Transcript Highlights:

• It transitions from the fixed employee-rate pricing model to the hybrid model, which consists of a reduced
• It's also called the CARE Project. The CARE Project has made significant and measurable progress.
• efficiency and care coordination.
• So with this care project implementation, care, you know, we support So with this care project implementation
• And with these two proposals and the CARE Project, you know, this is going to help the CARE Project get

Keywords: 988, house, all

Transcript Highlights:

• , and medical care, to name a few.
• , and medical care, to name a few.
• , and medical care, to name a few.
• , and medical care, to name a few.
• , and medical care, to name a few.

Keywords: 1187, senate, all

Summary: The Education Finance Committee met on February 5, 2025, to hear testimony from representatives of Minnesota’s Catholic and other nonpublic schools, focused on state nonpublic pupil aid, transportation, counseling, nursing, and related support programs. Meg Forette of the Archdiocese of St. Paul and Minneapolis argued that Catholic schools serve more than 30,000 students across many districts, educate a diverse population, and achieve strong academic results while operating at far lower per-student costs than public schools. She urged lawmakers to reject proposed cuts to nonpublic funding, saying they would be inequitable and harmful to lower-income families, and also raised concerns about state teacher-licensing requirements conflicting with Catholic values. Trisha Menshu, principal of St. John Paul II Catholic School in Northeast Minneapolis, described a student body with high levels of poverty, learning needs, and academic gaps, and said state-funded nurse and guidance-counseling services are essential to keeping students safe, healthy, and on track for high school. She said the school absorbs many costs itself, including medical supplies and significant staff time, and credited the support programs with helping students make strong academic growth and graduate on time. In response to a senator’s question, she clarified that the school uses the nursing aid for limited nurse time and pays other medical-related costs from operating funds, with no billing back to public school districts. Committee members asked follow-up questions about the relationship between teacher licensing and Catholic values, and about how medical needs for nonpublic students are funded. Forette said the concern was not with welcoming all students but with how DEI-related trainings and language are presented in ways that conflict with Catholic teaching. The committee then moved on to the next testifier, Andrew Hiliker of Stella Maris Academy in Duluth, who began by describing his school’s growth and the state’s role in supporting all students, regardless of school choice.

Transcript Highlights:

• Studies show that culturally centered care models can improve health outcomes and reduce disparities
• Research shows that culturally congruent care models can reduce these health disparities and improve
• that do not align with the birth center model of care.
• This bill would allow their care model.
• of care that best in place inclass model of care that every<00:19:46.240> motan<00:19:46.880>

Keywords: 1187, senate, all

Transcript Highlights:

• would help us create similar models would help us create similar models across<00:05:22.720>
• high demand roles in health care high demand roles in health care manufacturing<00:13:55.399>
• sort of a 2.0 effort to collaborate sort of a 2.0 effort to collaborate together<00:15:58.440>
• strong Workforce and across healthc care strong Workforce and across healthc care agriculture<00
• opportunities that we can collaborate opportunities that we can collaborate especially<01:25:30.280

Bills: HF1936, HF849, HF989, HF1130, HF1223, HF1907, HF1847, HF1957

Keywords: workforce development, youth employment, career guidance, education, job skills, Duluth Promise, education funding, career training, employment support, youth apprenticeship, economic development, minority support, internship program, Bloomington, funding, youth mentorship, job training, disadvantaged youth, Big Brothers Big Sisters, Youthprise

Transcript Highlights:

• Texas has one of the most successful and mature Medicaid managed care models in the country.
• The managed care model is flexible enough to do that in coordination with HHS.
• The managed care model is flexible enough to do that in coordination with HHS.
• the managed care model across pretty much all of our Medicaid long-term care programs.
• We must require meaningful service utilization targets and commit to innovative, flexible care models

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:

• strengthening oversight of health care strengthening oversight of health care programs<00:03:10.400
• The managed care or getting the scammy businesses.
• So now you to oversee individuals care.
• from the human services in collaboration from the human services in collaboration with<00:19:33.280
• And um caring people in our society.

