Transcript Highlights:

• </c><02:47:13.880><c> voluntary</c> program so these programs are voluntary program so these programs
• I'm a public health nurse.
• I'm also the lead coordinator for the program, and Kim is the chief public health nurse.
• I'm also the lead coordinator for the program, and Kim is the chief public health nurse.
• I'm also the lead coordinator for the program, and Kim is the chief public health nurse.

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• the state grant program. uh we were not the state grant program. uh we were not able<00:06:34.080><c>
• </c> of the victim services programs of the victim services programs throughout<01:33:48.400><c> this
• :12.719><c> will</c><01:54:13.040><c> be</c> these funds and programs will be these funds and programs
• </c><02:07:05.920><c> uh</c> implement evidence-based programs. uh implement evidence-based programs.
• . program. program.

Transcript Highlights:

• Member from Burlington. producer responsibility program for producer responsibility program for beverage
• </c> extended producer responsibility program extended producer responsibility program for<00:07:46.560
• Section one addresses the juvenile court diversion program.
• Under current law, a diversion program.
• </c> the adult court diversion program. the adult court diversion program.

Transcript Highlights:

• This is all company-based, corporate-based program. Mr.
• Chair, Representative, the schools could apply for the program.
• Is this the first year of this pilot program? Mr.
• One voting member is a sexual assault nurse examiner.
• for that type of program.

Bills: HB97 , HB280 , HB183 , HB151 , HB202

Committee: House House Appropriations & Finance

Keywords: Shaken Baby Syndrome, abusive head trauma, child safety, training and education, healthcare funding, youth internships, workforce development, education, grant funding, employment, drinking water, water quality, environment, public health, water filtration, private well testing, federal funding, childhood sexual abuse, time limitations, civil actions

Transcript Highlights:

• For the House, this is only the Open Door Grant Program.
• The Senate shifts the funding for the law enforcement equivalency program, the graduation alternative
• to traditional education program, and the performance-based incentives.
• Programs, a strategic emphasis for $38.5 million, while the House proposes an additional $20.9 million
• for the tuition waiver program.

Summary: The Higher Education Budget Subcommittee met with a quorum present for what was described as its final committee meeting of the session. Chair Busatta opened the meeting by outlining the upcoming budget conference process, explaining that the House and Senate had both passed their budget bills and that conference negotiations would begin soon, with the Senate serving as the hosting chamber this year. She reviewed how the conference process works, including side-by-side budget documents, chamber offers, subcommittee negotiations, escalation to the chairs and then to the Speaker and President, and the required 72-hour cooling-off period before final budget passage. The main discussion focused on the differences between the House and Senate higher education budgets for fiscal year 2025-2026. The chair noted a total $62.5 million difference, with the Senate budget higher overall. Key differences included House reductions for vacant FTE positions, differing approaches to recurring versus nonrecurring funding in financial aid and workforce programs, the Senate’s larger funding level for workforce development capitalization incentive grants, and differing allocations for colleges and universities. In the university budget, the Senate centralized nurse education funding at the University of South Florida’s Center for Nursing and funded several specific initiatives, while the House proposed additional funding for performance-based metrics, faculty recruitment and retention, and tuition waivers. The chair also highlighted a major proviso difference involving the EASE grant, where the House proposed minimum benchmark metrics for institutional eligibility. No testimony was taken and no votes were held on the budget differences. After the overview and brief explanation of the budget and proviso side-by-side documents, the committee concluded its agenda and adjourned on a motion by Representative Blanco, without objection.

Transcript Highlights:

• There is a novel rotation program in the South Texas area.
• We're supporting a $4 million rider in the budget to expand the program.
• Texas is only currently spending $6 million on these programs.
• They are great programs, and they do incredible work, but their reach is limited by funding.
• I'm a nationally certified. school nurse and the Executive Director for Texas School Nurses Organization

Committee: House Appropriations - S/C on Article II

Transcript Highlights:

• To date, it has really worked for some programs, and I think as we talk about moving from pilot programs
• I not only see these as sister programs, but highly complementary programs.
• I'm a registered nurse and currently work as a full-time school nurse at a charter school in Boston.
• Never in my nursing and advanced practice nursing education did I learn about combating disease with
• nutrition program.

