Transcript Highlights:

• These are people that many times are disabled, living in our Section 8, and now to say you're either
• Alternative ways in which the state may respond to that change in federal support and activity.
• My name is Conrad Crump and I'm here on behalf of Disability Rights California and we appreciate the
• We recommend expanding workforce development supports and creating clarity around student eligibility
• I appreciate you all the opportunity to support this bill.

Transcript Highlights:

• we're kicking disabled people off of we're kicking disabled people off of Medicaid,<02:16:57.040><c>
• I rise today in support of the rule and in strong support of H.R. 1, President Trump's one big beautiful
• </c><02:42:14.640><c> that</c><02:42:14.800><c> are</c> if you support programs that are if you support
• </c> support this bill and yield back. support this bill and yield back.
• </c> hurts America and you need to support hurts America and you need to support the<03:57:43.439><c>

Bills: HR1 , HR566

Keywords: House of Representatives, Clerk, Sergeant-at-Arms, Chief Administrative Officer, appointment, H.Res. 566, HR566, House resolution, rule, special rule, procedural resolution, floor procedure, budget reconciliation, reconciliation bill, H.R. 1, One Big Beautiful Bill, Senate amendment, House Concurrent Resolution 14, H.Con.Res. 14, Budget Committee

Transcript Highlights:

• Democrats support voter ID.
• We have I know some supporters that have come from the district to show their support.
• You have a primary witness in support here? No? Are there any primary witnesses in support?
• Any other supporters of the bill who'd like to come to the mic to register your support?
• of Disability Rights of California also in support.

Committee: House Elections

Transcript Highlights:

• School districts and the state budget are feeling the strain, so what can we do to support educators
• So what can we do to support educators and some of their most vulnerable students with funding challenges
• </c><00:05:01.560><c> staff</c><00:05:01.800><c> to</c><00:05:01.960><c> do</c> uh an additional support
• staff to do uh an additional support staff to do some<00:05:02.240><c> of</c><00:05:02.400><c> that<
• and so I and students with disability and so I have<00:10:26.880><c> a</c><00:10:27.040><c> feeling<

Transcript Highlights:

• And I'm voting, obviously, in support. ...attentional attack on our values.
• when we support women, is just a critical value. supports when we support women is just a critical value
• So I just want to highlight that and we'll be strongly supporting this.
• In support of AB 106, In support of AB 106 to support our state's critical safety net health care services
• Omar Altamimi with the California Pan-Ethnic Health Network here in support.

Committee: Senate Budget and Fiscal Review

Transcript Highlights:

• </c> creating this bill and for your support creating this bill and for your support of<00:39:35.920>
• ><00:43:46.880><c> for</c> provides support and advocates for provides support and advocates for people
• ,</c><00:46:31.119><c> we</c> employment due to their disability, we employment due to their disability
• </c> appreciate the House committee's support appreciate the House committee's support of<00:53:26.960
• </c> Um, your support has made this possible. Um, your support has made this possible.

Bills: HF2435

Committee: House Health Finance and Policy

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health

Transcript Highlights:

• We are very grateful for that support, particularly given what We are very grateful for that support,
• I want to thank this committee for their support and the entire legislature for their support over what
• I want to thank this committee for their support and the entire legislature for their support over what
• That amount of money will go well to supporting the legal aid organizations that are providing support
• And so we need to make sure that the programs that we're supporting are created in a way that supports

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held its sixth public hearing on the Governor’s H-2 budget proposal for fiscal year 2026, focused on public safety and judiciary agencies, at the Foxborough Community Center. After opening remarks and local welcomes, the committee heard first from the Executive Office of Public Safety and Security, led by Secretary Gina Kwan, who outlined a $1.72 billion budget, up $69.8 million from FY26. She said the proposal emphasizes core operations, readiness, and partnerships with municipalities, and highlighted work on firearms-law implementation, State Police reform, DOC reentry efforts, hate-crimes prevention, emergency response, and planning for major events including the World Cup. Members also raised concerns about DNA backlog reporting, State Police academy boxing and training standards, ICE communication, disaster relief funding, crime lab staffing, EMS placement, and diversity in public safety leadership. Several exchanges focused on specific operational issues. Secretary Kwan and her team said the State Police are tracking the influx of forensic work from local sheriffs, that the boxing program remains suspended pending an IACP review and likely will not return in its prior form, and that EOPS has no direct communication with ICE but supports law-enforcement coordination where appropriate. On disaster preparedness, officials said the new disaster relief fund is being developed with MEMA and A&F, currently capitalized at $14 million with another $14 million expected, though members urged a more permanent funding source. On the crime lab, staff said the roughly $4.5 million increase is intended to cover core operations and a structural funding gap rather than expand services. The secretary also said EOPS is not ready to absorb OEMS from DPH at this time, though she would keep an open mind. The committee then heard from district attorneys, led by Suffolk County DA Kevin Hayden, who said the Massachusetts District Attorneys Association is seeking a 10% increase in operating budgets, including about $16.7 million for staffing salaries, to recruit and retain prosecutors, advocates, and support staff. He said the request reflects rising workload and the need to keep the criminal justice system functioning efficiently and fairly. The hearing was recessed briefly after the district attorneys’ opening remarks, with additional testimony expected to continue afterward.

