Transcript Highlights:

• spend on paying claims.
• Today we have the Division of Higher Education. Its report is in your packet.
• Courtney Sallis Ford for the Department of Education, Division of Higher Education.
• Education.
• Division of Higher Education. We have 32 rules in effect.

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Administrative Rules Subcommittee of the Arkansas Legislative Council reviewed several agency rules and requests. It approved without objection an Insurance Department amendment implementing Act 261’s holding company system requirements, two State Board of Election Commissioners rules on poll watchers/provisional voting and certified election monitors, and a Treasurer of State rule removing DEI-related membership requirements to comply with Act 938. The committee also held over for a month a Department of Education request related to excluding a rule from reporting requirements so it could be discussed further with the Department of Commerce. A major portion of the meeting focused on the Department of Human Services’ request to be excluded from rulemaking for Acts 567, 568, 967, and 1025. DHS said federal CMS guidance created comparability and other issues for the Medicaid-related dental and diagnostic lab provisions, making it difficult to implement the acts as written by their effective dates. DHS outlined possible paths, including broader adult dental coverage, waivers, or splitting the dental rate increase from the special-needs cap increase. The Arkansas State Dental Association disputed DHS’s approach, arguing Act 1025 is workable, that the pediatric rate increase should move forward separately, and that DHS should continue pursuing the law rather than stop rulemaking. Committee members questioned both sides extensively about CMS correspondence, waiver timelines, fiscal impact, and whether the acts could be severed. After testimony from DHS, the Dental Association, and a public commenter, the committee adopted a motion not to exclude DHS from reporting requirements for Acts 567, 568, 967, and 1025, meaning DHS must continue the normal rulemaking/reporting process. The committee then accepted the Division of Higher Education’s report, which recommended repealing three of its 32 rules and keeping the remaining 29 in effect. It also received routine written updates on older and newer rulemaking items and filed the monthly updates without further action.

Transcript Highlights:

• Um, also, people report higher rates?
• </c> students have a greater chance to spend students have a greater chance to spend more<01:30:57.920
• . education. education.
• ><c> provided</c><01:32:56.080><c> these</c> educators deserve to be provided these educators deserve
• </c><01:37:09.679><c> are</c> tier three and tier 4 educators are tier three and tier 4 educators are

Committee: Senate Education Finance

Transcript Highlights:

• </c> spending flat. spending flat.
• done to identify spending restraint and savings,<04:31:18.640><c> education.
• Are we going to fix the debacle that is the higher education system?
• </c><04:34:52.799><c> Are</c><04:34:52.959><c> we</c> the higher education system?
• Are we the higher education system?

Transcript Highlights:

• The Office of Health Care Affordability has set a spending target.
• Our spend in primary care is very, very low.
• Educate and train those who serve Medi-Cal members.
• income at higher rates.
• And so as that's changing, we have higher pressures fiscally, and so care...

Committee: House Health

Transcript Highlights:

• In 2023, it went up even higher.
• Right now, there's nothing mandated as far as education or Canadian education or education in any way
• So I believe that the education aspect is there.
• I'm not going to spend a lot of time on this slide.
• If you're interested, I would spend some time on it.

Committee: Joint Health Care Committee

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• I appreciate this opportunity to partner with my legislative colleagues in the higher education policy
• Chair Mike Fong, Assembly Higher Education Committee, do you want to make any introductory remarks?
• post-secondary higher education in California.
• Policy changes to Federal Student Aid, accountability rules, and accreditation may reshape higher education
• Education Committee, in the period, in the most aggressive consultant to the Assembly Higher Education

Transcript Highlights:

• Thank you for your support in increasing special education funding last session.
• I'm speaking against the governor's proposed cuts to higher education and asking you to seriously consider
• progressive revenue to fund higher education instead of deeper cuts in the supplemental budget.
• education instead of deeper cuts in the supplemental budget.
• We understand that you have a difficult budget, but higher education and research universities are facing

