Transcript Highlights:

• </c> existing operations of of the campus. existing operations of of the campus.
• </c> to launch your website? to launch your website?
• </c> and those are for operations. and those are for operations.
• </c> these operational dollars. these operational dollars.
• . operations. operations.

Transcript Highlights:

• Fentanyl production and smuggling operations in Mexico.
• Director Patel, has the FBI launched any investigation into this?
• Precise operational issues were not part of this conversation. Correct.
• To what extent is the FBI tracking operatives? Who remain in the United States today?
• The deliberation as to whether... or not we should launch a strike on another country.

Committee: Senate Intelligence (Select) Committee

Keywords: national security, cyber threats, civil liberties, transnational crime, FISA Section 702, public-private partnership, intelligence community, Annual Threats Hearing

Summary: The Senate Intelligence Committee convened for a significant meeting focused on the Annual Worldwide Threats Hearing. Prominent officials from various intelligence agencies presented their insights on emerging national security threats, including concerns over increasing cyber threats, particularly from China and non-state actors. A major discussion point included the balance between national security and civil liberties, as evidenced by conversations surrounding Section 702 of FISA and its implications for privacy protection. The challenges posed by cartels and transnational criminal organizations, especially related to narcotics trafficking, were emphasized as pressing issues necessitating coordinated responses from federal, state, and local law enforcement agencies. This meeting underscored the necessity of public-private partnerships to tackle these multifaceted threats effectively.

Transcript Highlights:

• System Operator.
• They've developed new grid operating protocols, such as fast trip, to operate the grid more safely...
• New grid operating protocols such as fast trip to operate the grid more safely, not to mention, of course
• So congratulations, looking forward to that launching in a few months.
• storage projects operating across 13 states.

Summary: The Assembly Committee on Utilities and Energy held an oversight hearing with leaders from the CPUC, Public Advocates Office, CAISO, the Office of Energy Infrastructure Safety, and the Energy Commission. Chair Petrie-Norris framed the hearing around high utility bills, wildfire risk, grid reliability, clean energy buildout, and the state’s long-term decarbonization goals, and also noted it was CPUC President Alice Reynolds’ final week at the commission. Each agency gave an update on its role: the CPUC described efforts to reduce rate increases while maintaining reliability and clean energy procurement; the Public Advocates Office focused on affordability and the need to control underlying utility costs; CAISO discussed transmission planning, market operations, and the upcoming extended day-ahead market; Energy Safety reviewed wildfire mitigation oversight and inspections; and the Energy Commission highlighted clean energy growth, EV adoption, storage, efficiency, and gasoline price monitoring. A major theme was affordability versus the costs of the clean energy transition. Reynolds said the CPUC has lowered utility revenue requests, reduced utility returns, adopted a base services charge, and reworked net metering, while also continuing to manage wildfire-related costs and support resource adequacy and demand flexibility. Sarazawa argued that recent rate decreases may not be durable because billions of dollars in wildfire and other utility costs are still pending or unbilled, and she urged tighter use of general rate cases, lower-cost financing, program reform, and more equitable rate design. Members pressed the agencies on whether state policy is sufficiently accounting for labor, local economic development, and the cost impacts of transmission and procurement decisions, especially where out-of-state resources are being considered. CAISO and the Energy Commission emphasized that the state’s planning and market reforms are helping lower costs and improve reliability. CAISO said the Western Energy Imbalance Market has produced billions in benefits, the extended day-ahead market is on track to launch, and transmission planning is being aligned with long-term resource needs while reducing queue delays. The Energy Commission said California is now getting roughly two-thirds of its power from clean sources, has added massive amounts of storage and renewables, and is seeing strong EV and charger growth that can help spread fixed grid costs. Energy Safety reported thousands of inspections, hundreds of notices of non-performance, and a decline in reportable ignitions, while noting that major fires show more work is needed. Members also raised concerns about the SB 100 report delay, memo and balancing accounts, the future of battery storage, and whether decarbonization zone pilots will affect residential and commercial customers.