Keywords: 919, house, all

Summary: House DFL leaders held a press availability outlining a broad anti-fraud agenda focused on state programs, especially Medicaid-related services, but also unemployment and tax fraud. They said the package is intended to strengthen accountability, improve oversight, and prevent fraud before it occurs, while arguing that fraud harms vulnerable Minnesotans such as children with autism, people with disabilities, seniors, and homeless people. They also tied the problem to long-term privatization of public services, arguing that outsourcing creates more layers and opportunities for fraud, and cited examples like county case management and managed care arrangements. Specific proposals discussed included strengthening the attorney general’s Medicaid fraud control unit, creating or expanding inspector general functions, requiring more in-person site visits, using electronic visit verification, improving background checks and fingerprinting, and upgrading outdated IT systems. Members said some bills would be relatively low-cost while others would require funding, and that bills without fiscal notes might move separately while others could be folded into budget discussions. They also said the House DFL had already taken steps in prior sessions, including creating a fraud unit at the BCA and adding DHS staff for site visits. The discussion also covered the Office of Inspector General bill, with DFL members saying they support placing the office in the executive branch and that the governor should make the final appointment for constitutional reasons. They said Republicans had blocked amendments they viewed as adding fraud-prevention authority to the OIG bill, and that the governor’s staff had not been involved in working groups. On a separate bill involving disclosure requirements, they said the committee version was improved but still flawed because it could interfere with investigations; they said it would next go to the Children and Families Committee. No votes were taken in the exchange, and members said they were still early in session and hoped for more constructive negotiations later.

Transcript Highlights:

• It's a business model now because the maximum fine is $50.
• Just leave the cart, let the city take care of it.
• I care deeply about neighborhoods and local government.
• Since the bill's introduction, we have been as collaborative as possible.
• Since the bill's introduction, we have been as collaborative as possible.

Summary: The committee first heard SB 753, which would modernize California’s shopping cart recovery rules by allowing cities and counties to return abandoned carts directly to retailers, recover documented retrieval costs, and avoid the current impound-and-wait process. The author and supporters, including San Jose officials and the League of California Cities, said the bill would help clear streets, sidewalks, and waterways and reduce local costs. Grocers and retailers opposed the measure unless amended, arguing it would turn cart retrieval into a new cost burden and could create incentives for cities to charge too much for stolen property. After extensive discussion about notice periods, cost caps, and local ordinances, the committee adopted amendments and passed the bill 6-0 as amended. The committee then took up SB 445, which would speed up permitting and approvals needed for high-speed rail by requiring early engagement, setting rules for third-party coordination, and creating a dispute-resolution process. The author said the bill was narrowed from an earlier, broader transit proposal and was intended to reduce delays caused by utilities, local governments, and other entities. Supporters said permitting bottlenecks add major costs and delays to infrastructure projects, while opponents from utilities, cities, counties, telecoms, and special districts raised concerns about safety, reliability, affordability, and the need to review the pending amendments. The bill passed 8-1 to the Utilities and Energy Committee. The committee also heard SB 9, a narrower housing bill focused on accessory dwelling units. The author explained that it would require local ADU ordinances to be submitted to HCD for review and would make state standards control if a local agency fails to submit a compliant ordinance or respond to HCD findings. Supporters from housing and YIMBY groups said the bill would improve enforcement of state ADU law and prevent local barriers from slowing housing production. There was no opposition, and the bill passed 6-0. The committee then began hearing SB 79, which would allow more housing near major transit stops; the author and supporters framed it as a response to the housing shortage and transit underuse, and the hearing continued with extensive support testimony as the transcript ended.

Transcript Highlights:

• home models.
• care.
• child care home in Alameda County, infant care is already above the cost of care.
• For infant care? For a large family child care home.
• Adopting a prospective pay model will pay providers before care is delivered, just as private-pay families

