Transcript Highlights:

• We assess patients using our expertise, our eyes, ears, and touch to detect the subtle new... ...using
• Nurses use technology every day.
• Working in silos, that's us. We're here.
• So they're using it in ways we are.
• could be used.

Keywords: 987, senate, all

Transcript Highlights:

• We use bond funds for that.
• They needed to visit with us and tell us what their thoughts were, and so that's what we did.
• Give us feedback in a survey.
• Weekend for us.
• Y'all go come talk to him for us.

Summary: The meeting focused on school safety funding and security practices in Oklahoma schools, especially how districts have used school resource officer (SRO) allocation money and related security grants. Kevin Rey of the Oklahoma State Department of Education’s Office of School Safety and Security explained that the program, created under HB 2903, allows districts to use funds for SROs and physical security improvements such as cameras, access control, fencing, window film, bollards, metal detectors, and vape detectors. He said more than 170 districts used the money to hire SROs in 2024-25, and that the 2024 change allowing retired officers and armed security guards to qualify was a major help. Members questioned whether the money should also support prevention and mental health services, and Rey said the current program is mainly for security hardware and related measures. Mark Stout, chief of police for Putnam City Schools, described the district’s layered security approach, including weapon detection at middle and high schools and the ZeroEyes AI camera system, which monitors existing cameras for visible guns and sends alerts to trained monitoring staff and then to district police. He said the system is used as one layer among others, alongside officers, weapon detection, and school procedures, and noted the district is expanding coverage at athletic facilities. He also explained that the system is more economical than full weapon-detection setups, with annual costs based on the number of cameras. Tecumseh Superintendent Kinsey, Chief Kennedy, and Pottawatomie County law enforcement described the October threat investigation involving a student who posted a photo with a handgun and knife and discussed violence online. They said the FBI tip, rapid coordination among agencies, and an SRO already embedded in the district helped lead to a search warrant and arrest within hours, preventing a possible attack. Kinsey also described the district’s safety measures, including secure entrances, cameras, ALICE training, crisis communication planning, mental health support, clear backpacks, and a new staff alert system. He said community feedback after the incident favored more law enforcement partnership, limited entry points, handheld metal detectors, more SROs, stronger training, and more mental health support. Matt Riggs, former superintendent of McComb, said smaller districts face different security challenges because of limited local law enforcement and long response times. He explained that McComb used its funding for facility upgrades rather than hiring a full-time SRO because the district wanted improvements that would last beyond the three-year funding window. Throughout the discussion, several members emphasized the tension between visible security measures and prevention, with repeated calls for more counselors, mental health supports, and threat-assessment efforts alongside hardening measures. No formal votes or actions were taken in the transcript.

Transcript Highlights:

• Greer has committed to make his case before us, rather than ignore us.
• So I thought I'd start by asking you, can you give us Us an example that, other than Smoot-Hawley, in
• It can be used as a tool for revenue. It can be used as a tool. Wait, that's what I'm saying.
• So, I think we need to use any...
• He gave us USMCA, he gave us South Korea an improved Japanese trade agreement so important to American

Transcript Highlights:

• Thank you for joining us.
• Thank you for joining us.
• And even to use it was affordable.
• And Jane's brought us up to the present.
• They have to register with us.

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• legislation to us. legislation to us.
• essentially<00:29:35.279> who are used using to decide essentially who are used using to decide
• <04:30:51.279> Is you used, prudent, used, and useful.
• > used, used and useful, particularly used, used and useful, particularly used, seems<04:33:06.080
• So, used and it's a used and useful.

Keywords: 1189, house, all

Transcript Highlights:

• <00:01:27.600> So, it before us on the committee. So, it before us on the committee.
• us.
• It forces us to manage the for us.
• Uh, we were told the police often use use use often<00:17:40.400> a<00:17:40.880> professional
• all of us. all of us.

Keywords: 1183, house

Transcript Highlights:

• 65 or older has or had a substance use disorder.
• and substance use disorders. to try to address the opioid crisis or substance use disorder crisis more
• It's vital to the ability for us to be able to take care of our patients with substance use disorder.
• Stay with us.
• I lost my brother last spring and he you know he started out using marijuana eventually used all of drugs

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• We use this for heating assistance. We use this for heating assistance.
• We use this for heating assistance. We use this for heating assistance.
• We use this for heating assistance. We use this for heating assistance.
• We use this for heating assistance. We use this for heating assistance.
• us in this committee. us in this committee.