Transcript Highlights:

• . $5 million one-time General Fund for OCPSC to launch a belonging initiative.
• Four million has been committed, and OCPSC launched California Love, California Strong, in January of
• decisions to ensure that they can still launch that program.
• The staff understand the operational realities, the compliance requirements, and the risks.
• I am the Senior Director of Operations at the Phillips 66 Rodeo Renewable Energy Complex.

Summary: The subcommittee first heard an informational overview from the Governor’s Office of Service and Community Engagement (GoServe), including California Volunteers, the Office of Community Partnerships and Strategic Communications, and the Youth Empowerment Commission. GoServe reported strong participation in programs such as California Service Corps, College Corps, Youth Service Corps, Climate Action Corps, and the new men’s service challenge. Testimony emphasized enrollment, retention, and completion outcomes, outreach results, and efforts to reduce administrative costs. The Department of Finance said the administration supports the programs but has already made reductions to help address the budget deficit, while the LAO said it had no new recommendations on the informational item. Committee members raised questions about program scale, demographics, and effectiveness, especially for Climate Action Corps and whether the programs are duplicative of existing volunteer opportunities. One member criticized the programs as too fragmented and costly, while others asked for more data on who is being served and whether the programs increase actual participation in state services. GoServe said it would follow up with demographic and regional impact information. The committee also discussed the men’s service challenge, which GoServe said has formed partnerships with organizations such as YMCAs and Big Brothers Big Sisters and has already attracted more than 2,000 participants. The item was informational only. The committee then heard a BOE overview and a budget request to implement SB 293, which gives wildfire-affected families additional time to claim intergenerational Prop. 13 property tax transfers. BOE requested $154,000 for guidance, public materials, and inquiry response, explaining that the work is urgent and tied to disaster relief in Los Angeles County, especially Altadena. The LAO had no concerns, and Finance had no comment. Members asked how many cases might be affected and whether more funding would be needed later; BOE said the full number is not yet known and that future requests are possible. The committee also heard BOE’s IT modernization proposal for the state-assessed property tax system, a 30-year-old mainframe replacement costing $3.2 million in 2026-27 and $3.1 million in 2027-28. BOE and Finance supported the project as necessary, while the LAO said it had no concerns but urged a high bar for new IT spending. Members generally supported modernization but cautioned about implementation risk. Finally, CDTFA presented an overview and two policy proposals. The department described administering 42 tax and fee programs, collecting $98 billion in FY 2024, and improving administrative efficiency. Members then discussed local sales tax tools and revenue-sharing agreements, with concerns raised about transparency, consultant-driven tax allocation disputes, and the impact on local communities. CDTFA and the LAO explained that local jurisdictions control how district sales tax revenues are spent and noted the Legislature could revisit the statutory cap on local add-on sales taxes. The committee then heard CDTFA’s proposal to treat all delivery network companies as marketplace facilitators so they must collect and remit sales tax on delivery-app orders. CDTFA said the change would resolve confusion, shift compliance from thousands of small restaurants to a few large platforms, and raise about $44 million annually. Several members questioned whether the proposal would effectively raise consumer costs and whether it would create a competitive advantage or disadvantage among delivery platforms. The item remained under discussion, with no vote taken in the transcript.

Transcript Highlights:

• But the vast majority of the trains that operate in the state of California are operating on privately
• But if you don't have operating dollars to actually do it and operate on it, then there's a question
• But if you don't have operating dollars to actually do it and operate on it, then there's a question
• But if you don't have operating dollars to actually do it and operate on it, then there's a question
• We operate on an open system.

