Transcript Highlights:

• How do you attract people to a program besides good training?
• This program is not designed for those folks.
• Or certification credit.
• This program just hit me sitting here. That's why I spoke up.
• This program just hit me sitting here. That's why I spoke up.

Summary: The committee first took up HB 455, a local bill for the City of Lake Wales that would allow open containers in a downtown arts district. The sponsor said the city had invested heavily in the area and wanted to support business growth. An amendment clarified that the allowance was intended for cups, not bottles taken from restaurants, and the bill was then adopted favorably without opposition. Members then heard HB 1049 on building permit requirements, which would remove permits for certain work under $7,500 and for battery or backup power systems, while also preempting local governments from adding extra permitting rules. Two amendments were adopted: one clarifying modular homes on RV lots, and another addressing contractor “splitting” of projects to avoid the threshold and requiring five years of record retention. County and local-government groups raised concerns about inspections and permitting, while several business and advocacy groups supported the bill. It passed favorably. HB 1175, dealing with safety design standards for office surgery suites, was presented as a measure directing the Florida Building Commission and State Fire Marshal to establish new standards to improve safety and efficiency. There was no amendment or public testimony, and it passed favorably. The committee then spent extensive time on HB 221, which would let workers waive the state minimum wage for certain work-based learning, internship, or pre-apprenticeship positions for up to nine months, later narrowed by amendment to 252 days, or 126 days for minors with parental consent, and defining the program as structured learning. Supporters framed it as a way to expand apprenticeships and help small businesses offer training opportunities; opponents argued it would create free or subminimum labor, invite abuse and coercion, and raise constitutional concerns. Despite strong opposition testimony from labor, civil rights, and policy groups, the bill passed favorably after debate. The committee also heard HB 4035, a Palm Beach County local bill requiring applicants for a certificate of competency to pass the licensing exam before applying to the Construction Industry Licensing Board. The sponsor said it would streamline and modernize the process, and members discussed it briefly in support. The transcript ends before the final action on that bill is fully shown.

Transcript Highlights:

• , the ALE program, and the different types of program models that fall under this.
• We are a full ALE program.
• We have a highly capable program. We have a Spanish program.
• We have a great ML program. We have a phenomenal SPED program.
• Just this fall, we have launched an FAA-aligned drone certification and pilot aviation program.

Summary: The committee met to hear an overview of Washington’s alternative learning experience (ALE) programs and then an update on artificial intelligence in schools. OSPI’s Anissa Sherritt explained that ALE is a course-level funding designation for instruction that occurs partly or wholly away from the traditional seat-time model, with online, site-based, and remote course types. She emphasized that ALE is still basic education, subject to the same public school requirements, and that OSPI provides technical assistance, annual reporting review, and program reviews. Representatives from several programs described different models: Washington Virtual Academy (a large online ALE operated through Omak School District and partnered with for-profit Stride), Columbia Virtual Academy in Valley School District (a district-run, nonprofit online/remote program), Pearl in Quilcene (a K-8 remote parent partnership program), and River Home Link in Battleground (a site-based hybrid program). They discussed student supports, special education, enrichment, family choice, transportation, and how they measure outcomes. Members asked for follow-up information on funding, demographics, racial and ethnic data, multilingual learners, and post-graduation outcomes, and OSPI agreed to provide additional data where available. The committee then heard from OSPI and several districts about AI guidance and implementation. OSPI’s Holly Ryan Calloway described the agency’s human-centered AI framework, three guidance documents for schools, statewide professional learning, an AI innovation summit, and new AI literacy and informatics course frameworks and CIP codes. Quincy School District described a multi-year effort to integrate AI by centering student needs, creating district policy and classroom guidance, and training teachers to use AI responsibly while building an AI readiness plan from elementary through high school. Peninsula School District described its AI action research team, teacher professional learning, and classroom uses of generative AI to support science instruction, communication, and prompt engineering, while stressing that AI should enhance rather than replace learning. Members raised questions about privacy, energy and water use, prompt engineering, workforce and university connections, and the need for clear standards and ongoing educator training. No votes were taken.