Summary: The committee heard an extensive Department of Social Services presentation on child care budget issues, including the Governor’s proposed 2026-27 budget, federal CCDF changes, Prop. 64 revenue adjustments, and a one-time $11.5 million disaster-related infrastructure grant for licensed child care facilities affected by 2025 declared disasters. DSS said federal formula updates and lower Prop. 64 revenues would reduce funding and could result in about 4,176 CCTR slots being reduced, but the department said it was working to avoid impacts to currently enrolled children. The LAO supported aligning general child care funding with lower revenues and asked for more detail on the disaster grant. Members pressed DSS and Finance on why reductions were not being backfilled and why so many awarded slots remain uncontracted or unused; DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment challenges, and that some unspent funds revert to the General Fund. The committee also discussed whether some contract dollars should be shifted to vouchers and whether more flexibility should be allowed for infrastructure and expansion costs. A second panel focused on the state’s commitment to expand child care and on rate reform. DSS reported that nearly 125,000 new slots have been awarded since 2021-22, but speakers from Stanislaus County Office of Education, Parent Voices California, and the California Budget and Policy Center argued that unmet need remains large and that the system still leaves many families without access. Stanislaus County described a large local shortage of infant and toddler care and said reimbursement disparities between child care programs and state preschool create disincentives for providers. Parent Voices gave testimony about the burdens and instability families face when trying to access care, especially for survivors and low-income parents, and called for a universal, publicly funded system. The Budget Center said only about 16% of eligible children were enrolled in 2024, urged expansion across the mixed delivery system rather than concentrating investment in TK, and called for faster rate reform and new revenue. LAO estimated that bringing certain CCTR adjustment factors up to CSPP levels would cost $88 million to $131 million ongoing. Members and witnesses discussed the single rate structure, automation needs, and the need for deadlines and a ramp-up plan; DSS said the goal is to eliminate disparities, but that policy decisions are still needed before automation can proceed. The committee then reviewed several trailer bill proposals. DSS outlined a 2026-27 COLA proposal that would apply a 2.41% increase through cost-of-care-plus payments, though the department said it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge Program and would revise the proposal; LAO recommended making the COLA methodology uniform across programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology on a triennial schedule, limiting temporary absences in family child care homes to 20% of monthly hours, defining excessive unexplained absences as more than 30 days in a year, and aligning family fee deductions with new federal requirements so providers receive the full voucher value. Members generally supported the temporary absence change and asked about implementation timing for the family fee deduction, with DSS saying it was in contact with Riverside County. The committee also heard a brief update on the Early Childhood Policy Council reappropriation, which would extend unused funds through June 30, 2028 because prior costs came in higher than expected.

Transcript Highlights:

• Department to figure out a collaborative outcome in those areas.
• You took care of almost everything.
• Take care. Good afternoon now, and I will do my best to do this quickly.
• We've done a lot of the modeling work ahead of time.
• This is a model that we've seen as a best practice around a number of projects.

Keywords: 988, house, all

Transcript Highlights:

• And so finally, I would like to point to the final five appropriations, which focus on the Health Care
• This is a collaborative effort to work with our youth in a community-based system within the juvenile
• So, I'm not familiar with the Washington model.
• Roosevelt County has the best model in terms of implementation of mass services within the state for
• of care.

Transcript Highlights:

• Again, collaborate.
• Again, collaborate. And again, because kind of touching on, on that definition. Again, collaborate.
• That collaboration is critical to the process.
• We collaborate with extension on various projects, but, yeah, that would be an easy collaboration for
• You're free to attend virtually if you care to. Actually, if you care to.

Keywords: 908, all

Transcript Highlights:

• Statute requires DOH to inspect acute care hospitals on average at least every 18 months.
• To achieve our objective, we will start by collaborating with partners to identify language barriers
• The adverse event reporting program can be a vital tool for health care facilities to incorporate into
• And it's, I mean, it's a very similar model to any agricultural product, quite honestly.
• For instance, OPDP participates in state and local government committees and collaborations.