Summary: The Senate Subcommittee on LOSSAN Rail Corridor Resiliency held an informational hearing focused on the corridor’s financial stability, service reliability, governance, capital planning, and long-term resiliency. Chair Lackey opened by criticizing the unfinished SB 1098 report and the underwhelming Transit Transformation Task Force work, arguing that the corridor remains at a crossroads with weak ridership recovery, poor on-time performance, and major capital projects that are not moving quickly enough. Senator Archuleta emphasized safety, maintenance, and the need to avoid state subsidy if ridership and revenues can support service. CalSTA and Caltrans described major state investments and ongoing planning efforts, including $125 million for San Clemente resiliency work, additional leveraged federal and state funds, more than $25 billion in funded projects in the pipeline, and the development of a corridor project database and service-planning tool under SB 1098. Caltrans also reported restoring Surfliner service to 13 weekday round trips between Los Angeles and San Diego, piloting expanded service to Santa Barbara and San Luis Obispo, and reorganizing internally to elevate transit and rail oversight. On zero-emission strategy, officials said hydrogen fuel-cell trains are being procured for longer-distance service while electrification remains the long-term ideal and battery-electric options are being explored for shorter routes. The committee then heard from Metrolink CEO Darren Kettle and Caltrain representative Jason Baker. Metrolink described its shift to “regional passenger rail,” with schedule changes aimed at all-day service, better transfers, and growth in student and weekend ridership, but warned of a fiscal cliff because member agencies now cover most operating costs while fare revenue remains low. Kettle said the agency has not reached consensus among its five county partners on a dedicated revenue solution and warned that service cuts may be unavoidable without new funding. Caltrain reported strong post-electrification ridership gains, improved customer satisfaction, and expanded service, but also warned of a large annual operating deficit that could force reductions in frequency, weekend service, stations, and evening operations if stable funding is not found. Members also discussed public safety, marketing, station placemaking, parking and concession revenue, and hydrogen fuel-cell technology. Senators urged stronger promotion of rail service, safer and cleaner stations, and more ambitious planning to match the state’s investments. No votes or formal actions were taken; the hearing was informational, with officials asked to continue reporting back on SB 1098, San Clemente planning, service performance, and funding solutions.

Transcript Highlights:

• Now we just can demonstrate to the satisfaction of the use of a boat launch.
• It's just primarily the launch issue.
• But if you don't incentivize operators to come back here, I don't know.
• But if you don't incentivize operators to come back here, I don't know.
• It became an underlying principle where the state was going to start operating.

Committee: House Natural Resources & Environment

Transcript Highlights:

• And as we launch these programs, we have to keep in mind that we're preparing for the future and not
• What you will see is that we're launching innovative training programs.
• What you will see is we're launching new programs.
• In our area, we looked around and there were no other providers, so we launched this program.
• Designed with adaptability in mind, this site will operate on a flexible schedule basis for students

Committee: Senate Appropriations Committee on Higher Education

Summary: The Appropriations Committee on Higher Education received an overview of Florida’s career and technical education (CTE) system from Chancellor Kevin O’Farrell, who described the state’s CTE pathways, program types, enrollment and completion growth, quality audit metrics, and the Master Credentials List used to identify credentials of value. He highlighted record postsecondary CTE enrollment and completions, strong statewide performance in talent attraction, and several funding tools supporting expansion, including Open Door, the Florida First Responder Scholarship, Workforce Development Capitalization grants, Perkins funding, CAPE performance incentives, and apprenticeship grants. Senators asked about eligibility for Open Door and first responder aid, top industry certifications, and the teacher apprenticeship initiative. A panel of college and technical school leaders then described how state and federal funding has supported local program growth and facility expansion. Santa Fe College, Palm Beach State College, North Florida Technical College, Lake Technical College, Florida Gateway College, and Manatee Technical College each cited increases in enrollment, high placement or licensure pass rates, and new or expanded programs in nursing, welding, CDL, automotive, manufacturing, public safety, and apprenticeship. Several speakers emphasized partnerships with hospitals, employers, school districts, and local governments, and noted that grants helped fund equipment, renovations, and new training hubs. Palm Beach State also raised a request to broaden line funding beyond nursing to other health science fields, and multiple presenters asked for more flexibility, multi-year support, and continued or increased funding to sustain growth. Members discussed broader challenges, including the difficulty of sustaining grant-funded growth after initial awards, the lag between enrollment growth and funding formulas, and alignment problems for dual enrollment and technical programs with high school schedules. Senators also noted the need to balance support for high-demand core programs like nursing and welding with the ability to respond quickly to emerging industries such as AI and space. The meeting ended with no formal action beyond adjournment after Senator Davis moved to adjourn.