Transcript Highlights:

• Henry, waving in support; Julie Adamson, waving in support; Michelle...
• Waving in support. Thank you. Stephan Hartman? Waving in support. Thank you.
• also waving in support.
• also waving in support.
• I support this bill.

Committee: Senate Judiciary

Summary: The Judiciary Committee heard Senate Bill 1272 on guardianship, which would limit a guardian’s ability to isolate an adult ward from family and require notice of major events such as a ward’s death or relocation to a more restrictive setting. Senator Jones and supportive speakers said the bill was intended to protect wards from abuse and isolation by bad actors, while still preserving good-faith guardianship. With no opposition testimony or debate, the committee voted 8-0 to report the bill favorably. The committee then considered CS for Senate Bill 1284, which would expand Florida’s Wrongful Death Act to allow civil claims for the death of an unborn child. An amendment was adopted to define “unborn child” as a member of the species Homo sapiens carried in the womb and to state that the act does not authorize claims against the mother or against health care providers acting within the lawful standard of care. The bill drew extensive debate and testimony. Supporters argued it would give parents parity and fuller damages, including economic losses and mental anguish, when negligence causes the death of an unborn child. Opponents, including the ACLU, medical professionals, and reproductive rights advocates, warned it could be used to target abortion care, increase malpractice exposure, worsen physician shortages, and create speculative damages. The committee approved the bill 6-4. Finally, the committee took up Senate Bill 1288 on parental rights, with a strike-all amendment that would strengthen parental control over minors’ medical decisions, surveys, and biofeedback devices, while adding exceptions for emergencies, court orders, certain legal statuses, and situations involving abuse or out-of-home placement. Supporters said the measure restores parents as primary decision-makers and protects children from inappropriate questioning or treatment without consent. Opponents argued it could block minors from confidential care for STIs, mental health, or abuse-related issues, and could chill school and medical screenings. The transcript ends during testimony and debate on this bill, before any final vote is shown.

Transcript Highlights:

• Chair: Ryan Stringer from Florida Youth Shine also in support.
• And Barney Bishop, Florida Smart Justice Alliance, also waiving in support.
• Thank you for your support.
• Chris Dawson with ChildNet Incorporated waiving in support.
• Victoria Zap from Family Support Services waiving in support.

Transcript Highlights:

• with One Hope United waving in support.
• Anna Higgins with Children's Home Network, waving in support.
• We have Karen Murillo with AARP waving in support.
• It's a disability.
• Karen Murillo with AARP is waiving in support.

Transcript Highlights:

• And she is waving in support. Thank you.
• So with that, I would ask everyone for their support.
• aerospace and launch support facilities.
• aerospace and launch support facilities.
• . ...and that is from Casey Welch with USF, waving in support.

Committee: Senate Transportation

Summary: The committee met with a quorum present and heard a series of transportation-related bills, most of which were reported favorably. SB 532 would exempt 100% disabled veterans from paying Florida tolls. SB 1738 would allow certain counties that previously opted out of transportation concurrency to opt back in by maintaining current levels of service, though there were concerns about congestion and future growth. SB 1696 aimed to reduce transportation network company driver impersonation, allow transit authorities to contract with ride-share platforms, and permit those platforms to participate in state-funded paratransit trips. SB 1378, as amended, would allow courts to order restitution in standard leaving-the-scene crashes; the amendment made restitution discretionary and required that the driver caused or contributed to the crash. SB 1210 would increase penalties for red-light and stop-sign crashes and require bodily injury insurance for drivers who cause such crashes. SB 1820, via strike-all amendment, addressed dealer-manufacturer relations by requiring written explanations of performance measures, prohibiting retaliation against dealers asserting statutory rights, and limiting franchise termination or nonrenewal to substantial breaches. SB 1246 created a specialty license plate for safe coastal wildlife, with proceeds going to the Zoo Miami Foundation for conservation work and an amendment allowing up to 10% for administrative and marketing costs. The committee also considered SB 574, which would allow Florida residents with Purple Heart license plates to pass tolls free of charge; the bill was amended to change the plate reference to a specialty plate and was reported favorably. SB 1662, the FDOT department bill, was substantially revised by strike-all amendment covering a wide range of transportation issues, including USF’s role in the Florida Transportation Research Institute Consortium, Florida Transportation Commission provisions, seaport and airport-related changes, strategic space infrastructure, sewer lines in rights of way, small county road assistance, aggregate supply chain programs, and Jacksonville Transportation Authority board appointments. Testimony on SB 1662 included support from USF and the Florida Public Transportation Association, which raised concerns about added oversight and bureaucracy for transit systems. Most bills received support from affected stakeholders, and several were amended before final favorable votes. Roll calls were taken on each measure, and all of the listed bills were reported favorably by the committee. At the end of the meeting, senators requested to be recorded as voting in the affirmative on several bills, and the committee adjourned after a brief personal privilege remark from Chair Collins.