Committee: Joint Joint Committee on Higher Education

Summary: The Joint Committee on Higher Education held its first hearing and heard testimony on a wide range of bills, including hunger-free campuses, FAFSA completion, early college/college-in-high-school programs, banning legacy preferences, AP credit consistency, and tuition equity for the Stockbridge School of Agriculture. Committee leaders opened by outlining the hearing process and noting the three-minute testimony limit. Legislators and advocates generally framed the bills as equity and access measures aimed at improving college affordability, student success, and workforce development. Representative Vargas testified for H. 1466 and H. 1467, arguing that hunger-free campus should be codified because many public college and community college students face food insecurity, and that FAFSA completion should be improved through individualized outreach and an opt-out or completion requirement. Senator Lovely, the Greater Boston Food Bank, and other advocates supported the hunger-free campus bill, citing data that 44% of public university and community college students experienced food insecurity in 2023 and that food insecurity harms graduation rates. Femi Stoltz and Shanti Lopez Toro backed the FAFSA bill, saying many students miss out on Pell grants and need direct support; they pointed to state examples such as Louisiana and to recent state action requiring FAFSA awareness. Committee members asked about the federal FAFSA rollout, regional equity in food access, and the need for long-term funding and data collection. A large panel supported H. 1455 on college and high school/early college, including former Chair Roy, the Massachusetts Alliance for Early College, a student graduate, MBAE, and Tripp Jones. They described early college as a proven model that helps low-income and first-generation students, improves degree attainment, and supports workforce needs; witnesses said the goal is to scale from about 9,000 students and 55 partnerships toward 22,000 to 25,000 students by 2030, with possible future growth beyond that. Members raised questions about funding, public-private partnerships, parental involvement, faculty development, and whether the bill should include data review and more standardized policies across institutions. Representative Garcia also testified for H. 1432 on AP credit, saying students should receive consistent credit for AP scores of 3, 4, or 5. Senator Edwards and James Murphy testified for the legacy preference ban, arguing it is unfair and rooted in exclusionary history; they said some states have already banned legacy preferences in public and private institutions. Finally, UMass Dean Michael Fox, alumnus Dan Mayer, and student Jake Rasmussen supported S. 920 to include Stockbridge associate degree programs in MassEducate, saying tuition equity would help enrollment and support Massachusetts agriculture and green-industry jobs.

Transcript Highlights:

• Is it the success of some of the programs we're actually doing?
• So there's kind of no loan forgiveness program.
• That's why you created the critical access hospital program.
• The ones that were managed by well-trained nurses had numerous codes.
• It's about nurse burnout and those types of things.

Summary: The Rural Health Transformation Committee met to receive an overview from Department of Health and Welfare Director Juliet Sharon on Idaho’s Rural Health Transformation Program, created under the federal One Big Beautiful Bill Act. Sharon explained the $50 billion federal program, Idaho’s application timeline, the state’s ranking and award amount, and the five broad initiative areas in the approved plan: technology and access, innovative care models, workforce development, chronic disease and behavioral health, and rural infrastructure/partnerships. She emphasized that the funding is tightly overseen by CMS, with required reporting, compliance checks, sustainability plans, and the risk of losing funds if Idaho does not obligate money or meet milestones on time. She also outlined the state’s plan to hire a 12-person temporary team and to use a mix of RFPs and competitive subgrants, with monthly reporting to the committee and a shared information space to track solicitations, rubrics, and awards. Committee members questioned several parts of the plan, especially scope-of-practice issues tied to the application, the use of telehealth funding, workforce retention, and the survey process used to shape the application. Representative Tanner asked whether the state could continue pursuing scope changes for dental hygienists and physician assistants and whether legislative action could affect funding outcomes; Sharon said the state would continue to evaluate those policies, but that compliance, timely spending, and performance would be the main factors affecting funding. Representative Healy raised concerns about the survey’s heavy use of “other” responses and about telehealth spending, arguing some telehealth uses may not be practical for specialty care. Representative Manwaring requested a shared drive for real-time data and asked for raw survey results and dollar-based funding caps. Sharon agreed to provide follow-up information, including survey data and additional details on funding limits. Chris Jones of Catalyst Policy Group then presented broader policy observations and examples from other states. He praised Idaho’s application, urged the committee to keep the focus on patient-centered rural access, and highlighted ideas such as community health workers, remote patient monitoring, rural training pipelines, value-based care networks, and telehealth models that reduce staffing needs and improve sustainability. He also cautioned against relying on social determinants of health funding, noted the importance of rural training and partnerships, and praised Idaho’s 3.5% tribal set-aside. The committee ended by agreeing to set up a shared information hub with LSO, to expect follow-up materials and possible solicitation drafts soon, and to tentatively plan its next meeting around CMS’s Idaho visit on May 28.