Transcript Highlights:

• WE JUST LAUNCHED A NEW FACILITY, A NEW 40,000 SQUARE-FOOT FACILITY, FIRST OF ITS KIND IN THIS REGION
• LAST YEAR YOU ASKED US TO LAUNCH BAR FLORIDA TUTORING ADVANTAGE.
• THIS MAKES TUTORING SUPPORTS AVAILABLE IN READING AND MATHEMATICS SO WE ARE IN THE PROCESS OF LAUNCHING
• WE ARE WORKING SWIFTLY TO LAUNCH THAT THIS MONTH BECAUSE WE WANT TO MAKE SURE STUDENTS HAVE ACCESS TO
• AS THE OPERATOR, CHAIRMAN OF THE APPROPRIATIONS I CAN SAY WHAT WE WANT TO SEE IS HOW THAT INVESTMENT

Transcript Highlights:

• operation to a vendor-supported operation.
• operation to a vendor-supported operation.
• operation to a vendor-supported operation.
• operation to a vendor-supported operation.
• <01:19:48.400><c> you're</c> population for launches as you're population for launches as you're launching

Transcript Highlights:

• So you have your local educational operation funding.
• You don't have a lot of typical agency operations except for both.
• Special operators are SEALs, green Berets, et cetera.
• his new initiatives for University, which is the launch of our new U.S.
• And so this head to launch a fashion business.

Transcript Highlights:

• Arden operated a dairy farm in northeastern Pennsylvania.
• Let's talk about those operational security risks.
• LET'S TALK ABOUT THOSE OPERATIONAL SECURITY RISKS.
• Small aircraft operators and regional jet operators could face significant challenges integrating new
• They are real burdens for operators working on tight margins.

Transcript Highlights:

• We leave the operation of Minnesota State to Chancellor Olen, his cabinet, and system staff, and to the
• </c> recruitment phase with work to launch recruitment phase with work to launch this<00:13:09.959><c
• </c> August of 2022 Minnesota state launched August of 2022 Minnesota state launched a<00:17:20.600><
• Minnesota State launched a partnership with Mantra Health in September of 2024.
• </c> overall um to tie how our operating overall um to tie how our operating funds<01:15:51.440><c> flow

Summary: Minnesota State Colleges and Universities presented an overview of the system and several budget riders. Board Chair George Soul described the system’s structure, noting 26 colleges and seven universities governed by a 15-member board, and emphasized that Minnesota State serves about 270,000 students annually, including many students of color, adult learners, Pell-eligible students, first-generation students, and veterans. He highlighted the system’s workforce role, saying it offers more than 4,000 programs, extensive employer partnerships, and that 86% of graduates find jobs in their field or a related field. He then turned the presentation over to system staff to discuss specific funding requests. Associate Vice Chancellor Kim Lynch focused on the Z-degree textbook program, which supports zero-textbook-cost courses and degrees. She said prior legislative support has produced about $3.1 million in savings in academic year 2024 and more than $12.6 million in aggregate savings, with 10 colleges now offering Z degrees and 12 more on track or exploring implementation. She described the program’s use of open educational resources, instructional design support, and library resources to fill gaps where free materials are not available, and said students save roughly $7 to $10 for every $1 invested. Members praised the program and asked about its expansion. Associate Vice Chancellor Paul Shepard discussed student support funding, including a centralized basic needs resource hub, the Mantra Health mental health platform, and the emergency grant program. He said student surveys showed significant food, housing, and homelessness insecurity, and that the basic needs hub has served over 2,400 students with a 97% positive response rate. He said Mantra provides telecounseling, peer support, self-paced courses, and crisis support, and clarified in response to questions that it is not AI-driven and does not sell student data; general usage data is collected, and follow-up with campus counselors occurs only at the student’s request. He also said the emergency grant program has distributed over $3 million to more than 4,800 students, with grants averaging just under $700, and that campuses use application review and recordkeeping to manage repeat requests. Members asked about counselor staffing, data privacy, and grant safeguards. The final item addressed sexual assault reporting and prevention funding. System staff said the appropriation supports technology infrastructure for statutory reporting, case management for investigations, campus prevention training, and professional development for Title IX coordinators and related staff. They noted that the statutory student training requirement is funded by individual colleges and universities, not by this appropriation. No formal votes were taken in the portion of the meeting provided.