Bills: SB8

Keywords: utilities, public service commission, energy regulation, appointment, emergency declaration, tax increases, consumer protection, Meeting Start 00:00:00 Attendance Roll Call 00:00:51 Approval of Minutes 00:02:07 Legislator Comments 00:02:18 LIHEAP Public Hearing 00:04:19 PSC Update on RS 26 SB 8 00:32:18 WaterStep Presentation 01:04:08, 958, all

Transcript Highlights:

• and use to award the contract.
• were very useful.
• That makes two of us.
• We tried to balance, you know, using grants and loans, using using direct loans or grants versus leveraging
• They're going to give the state, us, their facility that they're currently using. And.

Keywords: 1184, house, all

Transcript Highlights:

• He joined us from the House. He has been helping us out a ton.
• He asked us that on July 14th.
• She used to be with me. **Mr.
• We used the same approach.
• With us, that gives us the ability to continue to ask them questions.

Keywords: 1185, senate, all

Transcript Highlights:

• rental<01:24:37.120> car in using to justify using rental car in using to justify using rental
• So joint use agreements are used in that way.
• So joint use agreements are used in that way.
• So joint use agreements are used in that way.
• So joint use agreements are used in that way.

Keywords: 910, house, all

Summary: The committee heard testimony on HB 2485, which would require cardiovascular screening for student athletes. The Department of Education and Department of Health said they support the bill’s intent but noted that many screenings are already part of existing school-entry and well-child exams. The Attorney General’s office asked for clarifying language on who performs the screenings, where results go, how “positive findings” are defined, how referrals would work, and whether funding would be appropriated if DOE must hire health professionals. The American Heart Association strongly supported the bill, citing the risk of sudden cardiac arrest in young athletes and arguing that sports physicals are an effective opportunity for early detection. No vote was taken, and the committee moved on after testimony. The committee then heard HB 89, concerning a school psychologist working group and possible licensing or credentialing of school psychologists. The Department of Education and Board of Psychology supported the measure. The Hawaii Psychological Association said it supports licensing school psychologists but asked to be included in the working group, arguing it is an important stakeholder. The Hawaii Association of School Psychologists opposed including HPA, saying the issue is between school psychologists and DCCA and that HPA is not part of their organization. Testimony and discussion focused on the long-running disagreement over whether school psychologists should be regulated under the Board of Psychology or another mechanism, and on title protection and scope of practice. No action was reported during this portion. The committee also took up HB 2445, relating to standardized emergency responses for immigration enforcement at or near schools. The Department of Education said it already issued internal law-enforcement guidance and questioned whether the bill was necessary, while also raising concerns about the bill’s 1,000-foot buffer language and the limits of school authority over activity off campus. The Board of Education echoed those concerns and suggested the bill may need clearer definitions. Supporters, including the White Coalition for Immigrant Rights, the Legal Clinic, and an attorney testifying on Know Your Rights training, argued that recent federal changes have increased ICE activity near schools and that a law is needed to ensure clear, public protocols, staff training, and family protections. A student testifier said the measure was a top priority of the state student council. The transcript ends during testimony, with no vote or final committee action shown.

Transcript Highlights:

• Use them, and they're just used a few days out of the year, a few hours out of the day.
• being able to have a multi-purpose use being able to have a multi-purpose use for<00:10:14.399><
• Ways for us to be able to communicate Ways for us to be able to communicate seamlessly.<00:18:26.400>
• what uh the federal government sends us. what uh the federal government sends us.
• Um, I know that most of us here, if not all of us, would consider ourselves fiscal conservatives.