Transcript Highlights:

• programs.
• programs.
• This is about our New Mexico Care program.
• This is a critically important program.
• I know we can't, it's not apples to apples because in a nursing home there are nursing services and more

Committees: Senate Senate Finance , Senate House Appropriations & Finance

Transcript Highlights:

• , including in-person baccalaureate degree programs in nursing, psychology, business administration,
• programs.
• programs.
• There are two-, three-year wait lists to get into some of these nursing programs.
• There are two-, three-year wait lists to get into some of these nursing programs.

Summary: The committee heard Assembly Bill 664, which would authorize Southwestern College in Chula Vista to develop a limited pilot of faculty-led bachelor’s degree programs tied to regional workforce needs, with collaboration requirements, an independent evaluation, and a sunset in 2035. The author and supporters argued the bill would address local access and affordability problems in South San Diego, where many students are place-bound and the region lacks a nearby public university offering bachelor’s degrees. Opponents from the CSU, UC, and AICCU said the measure would bypass the existing AB 927 consultation process and could set a precedent for duplication and expansion outside the current statewide framework. After debate, the committee passed AB 664 on a due-pass motion to Appropriations, with the roll showing eight ayes and one no, later updated to nine ayes and one no after the roll was held open. The committee then took up Assembly Bill 1241, which directs a study of a “pay-it-forward” higher education financing model in which students would attend without upfront tuition and repay costs later based on income. The author and Superintendent of Public Instruction Tony Thurmond framed the bill as a response to rising college costs and student debt, arguing California should study innovative affordability models used elsewhere. Some members raised concerns about fiscal feasibility and whether the model had worked in other states, while others supported the study as a modest first step. AB 1241 passed to Appropriations on an eight-aye, two-no vote. Assembly Bill 713 would allow undocumented students at UC, CSU, and community colleges to access paid campus jobs, internships, and research positions. Supporters said the bill would improve equity, affordability, and student success, and that campus employment is a critical pathway for undocumented students who already pay tuition and fees. Opponents argued the bill conflicts with federal law and could expose campuses and the state to legal and funding risks; supporters responded that state entities are not bound by the federal prohibition in the way described and emphasized the need to protect students and expand opportunity. The committee also heard concerns about student privacy and data protection. The bill was moved to Appropriations, with the roll initially showing five ayes, three noes, and one not voting, and the roll held open for additional members. Finally, Assembly Bill 1171 was presented as a modernization of the existing part-time faculty health insurance program for community colleges, aimed at making coverage more consistent and predictable across districts. The author said the bill would not create a new entitlement but would strengthen participation in the current program to better reflect the realities of a workforce made up largely of part-time and multi-district faculty. The transcript ends as the presentation begins, before testimony, debate, or a vote on AB 1171.

Transcript Highlights:

• was a new program.
• I serve as the chief program officer at Akin.
• I serve as the chief program officer at Akin.
• I serve as the chief program officer at Akin.
• The hospital programs we have here at Swedish are working at a loss, are astounding PPW programs, which

Summary: The committee heard testimony on House Bill 2511, which would define “imminent physical harm” in the child welfare context as a substantial risk of serious harm arising from home conditions, caregiver conduct, neglect, substance abuse, unsafe environments, or other circumstances likely to cause significant injury. Representative Tom Dent, the sponsor, said the bill was intended to give caseworkers clearer tools to protect children while still recognizing the importance of keeping families together. Supporters, including some foster parents, kinship caregivers, advocates, and individuals with lived experience, argued that the current standard is too vague and has contributed to child fatalities and near-fatalities, especially in cases involving fentanyl exposure, chronic neglect, and abuse. They said clearer language would help courts and caseworkers intervene earlier and more consistently. Opponents, including legal aid, public defense, and child welfare policy groups, argued the bill is legally problematic, could conflict with existing statutes and ICWA-informed language, and would not address root causes such as service gaps, training, and inconsistent implementation. DCYF testified “other,” saying the bill could add clarity but that the language needed refinement; the sponsor said he was open to working on changes. No vote was taken on the bill during the hearing. The committee then heard House Bill 2660, which would allow courts at shelter care hearings to order parents of children under age five to comply with safety-related conditions, evaluations, or services when the child is returned home, with referrals required within seven days and participation not treated as an admission of abuse or neglect. The sponsor, Representative Ortiz-Self, said the bill is aimed at critical incidents and would give caseworkers and courts more ability to require safeguards for very young children when families are not voluntarily engaging in services. DCYF and the Office of the Family and Children’s Ombuds supported the bill, saying it could help prevent tragedies by allowing earlier court-ordered services and safety conditions. Some advocates and parents also supported it, describing cases where removal or court intervention helped protect children. Opponents, including public defense and some family-support organizations, raised constitutional and due process concerns, argued that services are not the same as immediate safety, and warned the bill could shift problems without fixing underlying service shortages. The sponsor and DCYF discussed the need for follow-up on language and implementation, but no committee action or vote was taken in the hearing.

