chair John Keenan outlining the commission’s charge and a proposed work plan. The commission is tasked with studying the public health and safety impacts of xylazine in the illicit drug supply, including whether it should be scheduled as a controlled substance, how to regulate its production and distribution, and how to improve outreach and treatment for people exposed to it. Members were told the report deadline had been extended to March 30, 2026, and staff proposed a series of public hearings and working groups leading to a final report. The meeting also included attendance, packet materials, and procedural planning. The first major testimony came from BSAS Director Deirdre Calvert, who described xylazine’s appearance in Massachusetts drug supply data, the state’s public health alerts, and DPH’s partnership with Brandeis, CDC, and harm reduction organizations. She emphasized four priorities: reducing stigma and discrimination in health care, expanding self-directed wound care support and coverage for supplies, expanding access to drug checking and test strips, and supporting low-barrier services such as mobile vans and drop-in centers. Commission members asked about first responder awareness, medical education, and whether harm reduction services might face federal restrictions; Calvert said misinformation remains a problem and noted ongoing training efforts, including collaboration with public safety agencies. Several other speakers reinforced the need for low-barrier care and drug checking. Dr. Raghini Jala, an infectious disease and addiction medicine physician, said xylazine has become a common component of the unregulated opioid supply and urged support for rapid-response education teams, community-based drug checking, and better hospital and detox protocols for xylazine withdrawal and wounds. Recovery coach Alan Young testified from lived experience, describing severe wounds, fear of inadequate withdrawal treatment in emergency settings, and the value of mobile care vans that can provide methadone, buprenorphine, and wound care in the community. Dr. Sarah Wakeman echoed the need for naloxone, rescue breathing, low-threshold treatment, and non-stigmatizing health care settings, while Sarah Macon of the Boston Public Health Commission described Boston’s harm reduction and drug checking work, including on-site testing, wound care, and a decline in opioid mortality. Tracy Green of the Massachusetts Drug Supply Data Stream explained that xylazine has declined in recent samples while metatomidine is rising, said drug checking is increasingly used but still not enough, and argued for more funding, staffing, and statewide access to real-time drug checking and harm reduction services.

Transcript Highlights:

• you is that as a result of a lot of the health care work we did last year, specifically around pharmaceutical

Keywords: 926, house, all

Transcript Highlights:

• There is a direct link between this tax and the rising cost of pharmaceuticals. We'll be voting no.

Bills: SB5808, HB2254, HB2385, SB6006, SB6351, SB6198, SB6260, SB6353, SB5949, SB6129, SB6228, SB6231, SB6229, SB6173

Keywords: health insurance, premium assistance, funding, healthcare access, state budget, HB 2254, Washington, Health Care Authority, partnership access line, psychiatric consultation line, first approach skills training, behavioral health, mental health, assessment, administrative costs, health carriers, self-funded plans, multiple employer welfare arrangement, MEWA, employers

Transcript Highlights:

• There is a direct link between this tax and the rising cost of pharmaceuticals. We'll be voting no.

Summary: The committee opened with a public hearing on Senate Bill 5808, a proposal to require nonprofit health carriers with “excess surplus” to pay 10% of that surplus into the state health care affordability account for Cascade Care Savings. Committee staff said the bill could generate about $330 million one time in 2027, while the Office of Insurance Commissioner would have implementation costs. Supporters argued the bill would redirect consumer premium dollars to help people afford coverage, while opponents from health plans said reserves are needed for solvency, claims, and capital needs and warned the bill would destabilize nonprofit insurers. The committee also heard testimony on House Bill 2254, which would let the Partnership Access Line assessment cover administrative costs; HCA and Seattle Children’s supported it as a technical fix that saves general fund dollars, and a child psychiatrist asked that savings be reinvested in behavioral health services. House Bill 2385, which extends deadlines for the Medicaid Access Program because of federal restrictions on new provider taxes, also drew support from provider groups seeking future Medicaid rate increases. The committee then heard Substitute Senate Bill 6286, which would increase fines on private detention facilities that deny Department of Health inspections and dedicate the fines to an account for community repair and assistance to harmed individuals and families. Supporters, including Tacoma’s mayor and family members affected by detention, framed the bill as an accountability measure; fiscal staff estimated Department of Health costs of about $395,000 in the 2025-27 biennium. Senate Bill 6006 would exempt food banks from sales tax on certain services enacted last session, with food bank and tribal representatives saying the savings would go directly to food and operations. Senate Bill 6351 would create exemptions from the new sales tax on live presentations for before- and after-school care, arts and cultural nonprofit classes, and K-12 school purchases; school districts, arts groups, and PTA representatives supported it, while asking for clarifying language and broader nonprofit exemptions. Engrossed Substitute House Bill 1717 would let cities and counties create local sales tax remittance programs for affordable housing projects, and housing builders, Habitat affiliates, counties, and city officials supported it as a local tool to lower development costs. In executive session, the committee received briefings on several tax and spending bills and then voted to advance multiple measures. It adopted a substitute and passed Senate Bill 5949, which narrows a B&O tax exemption related to insurance premiums; a proposed retroactivity-removing amendment failed. It adopted a substitute and passed Senate Bill 6129 on cigarette, tobacco, and nicotine taxes after rejecting several amendments, including proposals to study the tax policy or replace the bill with illicit-market enforcement language. The committee also passed Senate Bill 6228 repealing a preferential B&O rate for prescription drug resellers, Senate Bill 6231 repealing data center sales tax exemptions, and Second Substitute Senate Bill 5965, which retained a bag-fee approach rather than a full ban after adopting an amendment. The committee then returned to public hearing and began testimony on Senate Bill 6353, a major Working Connections Child Care bill that would keep income eligibility at 60% of state median income, lower the provider rate target from the 85th to the 75th percentile, and make other program changes; the briefing was underway when the transcript ended.