Summary: The House Appropriations Committee continued its public hearing on House Bill 2289, the fiscal biennial supplemental operating budget appropriations bill. The chair and vice chair explained the hearing process, limited testimony to one minute per person, and then heard extensive public comment from a wide range of advocates, local officials, service providers, and residents. No committee vote was taken during the hearing. Much of the testimony focused on opposition to proposed budget shifts involving Climate Commitment Act revenue, especially the proposed diversion of $569 million to other uses, including the Working Families Tax Credit. Environmental, public health, and local government witnesses argued those funds should remain dedicated to climate pollution reduction, wildfire resilience, clean transportation, natural climate solutions, and affordability programs. Several speakers also urged full funding for wildfire response and forest health, including the HB 1168 commitment, and opposed transfers from the Public Works Assistance Account. Other major topics included Medicaid and long-term care rates, with nursing home and assisted living providers warning that freezing or delaying rate rebasing would worsen staffing shortages and threaten access to care. Public health and health care advocates opposed cuts to foundational public health services, Apple Health expansion, and pharmacy benefit changes, while oral health advocates asked to preserve Medicaid dental funding and support Dentist Link. Testimony also supported or opposed funding for K-12 programs such as special education, the Ninth Grade Success Initiative, and homeless student stability; early learning and child care subsidies; disability services; public defense; housing and homelessness prevention; food assistance; higher education; and immigrant legal services. The committee concluded the hearing and adjourned after public testimony ended.

Transcript Highlights:

• It relates to a study and report by the Texas Higher Education Coordinating Board regarding health physics
• education in this state.
• Lee Rector, Associate Commissioner for Workforce Education at the Texas Higher Education Coordinating
• The increased spending... Spending on hotels, restaurants, transportation, and local businesses.
• Agency, and the Texas Higher Education Coordinating Board.

Bills: SB913 , SB1086 , SB1087 , SB1143 , SB1534 , SB1553 , SB1718 , SB1754 , SB2004 , SB2322 , SB2448

Committee: Senate Economic Development

Summary: The Senate Economic Development Committee met to hear a series of bills and informational primers, with several resource witnesses from the Governor’s Office, the Texas Workforce Commission, and the Texas Higher Education Coordinating Board. The chair opened by noting the death of Senator King’s son and asking members to keep the family in their prayers. Most bills were laid out and left pending subject to the call of the chair after brief author presentations and public testimony. The committee heard several local hotel occupancy tax bills: SB 1553 for Kerr County, SB 1086 for Childress County, SB 1087 for Mason County, and SB 913 for Alpine. Supporters, including the Texas Hotel and Lodging Association and local officials, said the measures would allow counties or the city to use hotel tax revenue for tourism-related projects and local development. The committee also heard SB 1534, which would direct a study on health physics education and workforce needs in Texas; resource witnesses from TWC and THECB testified on the bill. All of these measures were left pending. A major portion of the hearing focused on SB 1754, which would prohibit local tax abatements for renewable energy facilities selling power at wholesale, with an exception for certain battery storage tied to dispatchable generation. The bill drew strong support from witnesses who argued counties should not subsidize wind and solar projects that can harm neighboring landowners and that renewables already receive substantial federal support. Opponents from the solar and storage industry argued the bill would remove a voluntary local economic development tool, raise power prices, and discourage investment. Senators also debated landowner impacts, grid reliability, and whether the bill was the right policy tool; the bill was left pending. The committee also heard SB 2322, a committee substitute related to the Jobs, Energy, Technology, and Innovation Act, which would exempt electric generation facilities from the program’s compelling-factor test so they can qualify for school tax limitation agreements. Supporters said the change would correct an unintended barrier for dispatchable generation, while Senator Johnson argued it would weaken the program’s purpose by subsidizing projects that would locate in Texas anyway. SB 1718 would add the NRA annual meeting to the major events reimbursement program; the NRA supported it, while gun violence prevention advocates opposed using state incentives for the organization. SB 2004 would add the Arlington Grand Prix to the major events program, and SB 2448 would create a rural workforce development grant program; both drew supportive testimony and were left pending. The committee also heard SB 1143, a substitute bill aimed at improving transparency and coordination in programs serving opportunity youth ages 14 to 24, with witnesses supporting better reporting and workforce alignment. At the end of the meeting, Senator Johnson moved that the committee stand in recess subject to the call of the chair.