Transcript Highlights:

• , the department, the program areas in the department.
• So in the end of 2020, we picked up these design and programming, conceptual design programming meetings
• Once we went into programming and... ...that we had did.
• All of that really came flushed out in those programming conceptual design.
• That is our goal in our long-range program plan.

Summary: The committee first heard an update from the Florida Department of Corrections on the proposed Lake Correctional Institution mental health project in Clermont. Tim Fitzgerald explained the project’s history, including the 2016 Disability Rights Florida litigation, the 2018 consent decree, and the original plan for a 550-bed inpatient mental health facility. He said inflation and design changes pushed the project above the bond amount, leading the department to shift to a “continuum of care” alternative with 572 beds total: 92 inpatient beds and 480 residential treatment beds in three special housing units. Fitzgerald said the project is currently paused pending House concurrence, while the Senate has already agreed to the alternate plan, and noted the bond balance, prior expenditures, and the need to spend down the tax-exempt bond by August 2026. Members questioned how the new plan differs from the original facility, whether it satisfies the consent decree, and what caused the cost increases. Fitzgerald said the department believes it has already met the consent decree through systemwide improvements to housing, staffing, programming, and out-of-cell time, though he said he would confirm the court documentation. He also said the original scope grew from 275,000 to 350,000 square feet as treatment, nursing, security, and programming needs were refined, and that inflation, fees, permitting, and contingencies contributed to the higher cost. Several members asked for follow-up information on Senate approval, consent decree documentation, and the project’s impact on crisis-stabilization capacity. The committee then received a joint court-system presentation from State Courts Administrator Eric McClure and Clerks Corporation Executive Director Jason Welty on caseload trends, case tracking, and staffing. McClure described statewide filing trends, the use of weighted caseload studies to certify judicial need, and recent Supreme Court rule changes aimed at active civil case management, including differentiated case tracks, stricter deadlines, and proportional discovery. He said the latest workload study led the Supreme Court to certify a need for 23 circuit judges and 25 county judges. Welty reviewed clerk workload trends, the statewide case maintenance and CCIS systems, and declining clerk FTE despite rising case volumes, and said clerks are seeking additional funding for injunctions, Baker Act/Marchman Act/sexually violent predator work, and juror management. In questions, members pressed both presenters on data quality, case-weight calculations, filing fees, and whether current resources are enough to reduce delays. McClure clarified that the workload weights are based on judge time studies and that a capital murder case averaged 3,177 minutes, while other examples such as auto negligence and dissolution cases were much lower. Welty said the Legislature could help by increasing funding or potentially revisiting filing fees, and noted that many clerk services are unfunded or underfunded, especially indigent and protective filings. The chair and members also raised concerns about backlog, inconsistent case reporting across circuits, and enforcement of judicial time standards; McClure said there is no direct sanction in the rules, and compliance is largely managed through chief judges and the Supreme Court. The meeting ended with no votes taken and adjournment by motion.

Transcript Highlights:

• It is day store using this program.
• programs paying subminimum wage. programs paying subminimum wage.
• work, our day support service program work, our day support service program continues<00:37:58.480
• , ending the use of the 14c certificates, ending the use of the 14c certificates, the<00:45:13.960
• take me to any one of these day programs take me to any one of these day programs and<01:19:12.080

Keywords: 1187, senate, all

Transcript Highlights:

• The next one is off-road vehicles, which the pilot program ended.
• We have an amendment that allows us to extend this pilot program to July 2026, and it also amends the
• <00:12:14.480> of Technologies to examine certificates of Technologies to examine certificates
• <00:12:23.639> ended vehicles which the pilot program ended vehicles which the pilot program
• to July 2026 7 extend this pilot program to July 2026 7 and<00:12:30.120> it<00:12:30.279>

Keywords: Roll Call 00:32 Approval of Minutes 01:38 HB 20 Discussion 02:08 HB 20 Vote 06:00 HB 188 Discussion 07:07 HB 188 Vote 10:10 Administrative Regs 11:09, 958, all