Transcript Highlights:

• I'm here to support this bill and also support the students.
• </c> in the building to provide support. in the building to provide support.
• disability? disability?
• <c> are</c> disabilities or without disabilities are disabilities or without disabilities are in<01:32
• </c> of an identified disability. of an identified disability.

Committee: House Education Policy and Administration

Transcript Highlights:

• Our support spans across 11 states, inclusive of support from spina bifida, Down syndrome, Cure SMA,
• Our support spans across 11 states, inclusive of support from spina bifida, Down syndrome, Cure SMA,
• </c> for her Champion leadership in support for her Champion leadership in support of<00:03:17.760><c
• ><c> of</c><00:03:53.400><c> support</c><00:03:53.879><c> from</c> states inclusive of support from states
• </c><00:31:10.080><c> those</c> problems are and then supporting those problems are and then supporting

Summary: The committee first took up House Bill 44, “Landon’s Law,” sponsored by Rep. Candy Massaroni. The bill would allow schools to keep anti-choking devices such as LifeVac on hand while limiting liability. Testimony from Equal First Aid and LifeVac emphasized that choking is a leading cause of death for children, that the devices are noninvasive and FDA-registered, and that updated Red Cross guidance allows their use when standard rescue protocols fail or are not feasible. Lauren McCubbins, Landon McCubbin’s mother, gave emotional testimony about her 8-year-old son’s death from choking at school and urged the committee to give schools an added rescue option. Members asked questions about how the device works, whether the Heimlich maneuver remains part of the protocol, and whether the bill is limited to LifeVac or applies to similar devices. The bill was reported favorably, with a roll call vote showing unanimous support from members present. The committee then heard a bill sponsored by Rep. J. Baker aimed at reducing administrative burdens in schools and supporting teacher recruitment and retention. The measure would lengthen the required evaluation cycle for tenured teachers from every three years to every five years, provide teachers a copy of their employment contract upon request, streamline professional development provisions, update continuous school improvement plan filing requirements, restore schools’ ability to use Title II funds for certain programs after an unintended consequence of prior legislation, and require KDE to review reporting requirements and eliminate those not required by law. Rep. Baker said the bill was developed with teachers and administrators through a working group and is intended to reduce “check-the-box” tasks so educators can focus on instruction. Amanda Butler of Spencer County Schools and other educators testified that the changes would save time, preserve funding for mentor and induction programs, and reduce repetitive paperwork. Rep. Fleming asked for clarification on the longer evaluation cycle, and an educator witness explained that each evaluation involves pre-observation, observation, and post-observation time and that districts would still retain flexibility to evaluate more often if needed. No final vote on this bill was included in the transcript excerpt.

Transcript Highlights:

• That's why more than 100 Minnesotans with disabilities, supporters, and advocates came to the Capitol
• to rally for disability rights.
• So, we are here to talk today about disability advocacy and rights.
• </c><00:04:56.600><c> uh</c> Um the uh ombudsman for disabilities uh Um the uh ombudsman for disabilities
• This is a great way to help support that and give them that security.