Transcript Highlights:

• point, I just want to say, is there any way we can ask all of our wonderful lobbyists, whether pharmaceutical

Bills: HB111, HJR1, HB61, HB8, HB30, HB43, HB156, HJM2, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM11, HM14, HM21, HM34, HM50, HB70, SB3, HJM3

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• point, I just want to say, is there any way we can ask all of our wonderful lobbyists, whether pharmaceutical

Bills: HB111, HJR1, HB61, HB8, HB30, HB43, HB156, HJM2, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM11, HM14, HM21, HM34, HM50, HB70, SB3, HJM3

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Summary: The House convened for a special American Indian Day celebration, with prayers, flag citations, a Navajo national anthem, and many members introducing tribal leaders, students, veterans, and community guests. Speakers emphasized Native sovereignty, government-to-government relations, cultural preservation, education, and the importance of representation in state government. The Speaker announced plans for a future tribal summit to discuss funding, capital, and policy priorities with tribes and nations. After the celebration, the House received executive messages, including gubernatorial authorization for new bills and notice that House Bill 9 had been signed into law. Committee reports were adopted on several measures, including House Bills 128, 285, 20, 52, 57, 58, 206, 109, 38, 66, 178, 198, 202, 224, 257, 103, and 247, with several health-related bills advanced via committee substitutes and referred onward. The House also adopted House Memorial 32 and enrolled House Bill 50 with a certificate of correction. On the floor, House Joint Resolution 1, as amended, passed 67-0. The resolution would create nominating committees for certain constitutionally named institutions, require no single party majority on those committees, and shift the student regent appointment to an elected student government body; members discussed the one-year party-registration requirement and the timing of implementing legislation. House Bill 8, which creates and funds the Major Capital Projects Fund for higher education projects, was then debated at length over its graduation-rate criteria and waiver provisions, and an amendment was offered to require Higher Education Department waiver findings to be reported to and approved by the State Board of Finance for added oversight.

Transcript Highlights:

• Any agreements with pharmaceutical companies to expand support or cost reductions here? Mr.

Keywords: 996, all

Transcript Highlights:

• I'm the chief of the Pharmaceutical Policy and Programs Branch at HCAI.

Summary: The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis. For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken. EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• maybe, you know, as scientists, because you're a scientist, we should not just accept what a pharmaceutical

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• The curtain has been pulled back to reveal the unholy alliance between hospitals, the pharmaceutical

Bills: HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Transcript Highlights:

• the process, pharmacists are put into a bind when physicians decide to use something and their pharmaceutical

Keywords: 1136, house, all

Transcript Highlights:

• So TPI is an effort by Representative Bonin and me to at least look at healthcare costs in pharmaceuticals

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Pharmaceuticals.

Transcript Highlights:

• available treatment options on the path toward FDA approval, we cannot wait for an FDA-approved pharmaceutical
• We cannot wait for an FDA-approved pharmaceutical version of a treatment that readily exists in nature

Bills: HF4588, HF3685, HF4577, HF4932

Keywords: veterans, veterans affairs, mental health, behavioral health, rural health, rural areas, access to care, task force, Minnesota Department of Veterans Affairs, general fund appropriation, veteran suicide prevention, PTSD, service members, military families, telehealth, rural psychiatry, high school diploma, armed forces, education policy, military service

Transcript Highlights:

• We have many active litigation pieces connected to qui tams on anti-kickbacks against major pharmaceutical
• You know, I heard somebody spout off, you know, one of the pharmaceutical companies was fined $15 million

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• engaged in biomed or life sciences research, clinical trials, medical technology development, pharmaceutical
• engaged in biomed or life sciences research, clinical trials, medical technology development, pharmaceutical

Keywords: 912, senate, all

Summary: The committee first heard SB 2627, which would exempt Hawaii Tourism Authority contracts and agreements for sports projects, events, and related marketing from the state procurement code and other competitive bidding requirements. HTA, DBEDT, and the State Procurement Office testified in support or with comments, while one individual offered general support for sports tourism. Senators focused on narrowing the bill so the exemption would apply more specifically to sports-related projects and marketing, rather than broad marketing activities, and discussed whether the bill should require notice to the State Procurement Office or approval by the chief procurement officer. Procurement officials said a reporting requirement would be the most expeditious option, while still allowing post-event monitoring and public posting of exemptions. Members also discussed whether the exemption should be limited to situations involving sole-source sports entities, such as major leagues or international sports organizations, to better justify bypassing procurement rules. The committee did not take a final vote in the portion provided, but members and testifiers agreed to continue working on the language. The hearing then moved to SB 2074 relating to state facilities and naming rights for the Aloha Stadium and Hawaii Convention Center. The Stadium Authority, HTA, and DBEDT testified in support, while the Outdoor Circle and other organizations opposed the measure. Opponents argued the bill could create fiscal and legal risk, echoing concerns raised in prior legislation and by the attorney general, and warned it would mark a major shift by treating public facilities as commercial branding opportunities. Supporters said naming rights could generate significant revenue to help fund the stadium project and reduce the burden on the state and developers. Senators questioned how signage would be handled, especially whether it would be exterior-facing or limited to inward-facing signage, and the Stadium Authority said it was willing to work with the Outdoor Circle on language that would preserve community aesthetics while allowing revenue generation. A senator cited a prior study estimating naming rights could bring in about $1.5 million per year over 20 years, and asked what that revenue would buy for the public; the Stadium Authority responded that it would help advance the project toward a larger, improved stadium. No final action was taken in the excerpt provided.