Summary: The House Transportation Committee met with a quorum, approved the previous meeting’s minutes, and heard two House bills plus several Transportation Cabinet regulations. House Bill 20, sponsored by Rep. Hodson, would restrict the retention and sale of automated license plate reader data, limit storage to 60 days, and prohibit nonconsensual tracking devices such as micro-trackers and subcutaneous trackers. Hodson said the bill was aimed at protecting citizens’ privacy and noted it had passed the House previously; members asked about enforcement and deletion responsibility, and one member suggested criminal penalties might be worth considering in the future. The committee voted to report HB 20 favorably. House Bill 188, sponsored by Rep. Duvall, addressed driveaway plate businesses that transport vehicles for others. Duvall said Kentucky law had created confusion about how many vehicles could be on the road and had driven up insurance costs, hurting a Warren County business; the bill would let such companies purchase the exact number of plates needed, which he said would reduce exposure and premiums. He emphasized the bill would not affect dealer tags or trailer transport and said he was working on a floor amendment to make that clear. The committee reported HB 188 favorably as well. The committee then reviewed five administrative regulations, including Transportation Cabinet rules allowing technology to be used in title examinations, extending an off-road vehicle pilot program to July 2026 and updating the definition of local government, aligning truck weight-mass rules with statute, adopting the MUTCD traffic control manual, and an emergency Kentucky State Police regulation adjusting a TSA-related hazardous materials endorsement fee because the federal change came too quickly for the normal regulatory process. Members asked whether the title rule covered rebuild titles, and staff said it applied to all titles. The committee noted the regulations had been reviewed and then adjourned, with the next meeting tentatively set for the following Tuesday.

Transcript Highlights:

• Historically designated by the Texas Historical Commission Preservation Program, there are 2,300 sites
• As expressed, there is the Office of Court Administration's free TCRIS program, it's the Texas Court
• Remote Interpreter Service program that judges can schedule ahead of time for 30 minutes or less for
• I think we could expand that program, and I'm sure in every other place, but they keep track of how many
• Again, I think sometimes we put too much emphasis on whether somebody has a certification or a licensure

Bills: HB 1239, HB1990, HB1748, HB1749, HB2578, HB2986, HB1970, HB3163, HB2733, HB1922, HB 113, HB 1088, HB1938, HB3004, HB2637, HB2960, HB113

Keywords: public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, emergency detention, legal framework, detention, healthcare, liability, landowners, nonagricultural land, trespassing, public safety, interpreters

Transcript Highlights:

• program of welding and machining.
• We are especially proud of our oil pre-employment program, our OPEC program.
• This program connects students directly with the industry, providing them with OSHA certification, safety
• What's the program?
• manufacturing, mineral extraction, natural resource development programs, or engineering programs. that

Transcript Highlights:

• an optional certification for providers in Texas Rising Star.
• , um, getting certified, there's also a grant program so it is a way to incentivize.
• Um, this does not require people to get the certification um and it's really optional.
• years to try to get into that one program.
• exemplary services for their child, um, but also we'll expand the number of those programs actually

Bills: HB74, HB175

Keywords: environmental project, public money, political subdivision, greenhouse gas emissions, federal law compliance, renewable energy, water conservation, retroactive child support, child conception, paternity, family law, health care expenses

Transcript Highlights:

• We have a program. over and go through them, make sure that they have a phytosanitary certificate, that
• We run the hemp program which is getting a lot of publicity right now and that we are the organic certification
• like the Citrus Budwood certification program.
• The citrus budwood certification program is managed by Texas A&M-Kingsville Citrus Center.
• Texas Legislature must allocate... ...allocated state funding to the citrus budwood certification program

Keywords: 1184, house, all

Transcript Highlights:

• I'd like Lisa Patterson, the trauma surgeon and the trauma program medical director, and Marlene Van
• Dijk, who is the performance improvement director for their trauma program.
• trauma surgeon and the trauma program trauma surgeon and the trauma program medical<00:19:32.880
• director, uh, for their trauma program. director, uh, for their trauma program.
• Senate Bill 573, establishing certification standards for certified public safety comfort dogs.