Transcript Highlights:

• Mahalo for your support.
• Seeing none, we'll go to Zoom testifiers. support. support.
• ><c> disabilities.
• Mahalo. social, and economic development social, and economic development support. support. support.
• We deeply appreciate your consideration and continued support for Hawaii's developmentally disabled community

Summary: This joint informational briefing on Act 310 grants and aid focused on organizations describing how federal funding cuts, Medicaid/SNAP changes, and related policy shifts are affecting their services and budgets. Committee members explained there would be no Q&A, testimony would be limited to one minute, and in-person participants would be heard before Zoom callers. Members repeatedly asked testifiers to identify the amount of federal funding lost or at risk. Testimony came from a wide range of nonprofits and community providers, including Aloha Care, Hawaii Bicycling League, Hawaii Literacy, Hawaii Youth Symphony, Healthy Mothers Healthy Babies Coalition of Hawaii, the Tsunami Museum, The Kohala Center, West Hawaii Community Health Center, West Hawaii Region Hospital Foundation, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaii, Dynamic Community Solutions, Feeding Hawaii Together, Girl Scouts of Hawaii, Hawaii Disability Rights Center, Hawaii Youth Services Network, Hawaiian Lending and Investments, Homana, Honolulu Theatre for the Youth, Kids Hurt Too Hawaii, and Kokua Kalihi Valley. Most described reduced or threatened federal support and requested state funding to maintain services such as health care access, food security, disaster preparedness, literacy and digital inclusion, youth mentoring, arts education, housing, and climate or agricultural resilience. Several speakers emphasized direct impacts on vulnerable populations, including kūpuna, low-income families, immigrants, homeless youth, and people with disabilities. Requests ranged from relatively small planning or program grants to multi-million-dollar stabilization asks, with some organizations citing specific losses such as reduced Medicaid or USDA funding, canceled EPA or FEMA support, or expiring federal grants. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• Your support has helped no surprise.
• </c> is a wonderful plug uh and a support is a wonderful plug uh and a support mechanism<00:51:42.079
• So that I fully support.
• There's no doubt about it. fully support. The piece that I I'm fully support.
• I I do not support support support speeding<01:17:41.280><c> up</c><01:17:41.600><c> the</c><01:17:41.920

Committee: House Primary and Secondary Education

Transcript Highlights:

• We respectfully urge the committee to take favorable action to support these important measures.
• We respectfully urge the committee to take favorable action to support these important measures that
• Thank you for the opportunity to provide testimony in support of House Bill 766. Thank you.
• Thank you for the opportunity to testify in support of H. 766.
• I think you would have heard supportive testimony from the previous testimony.

Committee: Joint Joint Committee on Aging and Independence

Summary: The Committee on Aging and Independence heard testimony on a package of long-term care and elder care bills focused on building on the state’s 2024 long-term care reform law (Chapter 197). Richard Moore of Dignity Alliance urged favorable action on the bills as a “long-term care 2.0” effort, arguing they would strengthen the workforce, protect residents’ rights, improve clinical quality, and increase transparency and sustainability in nursing homes and other facilities. He also raised concerns about staffing funds not reaching direct care workers and suggested further oversight of how appropriated money is spent. Patricia Crispy of the American Nurses Association testified in support of House Bill 766, which would require at least one registered nurse with full voting rights on the board of directors or trustees of every acute care hospital and nursing home. She and the bill’s sponsor, Representative Vanado, said nurses’ clinical expertise and 24/7 presence make them valuable contributors to governance and patient safety. Committee members asked whether the bill would cover assisted living and how many facilities already have nurse board members; the witness said she would provide more data and clarify the assisted living question. Senator Lovely testified on two bills: Senate 479, which would expand transparency and accountability in long-term care by tightening fire safety, smoking, hearing-loss, and ownership disclosure requirements, adding advocacy groups to an advisory committee, and increasing penalties; and Senate 480/House 795, which would require single-occupancy rooms in nursing homes unless residents consent to share, to improve privacy and reduce infection spread. Deborah De Benedictus also testified in support of House 759, describing her father’s experience in assisted living and arguing for the use of cameras in elder care facilities to monitor care and deter neglect. The committee discussed privacy concerns, notification rules, and the need for honest staffing and care practices, and then adjourned without taking any recorded votes or formal actions in the transcript.

Transcript Highlights:

• Thank you for the opportunity to testify in support of House File 4492 and thank you to Chair Bliss for
• </c> We've been include them in our Support We've been include them in our Support Our<00:02:47.520><
• </c> supports this bill becoming a law. supports this bill becoming a law.
• Uh, disabled veterans free entry into the Minnesota Arboretum.
• Uh, disabled veterans free entry into the Minnesota Arboretum.

Transcript Highlights:

• , as well as our elders that age into disability.
• In 2022, there were about 126,000 workers supporting older adults and people with disabilities in Washington
• One in three have a developmental or intellectual disability.
• Supporting avenues for increased worker voice and participation.
• We are all working diligently to support the needs in the community.

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:

• . disability. disability.
• </c> and support is unpaid. and support is unpaid.
• . supports. supports.
• </c> with intellectual disabilities. with intellectual disabilities.
• </c> support our caregivers. support our caregivers.

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.