Transcript Highlights:

• And again, would just urge budget authority, spending authority this year. Thank you. Thank you.
• We do have a waiting list among our higher levels of care at a few of our homes, including Yountville
• Likewise, Yountville is a little bit out of the way and might represent a higher commute as well.
• Likewise, Yountville is a little bit out of the way and might represent a higher commute as well and
• It's about educating consumers, educating contractors, and making sure that everyone's aware of the consumer

Transcript Highlights:

• In higher education, the TOPS Fund, based on the latest REC forecast, we had to substitute $4.4 million
• We will likely spend a great deal of this in the highway priority program.
• higher, than the FY26 expenditure limit.
• Education Deferred Maintenance Fund.
• , people in education, the sheriffs, and the sheriffs... ...people in education, the sheriffs, and district

Summary: The committee first took up the fiscal status statement, certification of the state surplus, and the five-year baseline budget. Officials from the Office of Planning and Budget and the Division of Administration said the January fiscal status statement had no changes, and the commissioner certified a surplus of $577,073,871. They also reviewed the baseline outlook, noting projected imbalances in later years driven by declining revenue, including the redirection of motor vehicle sales tax, and rising costs such as inflation and Medicaid-related expenses. The fiscal status statement was approved without objection. The governor’s executive budget was then presented as a third consecutive standstill budget, with administration officials emphasizing efficiency savings, no reduction in services, and no reduction in state workforce. They said the budget relies on prior savings efforts and incorporates agency-level cuts and reorganization, while also addressing higher costs in corrections, DCFS, and health care. Major items highlighted included funding for LA GATOR, the high-impact jobs program, DCFS modernization, corrections population and overtime needs, nursing home and managed care adjustments at LDH, and additional support for the MJ Foster Scholarship Program. Members asked about the impact of inflation, the use of federal versus state funds, the future of voucher and GATOR funding, and whether more support should go to DCFS and the Hero Fund. The committee also received the calculation of the FY27 expenditure limit, set at $20.1 billion, and the annual comprehensive financial report for FY2025, which received a clean audit opinion. Members approved a BA-7 increasing federal funds for an executive office transportation grant, approved additions to the Act 751 higher education deferred maintenance project list and a Baton Rouge Community College project combination, and approved contract amendments for CPRA with Coastal Estuary Services and Access Sciences. The committee also corrected a legislative intent item naming the New Orleans Recreational Development Foundation. Finally, the judiciary presented a weighted caseload study for district and appellate courts, explaining it as an updated tool to assess judicial workload and potential judgeship needs; members discussed its limits, the role of specialty courts and commissioners, and the need for further legislative-judicial collaboration before any changes are made.

Transcript Highlights:

• Although community colleges have become an integral part of California's higher education system, community
• It will make it easier for local education agencies to help solve the problem.
• higher rates of diagnosable mental... ...rates, and our API youth have higher rates of diagnosable mental
• our youth, we weren't spending money on jobs, we weren't spending money on uplifting neighborhoods.
• Less than half would be cutting off... ...the majority of the time that they spend on probation.