Keywords: 1191, senate, all

Transcript Highlights:

• an example I would say in most programs an example I would say in most programs there<00:24:37.760
• <00:31:26.960> is<00:31:27.200> that<00:31:28.159> you program is that you program
• region and and really build a program region and and really build a program right<01:14:40.760><
• <01:20:09.000> is program and this Pathways program is program and this Pathways program is
• Our programs are life changing. Our programs are life changing.

Keywords: 1187, senate, all

Transcript Highlights:

• the success of that program.
• The next program you had was the Hernando County Septic Tank Program, and in that program, they've actually
• So they have a separate program, and then they also use state programs to move forward with their folks
• So there are grant programs that are out there.
• Is there an additional NSF certification above that that sort of NSF certification above that that certifies

Summary: The committee began with a presentation from the Florida On-Site Wastewater Association on advanced onsite wastewater treatment systems. Roxanne Groover described several technologies used in Florida, including NSF-245 systems, performance-based treatment systems, in-ground nitrogen-reducing biofilters, membrane/media filters, and sequencing batch reactors. She emphasized that these systems can substantially reduce nitrogen compared with conventional septic systems, discussed permitting and maintenance requirements, and noted that some grant programs help fund upgrades in springs and other impaired-water areas. Members asked about phosphorus and PFAS treatment, funding for non-springs watersheds, incentives for new construction, and whether more data should be collected on system performance. The committee then took up CS for SB 164 on vessel ownership, derelict vessels, and anchoring/mooring rules. The bill was explained as clarifying who is responsible for derelict vessels and using vessel title as prima facie evidence of ownership. Two amendments were adopted: one requiring FWC to offer an electronic long-term anchoring permit system and clarifying that the permit does not override other anchoring limits, and a technical amendment correcting a drafting error. Public testimony included opposition from a cruiser advocacy representative who argued the bill would unfairly restrict responsible boaters and harm the marine economy, and support from another boating coalition representative who said the bill was a proactive step to address derelict vessels. The committee then passed CS/SB 164 favorably by roll call. Finally, the committee considered SB 38, which makes clarifying changes to FWC trust funds. The bill would allow investment and carryover of the administrative trust fund balance, expand use of the Florida Panther Research and Management Trust Fund for feline disease research, monitoring, and habitat acquisition, and allow use of the Non-Game Wildlife Trust Fund for law enforcement and related coordination agreements. With no debate or opposition, the committee passed SB 38 favorably by roll call and then adjourned.

Transcript Highlights:

• Several middle schools are participating in the Youth and Government program.
• Engrossed Committee Substitute for House Bill 4793, creating the Barber Apprentice Program.
• Engrossed Committee Substitute for House Bill 4793, creating the Barber Apprentice Program.
• Engrossed Committee Substitute for House Bill 453, to establish the Blue Envelope Program.
• of a microgrid district or certification as a high-impact data center.

Keywords: 994, senate, all

Transcript Highlights:

• Supervised agricultural experience is a component that is not new to our program.
• Our students earn some of the most rigorous industry certifications available.
• That are happening in our agriculture programs today.
• also the medical cannabis program multiple times during my process.
• program ever.

Summary: The Committee on Agriculture heard a presentation from Florida FFA state officers Gabby Howell and Macy Jordan, who described FFA and agricultural education as a three-part model of classroom instruction, supervised agricultural experience, and leadership development. They highlighted FFA membership growth, Florida’s more than 60,000 members, industry certifications, and state funding that allows all agriculture education students to participate at no cost. Members praised the students and the organization’s role in developing future agricultural leaders. The committee then took up SB 438, which would regulate hemp and hemp extract products, including THC-infused beverages, by adding testing, labeling, retail location, age, and event restrictions, along with penalties and $2 million for testing equipment. Senator Burton said the bill is intended to address public safety, prevent products with illegal THC levels from reaching consumers, and respond to the governor’s prior veto concerns, especially store location and regulation. An amendment clarifying final batch testing was adopted without objection. Testimony was mixed. Supporters, including beverage distributors, law enforcement, and some hemp beverage businesses, backed regulation and said the bill would improve safety and clarity, though some asked for changes to avoid treating specialty beverage retailers like liquor stores. Opponents and some hemp industry representatives argued the bill was too restrictive, would hurt small businesses, and could push products into the black market; they also objected to THC limits, event restrictions, and the proposed regulatory structure. After debate, the committee voted 6-0 to report CS for SB 438 favorably.