Transcript Highlights:

• launch on the employer revenue side.
• And since CHAMP launched in the fall of 2018, 15, 15, And since CHAMP launched in the fall of 2018, 56%
• And so the operating budget provides the operating subsidies to pay for staff, salaries, insurance, so
• We have developed an internal security operations center.
• That's just our operating dollars.

Committee: Joint Joint Committee on Ways and Means

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

Transcript Highlights:

• Uh, this state, uh, funding is gonna just really help us launch to that next level, and I really wanna
• is, uh, that new one of the resources that we have found over, you're gonna, we're gonna tour the launch
• Be able to get access to all those opportunities and it'll also have the incubator, the continued operation
• Like I said, you'll hear a little bit more about the launch pad when we give you the tour, and I just
• Operations and fundraising.

Transcript Highlights:

• With statewide operations.
• We've launched a series of non-credit conferences.
• So since it's launched in 2022, we've engaged over 80 school districts.
• I'm operating with just one staff member while serving over 200...
• This gap is not just operational; it is a compliance risk.

Summary: The Senate Budget Subcommittee on Education heard updates on several higher education budget items, beginning with a pulled follow-up item on the State Library’s administration of the Imagination Library. The chair said the committee had received new documentation from the State Library and the Department of Finance late the prior evening, and staff would review it before deciding whether additional oversight or accountability measures are needed. The committee then turned to the California Community Colleges budget request, with Chancellor Christian outlining strong post-pandemic enrollment recovery, asking for 3% enrollment growth funding, changes to the three-year average formula, removal of the 10% growth cap, and support for several one-time and ongoing initiatives including the Common Cloud Data Platform, credit for prior learning, AI literacy, Rebuild L.A., veterans services, Calbright College, and the Chancellor’s Office. Senators raised concerns about district reserves, part-time faculty conditions, veterans’ credit pathways, and fraud prevention in enrollment systems; the chancellor said the system is using DMV and other identity verification tools, AI screening, and audits, and that reported final enrollment numbers are clean. The committee then reviewed the student-centered funding formula. The Department of Finance described the governor’s proposal to fully repay $408.4 million in deferrals, provide a 2.41% COLA, and add one-time funding to cover current-year apportionment costs, while the Legislative Analyst’s Office recommended prioritizing the proposals within available Proposition 98 funding. Community college finance staff said most districts are growing, many would benefit from current-year funding rules, and that without the proposed apportionment funding districts could face a deficit factor and reduced course access. Members asked about infrastructure prioritization, deferred maintenance, safety, accessibility, and campus police; staff explained that life safety projects are prioritized first, followed by modernization and growth-related facilities, and that colleges are built to high safety standards under the Field Act. Enrollment growth was discussed separately, with Finance and LAO supporting the governor’s 1.5% growth proposal split across two fiscal years, while noting that growth is being driven in part by dual enrollment, regional demographic shifts, and unemployment. The Chancellor’s Office said 54 of 72 districts grew year over year and that funding more growth could help districts move off hold harmless status, though some districts face long-term demographic challenges. The committee also heard from Calbright College President Agita Menon, who described Calbright’s role serving adult learners statewide, its completion and wage gains, and the governor’s proposed $38 million ongoing funding. The LAO recommended transitioning Calbright to the student-centered funding formula beginning in 2027-28, arguing that the current proposal lacks a clear funding rationale and performance linkage; Calbright responded that its competency-based, non-credit model is structurally different and should be funded separately, while agreeing to continued accountability reporting. Finally, the committee received an update on the Community College Higher Education Student Housing Program. Finance said the governor proposes about $11 million ongoing General Fund for debt service on approved student housing projects, and that 11 projects are in the financing pipeline, with two completed, three under construction, four in working drawings, and two in preliminary plans. Finance also noted that some projects have withdrawn and that about $81 million in bond authority remains unallocated, which the Legislature may need to address going forward.