Summary: The Assembly met in session, established a quorum, and opened with a prayer and the Pledge of Allegiance. Members then moved through guest introductions, including students and fellows from California Lutheran University, UC Merced’s CAPE program, the Maddy Institute, and Madera High School’s Madtown Robotics Team 1323, which was recognized for multiple robotics world championships. The chamber also adopted an adjournment in memory and took up the daily file. Several bills and resolutions were considered and passed, including AB 1390 on school board compensation thresholds, AB 1338 on air district cost recovery for fence-line air monitoring, AB 648 on community college housing, AB 1207 on cap-and-trade price ceilings, ACR 66 recognizing Skin Cancer Awareness Month, AB 49 on keeping ICE out of public schools, AB 317 on a CEQA exemption for certain single-family homes, AB 527 on geothermal exploratory wells, AB 665 on the Department of Financial Protection and Innovation ombudsman report, AB 940 creating quantum innovation zones, AB 1021 on workforce housing for education agencies, AB 1112 on property tax apportionment in Rancho Mirage, AB 1318 on nonprofit eligibility for public funding, and AB 1470 on using student housing loan funds for affordable housing in downtowns and commercial districts. Most measures passed with broad support; AB 49 and AB 1318 were urgency bills and passed with the required higher vote threshold. The floor also adopted H.R. 40, declaring May 25 as Rosenda’s Day to honor a teen killed by a drunk driver, and H.R. 42, recognizing May as Behavioral Health Awareness Month. Both drew extensive personal testimony from members about mental health, suicide, substance use, and the need to reduce stigma and expand access to care. Additional health-related bills passed, including AB 408 creating a physician health and wellness program, AB 546 requiring coverage for HEPA purifiers for certain enrollees after wildfire disasters, AB 967 expediting licenses for out-of-state physicians, and AB 968 expanding pharmacist authority to provide non-hormonal contraception. The Assembly also debated AB 1056 on phasing out gill net fishing and AB 1376 on limiting juvenile probation terms, with supporters framing both as conservation or rehabilitation measures and opponents warning about economic harm or public safety concerns. Both bills ultimately passed. Throughout the session, members repeatedly emphasized public safety, education, housing, climate, health care access, and support for immigrant and youth communities, with recorded roll-call votes and voice votes taken on each measure.

Transcript Highlights:

• throughout the United States regarding injury prevention through safety and health information, education
• a tremendous amount of who, unsurprisingly, spend a tremendous amount of time utilizing social media
• American teenagers spend an average slightly less than five hours a day on social media.
• American teenagers spend an average slightly less than five hours a day on social media. Thank you.
• And lessening the time that they spend on addictive social media certainly is a worthy goal.

Summary: The Senate took up several local and special bills for final passage, including measures on culverts and dams in Town Line Brook and Lindenbrook, alcohol license conversions and additions in Milford, Salem, and Bridgewater, and special legislation allowing William Pilarie to take a firefighter civil service exam in Arlington despite the age limit. All five bills were passed to be enacted. The Senate also concurred in House amendments to bills on alcohol licenses in Bolton and conservation restrictions in Hanson, and adopted a resolution commending the National Safety Council and recognizing June as National Safety Month. The chamber then considered Ways and Means reports and orders for House bills on improving Massachusetts home care and requiring health care employers to prevent workplace violence. Both bills were amended with new Senate text and ordered to second reading on July 16, 2026, with the new text pending and further amendment procedures specified. The Senate also advanced several House bills passed to be engrossed, including land transfers in Norton, transportation bond terms, and Watertown property tax classifications, each being ordered to a third reading. The main debate centered on Senate No. 30, a bill to protect children from addictive social media feeds, which was taken up with a Ways and Means substitute draft, Senate No. 3164. Senators supporting the bill argued it targets addictive design features such as algorithmic feeds, autoplay, infinite scroll, and overnight notifications while preserving access to social media, privacy, and First Amendment rights; opponents and some supporters raised concerns about parental authority and the role of the state. The Senate adopted a series of amendments, including changes to the definition of user, stronger limits on minors’ nighttime notifications, parental consent and privacy protections for location sharing and age verification, exemptions for nonprofits and open-source platforms, age-signal clarifications, dark-pattern restrictions, and data-security/reporting provisions, while rejecting several other amendments. The debate remained ongoing at the end of the transcript, with additional amendments and discussion still pending.