Transcript Highlights:

• We also pay the tuition for private schools, and we have some certificate training programs that our
• blind program, and our supported employment program.
• VR&E program.
• And the direct support certificate program, which partners with community colleges to equip direct care
• new programs.

Keywords: 995, all

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• The issue is that we've been having people go to fraudulent colleges and pay in for a certificate from
• According to our law, it says that the Board of Nursing shall accept their certification.
• President we have about 60 certification President we have about 60 people<00:14:37.440> on<00
• exam and so do you have certification exam and so do you have any<00:14:57.240> comments<00:14
• I don’t think you’re intentionally enrolling in a substandard program. Thank you.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first considered House Bill 9, which would create a Medicaid Oversight and Advisory Board modeled after the Public Pension Oversight Board. The sponsors said the board is intended to bring together the executive branch, legislative branch, and stakeholders to study Medicaid policy and its fiscal impacts before changes are made. Members generally supported the concept, with questions focused on board size and representation from providers and community-based service organizations. The bill was reported favorably by unanimous vote, including a title amendment. The committee then heard House Bill 152, which would create a Medicaid supplemental directed payment program for public EMS agencies, including fire departments and city, county, or taxing-district EMS providers. The sponsor said the measure is designed to draw down a higher federal match without any general fund impact, and noted support from local government groups. After brief discussion, the bill passed with favorable expression by unanimous vote. Finally, the committee took up House Bill 688, a two-part measure. One part would give the Board of Nursing more discretion to review out-of-state nursing credentials by changing mandatory acceptance of certification to permissive language, in response to concerns about fraudulent or substandard nursing programs and the effects of multistate licensure. The other part would allow certain diabetes medications to be stored and administered in schools, with training for school personnel and civil immunity for those acting in good faith. Some members supported the bill as a way to protect patients and maintain standards, while one senator voted no because of concerns about slowing licensure during a nursing shortage. The bill passed 10-1 with favorable expression. The committee announced it would meet again Wednesday at 8:30 a.m., then adjourned.

Transcript Highlights:

• However, they've continued to maintain their certificate of need program.
• Their certificate of need program is, should there be certain types of services or change in services
• So, that is, you know, what their certificate of need program entails. Okay.
• their certificate of need program. their certificate of need program.
• c> need<00:33:44.440> program<00:33:45.560> is Uh their certificate of need program

Keywords: 910, house, all

Transcript Highlights:

• saying that a 36-month certification saying that a 36-month certification period<00:31:29.520>
• . program. program.
• program, our apprenticeship program, and licensing of our employees.
• nationally recognized training programs. nationally recognized training programs.
• it was set up as a separate program. it was set up as a separate program.