Transcript Highlights:

• If if one state wants if as an operator<00:20:28.960><c> operating</c><00:20:29.360><c> nationwide,</
• c><00:20:30.320><c> if</c><00:20:30.559><c> one</c> operator operating nationwide, if one operator operating
• One operator, Halverson Raven Creek and Dillinger Ranch TR, are operating.
• </c> >> But just launch. >> So if I launch, the tax exemption is only... you would get the tax?
• </c> that the TR operating? that the TR operating?

Bills: HB0075 , HB0128

Committee: Senate Minerals, Business & Economic Development

Transcript Highlights:

• In the HHRF operations present day.
• </c> launch and then we can stop right now. launch and then we can stop right now.
• </c><00:10:51.360><c> and</c> HHRF is very successful at launch and HHRF is very successful at launch
• So the original initial capital of $170 million that you see on the slide here is enough to launch operations
• </c><00:55:07.599><c> with</c><00:55:08.640><c> uh</c> approval to launch with uh approval to launch

Transcript Highlights:

• launch on the employer revenue side.
• And since CHAMP launched in the fall of 2018, 15, 15, And since CHAMP launched in the fall of 2018, 56%
• And so the operating budget provides the operating subsidies to pay for staff, salaries, insurance, so
• And so the operating budget provides the operating subsidies to pay for staff, salaries, insurance, so
• That’s just our operating dollars.

Committee: Joint Joint Committee on Ways and Means

Transcript Highlights:

• In the summer of 2025, however, shortly after the new online benefit delivery system was launched, this
• Month after month since the launch of the new system, they've had to make historic numbers of decisions
• its performance with respect to a number of timeliness metrics has worsened significantly since the launch
• . four times as long as DUA's average of 17 days prior to the system launching.
• Jessin Beck, Director of Marketing Operations. So maybe not on... Do we have any remote...

Committee: Joint Joint Committee on Labor and Workforce Development

Summary: The Joint Committee on Labor and Workforce Development held a hearing on House 5188, a late-filed bill to establish a special commission to study access to unemployment insurance in Massachusetts. Representatives Hadley Luddy and Joshua Tarski, the bill’s sponsors, said they filed it after seeing many constituent cases involving delays, unresolved claims, and difficulty navigating the unemployment system, especially for seasonal workers and others facing financial instability. They argued the commission should review claim data, gather stakeholder input, and identify gaps in the process so the system is more efficient, equitable, and transparent. Greater Boston Legal Services testified in support, describing numerous client cases in which claimants waited months for determinations or were stuck in limbo after the launch of a new online benefits system. Attorneys said DUA’s backlogs and timeliness metrics had worsened, citing large increases in non-monetary, separation, and hearings backlogs, and they urged the committee to consider systemic fixes, including better notice about paid family and medical leave and possibly more funding or staff for DUA. Committee members generally praised the bill and the sponsors’ collaboration, and one suggested the commission’s reporting deadline might need to be extended. No vote was taken during the hearing. After testimony and brief discussion, the chair closed the hearing and concluded the committee meeting.

Transcript Highlights:

• So firstly, we are working to operate.
• We did launch the Apple Health Medicaid.
• We launched this benefit January 1, 2025, so it's very new.
• Remember that this doula benefit just launched in January. It's an infant still.
• Remember that this dual benefit just launched in January. It's an infant still.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.