Transcript Highlights:

• </c> empowerment advancing education empowerment advancing education improving<00:56:23.440><c> physical
• </c> of the United States while I could spend of the United States while I could spend my<01:06:59.400
• </c> hr28 a bill to amend the education hr28 a bill to amend the education Amendments<02:17:46.719><c
• He's also the vice chair of the Education and Workforce Committee and chair of the Subcommittee on Higher
• I yield back. insane and educational institutions have insane and educational institutions have a<03:

Transcript Highlights:

• Training and education of developers, certification of crane operators.
• Some impose higher interest rates or higher credit enhancement requirements, and all of those create
• We appreciate the time you're all spending here today on the Select Committee.
• And I think one of the biggest challenges for the industry is honestly education.
• The fourth major area identified for state action is education and research.

Summary: The committee held its second hearing on housing construction innovation, focusing on factory-built and modular housing as a way to lower costs, speed delivery, and expand housing supply. The chair framed the effort as a search for practical innovation paired with land use, financing, and regulatory changes that could make housing more affordable for working families. Government witnesses from HCD, the Strategic Growth Council, and the tax credit and bond allocation agencies explained how factory-built housing is regulated, how California standards and third-party approvals work, and how state programs are trying to build regional demand and financing pipelines for modular production. Testimony from investors and developers emphasized both the promise and the risks of modular construction. JP Morgan Chase and the Housing Accelerator Fund described projects that achieved meaningful time and cost savings, but said lenders still see elevated risk because of manufacturer solvency, upfront deposits, transportation and installation issues, and the need for standardized designs and experienced teams. They urged more standardization, more local factories, better alignment between financing timelines and construction schedules, and state support such as backstops, top-loss capital, and scoring preferences in tax credit and bond programs. Several speakers noted that recent federal changes to the 4% tax credit program increased production capacity, but warned that without continued state investment the pipeline could face a future funding cliff. The workforce panel, including union contractors, factory supervisors, and labor representatives, said modular construction can support good jobs if it is paired with union labor, training, and fair standards. They described benefits for workers such as steadier schedules, less commuting, improved safety, and better work-life balance, while also stressing the need for wages, health coverage, retirement benefits, and apprenticeship opportunities. Union representatives supported a model that keeps both factory and on-site work unionized and said the industry could create more jobs overall if California builds more factories and develops a stable, long-term demand pipeline. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• It dropped to 61 after they had a Missouri education.
• Another committee is working on physical education.
• It says that the special education teachers, regular education teachers, other professionals as needed
• , and the parents The special education teachers, regular education teachers, other professionals as
• educators.

Committee: House Elementary and Secondary Education

Summary: The committee heard testimony on House Bill 3239, which would make the Missouri Workforce Diploma Program permanent and move it into the MoCAP framework. Representative Hurlbert and supporters said the program has helped about 1,200 adults earn diplomas, mostly women with children, and that it improves employment and health coverage outcomes. Members raised concerns about funding, the use of the foundation formula, and how the program differs from existing adult education options. Supporters said it is tuition-free, pay-for-performance, and intended for adults with a short path to graduation; no vote was taken on the bill. The committee then took up House Bills 2335 and 2230/2978 in executive session. HB 2335, dealing with teacher training, was amended and then given a do pass recommendation by a 19-0 vote. HB 2230 and 2978, as amended, were also approved do pass by an 18-1 vote after extensive discussion of the Student Screen Time Standards Act, including limits on screen time, a new advisory council, and a related cursive-writing amendment. Members generally supported the direction of the substitute, while some raised questions about local control, implementation, and the role of experts. Later, Representatives Irwin and Steinhoff presented House Bills 2913 and 3228, which would provide legal protection for teachers who intervene in violent situations to protect students or themselves. Supporters said the bills would reduce fear of liability and encourage reasonable intervention, while committee members and witnesses discussed possible limits, training, whether the protection should extend to other school staff, and how the proposal interacts with existing discipline and restraint rules. Public testimony was largely supportive, with school and teacher groups asking for clearer definitions and coordination with federal law; no vote was taken. The committee also heard House Bill 2304, which would require parental consent before major changes to a child’s special education placement or services. The sponsor and advocates said it strengthens parent involvement and collaboration, while members questioned delays, due process, safety exceptions, and the effect on school operations. Testimony from advocates and parents supported the bill, and the hearing concluded without action.