Keywords: 1189, house, all

Summary: The committee first approved the minutes and consent calendar, then took up several rule items. For Department of Safety rule 2611, DMV leadership explained the rule had been under development since January but needed to be updated to reflect a new statutory change and to align the rule with RSA 266. Members discussed narrowing the rule to road-safety items rather than automobile inspection provisions, and the department said it would issue a new public notice and hold another hearing. The committee voted to grant a waiver and postpone the item until the October 15, 2026 meeting. The Board of Active Puncture Licensing item 26-47 was postponed one month at the agency’s request so it could incorporate OS feedback, with no waiver needed. The Insurance Department’s claim settlement rule 25-234 and related item 26-78 drew more extensive discussion over waiver language. Committee members objected that the proposed language gave the commissioner broad discretion to set waiver periods without clear criteria, while agency counsel argued the rule already contained standards and that the language allowed temporary waivers. After discussion about consistency, permanency, and the need for clearer documentation, the committee voted to postpone 25-234 with a waiver and to postpone 26-78. Finally, the committee considered Health and Human Services rule 2690, which sets SNAP certification periods for a pilot demonstration authorized by SB 499. Staff explained that federal changes now require the age threshold for the 36-month certification period to be 65 instead of 60, and that the agency had been directed to make the change by August 12. Agency staff said the rule needed to be updated to match federal direction, and members generally agreed. The committee discussed whether the federal citation was sufficient and whether the rule should reference the law change directly, but no final objection was raised in the portion shown.

Transcript Highlights:

• This isn't just a certification bill. It's a student success bill.
• First, it ensures that we move toward full certification across the board.
• This amendment establishes a student loan repayment program for certified teachers.
• The mental health professional loan repayment program was created in 2015.
• to develop some additional necessary changes to the program.

Summary: The Senate began with a quorum call, prayer, approval of the previous journal, and messages from the House, then moved through several recognitions and resolutions honoring visiting groups. Members adopted resolutions recognizing the Texas chapters of Blue Star Mothers of America, Fine Arts Education Day, Donate Life Texas Day, Baha’i Capitol Day, County Government Day, Jack County Day, Crockett County Day, and a recognition of Navy Petty Officer Simon Urbanik for service during the Cuban Missile Crisis. The chamber also heard remarks from visiting doctors, students, county officials, and community groups, with multiple senators speaking in support of military families, arts education, organ donation, and local government service. The Senate then took up Committee Substitute Senate Bill 2779, relating to the allocation and use of certain hotel occupancy tax revenues. Senator Birdwell said the bill would stop local governments from conditioning HOT funds on race- or class-based priorities and would require Galveston to transfer the full state rebate for beach cleaning and maintenance to its park board. After questions, the Senate suspended the rules, passed the bill to engrossment, suspended the three-day rule, and finally passed it, though the final vote showed significant opposition. The chamber also passed Committee Substitute Senate Bill 2322, described as a cleanup bill removing the compelling-factor test for dispatchable generation from the Texas Jobs, Energy, Technology, and Innovation Act. A major debate centered on Committee Substitute Senate Bill 2253, which would phase out uncertified teachers in core classrooms and strengthen educator certification requirements. Senator Creighton argued the bill responds to a teacher pipeline crisis, adds parent notification, creates multiple preparation pathways, and provides financial incentives for certification; Senator West and Senator Sparks pressed for rural flexibility and implementation details. An amendment from Senator Gutierrez to add a teacher student-loan repayment program failed on a 11-17 vote, while other technical and fiscal amendments were adopted. The bill then passed to engrossment, the three-day rule was suspended, and it was finally passed. The Senate also passed Committee Substitute Senate Bill 2371, updating skimmer-reporting rules to cover electronic terminals beyond fuel pumps, and Committee Substitute Senate Bill 2351, relating to the construction of certain concrete plants under a standard permit. Senate Bill 619, a conscience-protection bill for health care workers, drew extended questioning from Senators Cook, Eckhardt, and Menendez about patient abandonment, scope, and whether it could allow refusals of legal services such as vaccines, antibiotics, contraception, or personal care; despite those concerns, the Senate suspended the rules and passed the bill to engrossment. Finally, the chamber began consideration of Committee Substitute Senate Bill 1169, which would allow public entities to form public utility agencies to cooperate on water and wastewater projects without eminent domain or cross-collateralization, with Senator Hinojosa explaining it as a tool for small and rural communities facing utility infrastructure problems.

Transcript Highlights:

• And then 64% said something around training certification challenges.
• Washington's expanded behavioral supports, or EBS program, and the EBS Plus program were the first or
• the second state program that BHS began working with.
• A very exciting program. I appreciate the update.
• General overview of health care price transparency programs that exist.

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.