Keywords: 958, all

Summary: The Disaster Prevention and Resiliency Task Force opened its sixth meeting by approving the minutes and then taking up a presentation from University of Pikeville representatives and local leaders on an Eastern Kentucky Disaster Relief Center at Bear Mountain in Pike County. Speakers included Greg May, Rep. Ashley Tacket Laferty, Lori Worth, and Laura Damron. They described repeated flooding and other disasters in eastern Kentucky, the lack of a single prepared relief location, and the need for a centralized, elevated site that could serve as a flood and broader natural-disaster hub. The presenters said the Bear Mountain property, about 530 acres and well above flood levels, could support a multi-use facility combining disaster response functions with university and community uses. Proposed features included a command and communications center, distribution space, emergency shelter, medical and clinic support, food service, restroom facilities, RV hookups, and an indoor track/distribution building. They emphasized that the project would help avoid disrupting existing venues such as the Pikeville Expo Center and Jenny Wiley State Resort Park, while also supporting tourism and economic recovery. Committee members asked about community and emergency-management support, annual operating costs, and resilience standards such as tornado-related building codes. In response, the presenters said local stakeholders, including Appalachian Wireless, Pikeville Medical Center, Community Trust Bank, the city of Pikeville, and emergency management officials, had expressed support. They said the university planned to absorb some operating costs through multiple uses of the facility, community camps, and budgeted maintenance, and that construction documents were nearly complete with plans to begin building within months. After the presentation, the chair thanked the presenters and moved the committee into its recommendations discussion, noting the broader fiscal and humanitarian importance of disaster preparedness and resiliency and indicating that future legislation would likely follow from the task force’s work.

Transcript Highlights:

• I'm not using it.
• And once we do that, the statute would allow us to use the 988 fund to fund us.
• And once we do that, the statute would allow us to use the 988 fund to fund us.
• That's not us.
• So same with us.

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.

Transcript Highlights:

• , it works out great for us.
• Thank you again for having us here. We... Thank you again for having us here.
• And how does this advance us?
• I mean, to educate us. I just, if there anything else you want to educate us on?
• You gave us $3 million.

Keywords: 996, all

Transcript Highlights:

• It's helping us stay healthy.
• It's helping us stay healthy.
• It's helping us stay healthy.
• Some of us have a vision of who uses cannabis.
• some of us have a vision of who uses some of us have a vision of who uses cannabis<00:41:54.400>

Keywords: 928, house, all

Summary: The Finance Division III work session focused on the Department of Health and Human Services’ Division of Public Health Services budget. Department staff said Public Health has a relatively small budget compared with other DHHS divisions, is supported mostly by federal and other non-General funds, and contains nearly 100 accounting units and more than 50 federal grants. They emphasized that the governor’s budget did not include significant cuts, but that federal funding uncertainty and the winding down of pandemic-era resources were major factors affecting the division. The division also explained that some apparent budget growth reflects reorganizations, including moving the Bureau of Emergency Preparedness, Response, and Recovery and some programs from other DHHS divisions into Public Health. The presentation described Public Health’s mission as serving the entire state through food and water safety, disease surveillance, emergency response, maternal and child health, chronic disease prevention, WIC, community health center support, and public health data collection. Members asked about bird flu, and staff explained that human-health response would involve Public Health’s lab, infectious disease, and emergency preparedness units, while animal-health issues are handled with the Department of Agriculture; they also noted ongoing milk testing requested by FDA and USDA. The division said its organizational structure includes bureaus for Family Health and Nutrition, Infectious Disease Control, Public Health Protection, Emergency Preparedness, Prevention and Wellness, Statistics and Informatics, and Public Health Laboratories, with about a 15% vacancy rate. Committee members questioned whether the division’s budget and staffing had really grown since pre-COVID, and staff responded that full-time authorized staffing is about the same as in 2018, with the increase largely due to federal pandemic funding that has since receded and to program transfers between divisions. They said Public Health’s General Fund share is about $24 million out of roughly $1.1 billion in DHHS General Fund spending, or about 2.2% of the department total. Members also asked about the 3,000-position cap and unfunded positions; staff explained that the cap remains in chapter law through June 30, 2025, that 394 positions were unfunded in the governor’s budget, and that the division expects flexibility to move money from personnel lines and fill unfunded positions to manage changing needs. No votes or formal actions were taken in this portion of the work session.

Transcript Highlights:

• using that information to raise prices against us.
• Give us notice.
• AI is impacting all of us.
• can't know it was used.
• used.