Summary: The committee met on December 3, 2025, with a quorum present and approved the September 17 minutes. Members first voted to suspend the 2026 JLARC lodging tax expenditure report for one year, based on staff’s explanation that the report is self-reported, not verified, and less useful than State Auditor accountability audits; the motion passed. The committee also approved renaming the JLARC I-900 subcommittee to the “Committee to Hear SAO Performance Audits,” while keeping the opening script noting that the performance audit process exists under Initiative 900. The committee then heard follow-up updates on two prior performance audits. The Department of Health presented a draft strategic management plan in response to findings on hospital inspections, complaints, adverse event review, and hospital data access. JLARC staff reiterated that 72% of hospital inspections were late, that DOH did not verify third-party inspection standards or review adverse event reports, and that complaint data suggested possible language-access barriers. DOH said it concurred with the recommendations, had improved on-time inspection compliance to about 49%, planned annual updates starting in July 2026, and would work on accreditation oversight, complaint-language access, and data accessibility, though members pressed for firmer deadlines and questioned the three-year timeline for language access improvements. The Liquor and Cannabis Board also reported on its cannabis market study recommendation. JLARC staff said the agency’s data were incomplete and unreliable, limiting oversight of production, recalls, tax collection, and diversion. LCB said it had improved its current CCRS system but still relied on self-reported data, and it presented a decision package for a new traceability system estimated at about $9 million over three fiscal years. LCB described a plant-tagging and serialization approach tied to production, processing, testing, and retail, but acknowledged it did not currently have sufficient staff to fully implement the system without additional funding. The committee also received briefings on JLARC’s recommendation-tracking tools and the 2024 public records reporting summary, including a high-level review of agency response rates, request volumes, costs, and litigation. Finally, JLARC presented the proposed final report on the Office of Privacy and Data Protection, concluding that OPDP meets its statutory responsibilities and has high user satisfaction, but that its mandate should be updated to better match its current capacity and focus; the committee adopted the report for distribution. The meeting then moved into the 2025 tax preference performance reviews, where JLARC staff summarized nine reviews and noted that the Citizens Commission on Tax Preference and Performance Measurement endorsed all 17 legislative auditor recommendations, with comments on seven. Early reviews discussed included natural gas transportation fuel preferences, travel agent and tour operator B&O rates, nonprofit low-income housing development, multipurpose senior centers, disabled veteran adaptive housing, and trade convention attendance, with staff and commissioners generally recommending continuation of some preferences, modification of others, and improved objectives or performance measures where needed.

Transcript Highlights:

• over the P and 3 model but PM Threes.
• We want to move to an implementation model. Well, there's coaching.
• And then this notion of collaboration, we need our teachers to be able to continue to collaborate, to
• They collaborate with our math team.
• Now, we always will have the model of continuous improvement.

Keywords: 999, senate, all

Transcript Highlights:

• We have a lot of funding models and education.
• Voluntary pre care of up can make early. 5 year-olds can is.
• So we have to do trauma, informed care.
• And I think ensure that our children are taken care of?
• No respite care.

Keywords: 999, senate, all

Transcript Highlights:

• Again, clinical skill, quality of care, lack of continuity of care.
• opportunity for health care providers across a continuum to connect, collaborate, and share best practices
• in stroke care.
• stroke care across the state.
• , and uncompensated care.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• access to early education and care.
• So there’s two different models.
• Take care.” “All right.
• I mean, there's a lot of ways that we could work and collaborate.
• I mean, there's a lot of ways that we could work and collaborate.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a public FY27 budget hearing at Barnstable Town Hall, with opening remarks emphasizing the Cape and Islands’ seasonal infrastructure, housing, transportation, workforce, and digital needs. The hearing began with testimony from the Executive Office of Labor and Workforce Development, which outlined the Healey-Driscoll administration’s budget priorities for job training, apprenticeship, youth employment, reentry programs, and unemployment insurance modernization. The secretary highlighted proposed funding for the Workforce Competitiveness Trust Fund, Career Technical Initiative, YouthWorks, reentry workforce development, and services for young adults with disabilities, along with a proposal to streamline youth work permits. Members also discussed the unemployment trust fund, the COVID assessment on employers, rising unemployment, and the need to improve DUA customer service and claims processing. Committee members asked about job seeker barriers such as child care, housing, transportation, and out-migration of young workers, as well as how to keep Cape Cod graduates and seasonal workers in the region. The administration said its strategy is to pair training with broader affordability investments and to expose students to career pathways earlier, including through middle school, early childhood STEM, YouthWorks, pre-apprenticeships, and Building Pathways. Senators and representatives also raised concerns about regional funding disparities, especially for Hampshire Franklin MassHire, and the administration said it is reviewing MassHire funding and service equity through a policy committee and statewide workforce board. On unemployment assistance, officials reported major improvements in wait times and claims processing, but said they are still working through backlogs and staffing challenges while maintaining program integrity. The committee then heard testimony from the Executive Office of Economic Development. The secretary described House 2 as a fiscally restrained budget with no new taxes or fees, while preserving core programs and using the Mass Leads Act tools to support competitiveness. EOED’s proposal included funding for the Community One Stop for Growth, rural economic development, social enterprise operating grants, regional economic development organizations, the Workforce Investment Trust Fund, Community Workforce Partnerships, Pathmaker, advanced manufacturing training, life sciences, innovation vouchers, AI initiatives, small business assistance, and tourism and live theater support. The Office of Consumer Affairs and Business Regulation also testified on its FY27 request, focusing on consumer protection, licensing, banking, insurance, and public safety regulation. No votes were taken during the hearing.