Transcript Highlights:

• Public education.
• </c> is no limit on the spending. is no limit on the spending.
• We need to get a control of this spending, spending, spending, but not on the backs of the least of these
• House Bill 1175 concerns spending from the state education fund for specified educational purposes and
• House Bill 1175 concerns spending from the state education fund for specified educational purposes and

Transcript Highlights:

• </c> real priority was to stress education real priority was to stress education and<00:03:17.720><c>
• </c> to gain their compliance and to educate to gain their compliance and to educate and<00:03:27.560
• This individual shoppers higher prices.
• </c><00:56:42.240><c> 10</c> regulating it, and then we spend 10 regulating it, and then we spend 10
• That's why we and paying higher prices.

Bills: HF3794 , HF3408

Committee: House Commerce Finance and Policy

Transcript Highlights:

• Stephen Profeter, Director of the Early Education Division at the California Department of Education,
• It's time to pay early educators what their work is truly worth.
• When educators live in fear, our workforce weakens.
• We have seen them complete their education and advance in their jobs.
• We became educators. We are educators, but sometimes people forget that we are not babysitters.

Summary: The California State Assembly Select Committee on Child Care Costs held its second hearing focused first on disaster response, especially wildfires and flooding, and how they affect child care infrastructure. State agencies described their disaster preparedness and response work, including evacuation notifications, shelter coordination, emergency guidance, waivers, and support services. The Department of Education said wildfires have displaced tens of thousands of families and impacted thousands of preschool families, and recommended statutory changes to help rebuild programs, require early childhood programs to be included in local recovery plans, expand mental health supports, and review disaster, tax, and insurance policy gaps. Child care advocates and providers described major losses from the L.A. fires and San Diego flooding, including destroyed homes and businesses, lack of insurance, delayed permits, lost income, and the need for emergency grants, relocation help, and better disaster planning for child care programs. Several providers gave personal testimony about rebuilding after fires and floods, including one family child care provider from Pasadena/Altadena whose home and business were destroyed and who is still trying to reopen while paying rent, a mortgage, and permit costs. Another provider described flood damage, health impacts on children, and thousands of dollars in losses. Committee members emphasized that child care is often overlooked in disaster recovery and asked state officials what is being done to integrate child care into emergency planning and to improve coordination among state and local agencies. Officials said the statewide child care disaster plan exists and has been updated over time, but acknowledged more work is needed and that the hearing itself should inform future improvements. The second panel addressed immigration enforcement and its impact on the child care system. Advocates from the Children's Partnership, Every Child California, and CHIRLA said immigration raids and enforcement activity are causing families to keep children home, reducing attendance and enrollment, increasing fear and trauma, and destabilizing providers and the broader early learning workforce. They argued that child care settings are trusted spaces and that enforcement undermines continuity of care, child development, and program viability. They urged stronger privacy and safety protections, statewide training and technical assistance, trauma-informed guidance, legal support for families, transportation and subsidy protections, and emergency funding for providers. Speakers also highlighted recently enacted laws AB 49 and AB 495, but stressed that implementation will require funding and clear guidance. Committee members agreed that funding and implementation are critical and heard public testimony from providers describing fear, family separation, and the need to keep child care safe and stable for immigrant families.

Transcript Highlights:

• Here we have the spending history from fiscal year 21 to 27.
• They're starting to spend the money now in March '26.
• The average annual spending change is 6.9%.
• And about those, we'll talk about where we see higher prevalence in cancer death rates, higher prevalence
• What is the relationship that we spend $50,000 on that?

Committee: House Appropriations

Transcript Highlights:

• The darker the blue, the higher the percentage of those 85 and older.
• Specialized training and education.
• First is around health care spending or expenditure data.
• First is around health care spending or expenditure data.
• In terms of other national programs, we're not going to spend a ton of time here.

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.