Summary: The committee heard testimony on several bills. AB 416 would allow emergency room physicians to initiate 5150 mental health holds, with supporters saying it would reduce emergency room bottlenecks and speed care for patients in crisis. County and behavioral health representatives opposed the bill, and some members raised broader concerns about the 5150 system and juvenile placements. The bill was ultimately approved on a do-pass as amended vote. AB 446, the Surveillance Pricing Act, drew extensive testimony. The author and supporters argued it would prohibit businesses from using personal data to charge different prices for the same product or service, describing the practice as discriminatory and exploitative. Business and industry groups opposed the bill, warning that its language was too broad, could affect discounts and loyalty programs, and would create litigation risk through a private right of action. After discussion about enforcement and possible amendments, the bill passed on a do-pass motion. AB 632 would give local governments a faster way to collect penalties for serious code violations, including unsafe housing, fire hazards, and illegal cannabis activity, by allowing certain fines to become money judgments and clarifying lien authority. It had support from county and city groups and no opposition was voiced in the hearing; the bill passed as amended. ACA 7, a constitutional amendment intended to clarify and limit misuse of Section 31A, also moved forward after brief support testimony. The committee then took up AB 649, which would extend protections for businesses that proactively obtain certified access specialist inspections and fix accessibility violations; the author, a small business owner, and others testified in support, while disability rights groups moved to neutral after amendments. Members discussed the balance between access enforcement and reducing predatory litigation, and the bill was still under consideration as the transcript ended.

Transcript Highlights:

• So thank you very much for joining us here and giving us your insight. Thank you.
• That's still in front of us.
• , even though we only use 20.
• Take some of your water you're not using and sell just like 20% of what you're not using.
• You will not see us here.

Keywords: 1184, house, all

Transcript Highlights:

• What are the use toward the future.
• Chair, for having us >> So thank you, Mr. Chair, for having us here<00:31:05.600> today.
• It'll be the same one we use here.
• The government wants us—I think most of us would like this.
• <01:08:37.120> and going to use that to grade us and going to use that to grade us and determine

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• Gordon, will you be starting us off? Lee Scott will be starting us off, sir. Okay.
• I'm using existing resources.
• That's in the standard use case.
• That makes all of us safer.
• It was discretion for us to hold it; now it's discretion for us to release it.

Keywords: 988, house, all

Transcript Highlights:

• from a few, standing right here with us from a few, standing right here with us in<00:10:58.240>
• Let us use every tool possible to protect our communities, our voices, our laws.
• So, let us be clear. This is not exist. So, let us be clear.
• Let us use every tool >> Because it does.
• I always use my middle initial.

Keywords: 919, house, all

Summary: The meeting was a multi-state press event and hearing focused on alleged federal immigration enforcement abuses in Minnesota and other states. Minnesota lawmakers and invited legislators from Montana, Illinois, North Dakota, Tennessee, and elsewhere described ICE and Border Patrol activity as warrantless, masked, and violent, citing detentions of residents and U.S. citizens, school lockdowns, hospital disruptions, chemical munitions, and the deaths of Renee Good and Alex Brady. Speakers said the actions were terrorizing immigrant communities, communities of color, Native Americans, and families, and argued that the federal government was using Minnesota as a testing ground for broader authoritarian overreach. Several lawmakers tied the situation to constitutional and civil-rights concerns, saying the conduct violated protections related to due process, free speech, and equal treatment. They urged state and federal officials to resist cooperation with ICE, protect schools, hospitals, churches, and courthouses as safe spaces, and support sanctuary policies. One speaker said Minnesota had never before needed a select committee on federal impacts, but that the current situation justified it; another said a coalition of 27 states was coordinating 85 bills to require coordination with local law enforcement, increase transparency, protect against warrantless arrests and racial profiling, and impose consequences for federal misconduct. During the press question period, lawmakers from North Dakota and Tennessee said similar enforcement activity was spreading beyond Minnesota, including reported abductions in Fargo and a large federal presence in Memphis that had led to deportations and business closures. Illinois lawmakers said their state had already passed sanctuary laws and would continue pushing back. The event ended with calls for continued organizing, state-level legislation, and collective resistance to federal immigration enforcement practices described by speakers as unlawful and abusive.