Transcript Highlights:

• <00:15:14.079> So, an institutional level of care. So, an institutional level of care.
• <00:15:17.600> facility facility or intermediate care facility facility or intermediate care
• And innovative care.
• license to do careful clinical trials. license to do careful clinical trials.
• . collaborate. collaborate.

Keywords: 958, all

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.

Transcript Highlights:

• This was our way of collaborating with the education community.
• They're champions of teacher collaboration. They understand the PLC process.
• I mean, if we look at Noster's model... Yeah, thank you for that question.
• It's bringing in that state funding for the model that's currently happening.
• I need to be careful on this, just from my own experience.

Keywords: 985, all

Transcript Highlights:

• We collaborate with multiple agencies, and we collaborated with at least 43 agencies for research.
• We’re sort of the legal arm of the tri-agency collaboration, and we do collaborate a lot with both of
• People must meet an institutional level of care in order to qualify for waiver services.
• And it protects and strengthens the Affordable Care Act.
• services and general care services and general care coordination<01:10:31.000> and<01:10:

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population. The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information. The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.

Transcript Highlights:

• So in our model, yes.
• So that's integrated into our model.
• So in our model, yes.
• So that's integrated into our model.
• So we adopted this model. And we also adopted this model of what we call Before We Serve.

Summary: The committee first heard a presentation from WSDOT on balancing uncertainty in capital program estimates and cash flow management. WSDOT explained the differences between design-bid-build and design-build delivery, its tiered risk-assessment process by project size, and how it uses base estimates, inflation, and risk modeling to set budgets. Staff said design-bid-build estimates are generally accurate within about 1% across the program, while design-build projects carry much wider uncertainty and are better communicated as ranges; they cited a P85 budget approach and noted that large, complex projects can be affected by market competition and long procurement timelines. Members asked about the Columbia River Bridge cost growth and about value engineering, and WSDOT said it uses value engineering but has limited scope to cut costs because of project requirements and policy mandates. Troy Swing also discussed cash flow, noting that a few large projects can significantly affect biennial funding needs, and said a risk pool would not reduce overall program risk but could help manage timing if paired with appropriation and cash-flow controls. The committee then received the final presentation in the WSDOT Project Delivery and Innovative Practices study from HKA Global. The consultant said WSDOT’s estimating practices are generally robust and recommended improving transparency by presenting budget authorizations as ranges or estimate classes, better tracking estimate growth over time, and adjusting advertisement timing to avoid competing lettings. The report also discussed surety bonding, suggesting the legislature consider restoring authority for reduced bonding on select large design-build projects or using phased bonding and alternative securities. On indefinite delivery/indefinite quantity contracting, the consultant said current job order contract rules are restrictive and recommended legislative changes to make such tools more usable, especially for smaller tasks and to help use unspent funds more flexibly. The committee also heard a follow-up presentation on transit-oriented development policy recommendations tied to HB 1491. The Urban Institute’s Yona Freemark said Washington has been a national leader on TOD but that housing construction, especially in the Puget Sound, has slowed sharply since 2022. He said rising construction costs, high financing costs, and local tax and rent conditions are making many TOD projects infeasible, and recommended that the state fill infrastructure funding gaps around stations, revisit MFTE affordability requirements, consider minimum rather than average density requirements near transit, and create a statewide system to track TOD outcomes such as affordability, gentrification, and transit access. Members questioned the study’s developer interviews, the role of rent control and crime, property tax assumptions, and parking needs; the presenter said the study included five private developers, that rent control was not part of the study scope, and that parking was included in the model assumptions. Finally, the committee began a presentation on regulating emissions from ocean-going vessels at berth. Staff and consultants described California-style at-berth rules, which require shore power or equivalent emissions controls so ships can shut off diesel auxiliary engines while docked. The study is examining vessel traffic, emissions reductions, implementation costs, labor and operational needs, and possible effects on port competitiveness and cargo diversion. No votes or formal actions were taken during the meeting.