Transcript Highlights:

• Nurses wrote that he was inconsolable and in acute pain.
• As a lifelong public servant with years of experience in law enforcement and nursing, someone who has
• Chair, committee, I'm a nurse of 48 years, and for the last 10 years, I worked in emergency trauma.
• Basically, it creates a work, people, working people with disabilities program at DCF.
• So this is going to be helping people know about this program. Thank you. Thank you.

Summary: The Health and Human Services Committee considered eight bills and reported all of them favorably, several as amended. HB 1347 on clinical laboratory personnel was presented as a response to staffing shortages in Florida labs; the sponsor and Quest Diagnostics supported aligning state licensure with CLIA standards to improve hiring and turnaround times. The bill passed 24-0. CS/HB 47, dealing with specific medical diagnoses in child protective investigations, drew extensive emotional testimony from parents and advocates who said children had been wrongly removed after misdiagnoses; the bill was amended to tighten timelines and record-sharing requirements, then passed 26-0. CS/HB 287 created a public records exemption for applicants, owners, operators, and references of family foster homes and passed unanimously. The committee also approved CS/HB 439, allowing chiropractors to inject vitamins and nutrients under training and safety limits, after an amendment clarified they may not prescribe prescription drugs; it passed 26-0. CS/HB 1021 would allow pharmacists to administer medications in trauma centers under physician direction, and an amendment added pediatric trauma centers; it passed 26-0. HB 867 would let occupational therapists perform dry needling after specified training and supervision, and it passed 25-0. HB 1309, which shortens deadlines for patients to access their medical records and aligns nursing home access rules with federal law, drew opposition from health information management groups over privacy and portal/data-security concerns, but supporters argued it simply speeds access to records; it passed 21-5. CS/HB 915 codifies and expands Medicaid eligibility protections for working people with disabilities so they can keep coverage while employed, with strong support from disability advocates and emotional testimony from the sponsor about her son’s benefits concerns; it passed 26-0. After these votes, the committee adjourned.

Transcript Highlights:

• </c> department had requested for the program department had requested for the program to<00:04:52.880
• the program was more functional.
• </c> program based on credible allegations. program based on credible allegations.
• the program as well as accessing the program as well as administering<00:31:19.760><c> MA.
• </c> of the nursing facility payment rates. of the nursing facility payment rates.

Bills: HF3379

Committee: House Human Services Finance and Policy

Transcript Highlights:

• ,</c><00:03:38.159><c> 57%</c> 24 billion on the Medicaid program, 57% 24 billion on the Medicaid program
• </c> fewer people enrolling on the program fewer people enrolling on the program than<00:10:26.000><c
• </c> actually being eligible for the program. actually being eligible for the program.
• Um they could do work program<00:13:51.680><c> participation</c> program participation program participation
• Program.

Transcript Highlights:

• </c><00:04:57.280><c> and</c> workers, counselors, nurses and workers, counselors, nurses and psychologists
• There are new provisions relating to dual language immersion programs so that those programs would not
• um so that language immersion programs um so that those<00:09:28.720><c> programs</c><00:09:29.120><
• My vision is not that we fight programs.
• The people who make up ESPs are like nurses are in hospitals. ESPs are in schools.

Bills: HF1049

Committee: House Taxes

Transcript Highlights:

• It does not create a new program or mandate.
• Two, it takes up nurses' time. Three, it's very personal.
• Two, it takes up nurses' times. Three, it's very personal.
• The bill creates a program for dentists at the Dental Hygiene Board.
• I'm the California Senior Program Manager.

Summary: The Assembly Appropriations Committee met on May 6, 2026, with a quorum present and began by approving a large consent calendar of bills on two unanimous-support motions. The committee then heard a series of individual bills, with authors and sponsors generally describing low or absorbable state costs and asking for aye votes. Topics included AI/digital safety education for students (AB 1792), hepatitis C treatment access (AB 1843), rent-now-pay-later consumer protections (AB 2350), retirement information for community college faculty (AB 2417), cannabis regulation changes including tribal commerce, drive-through sales, and beverage labeling (AB 2506, AB 2697, AB 2532), emergency equipment training for law enforcement volunteers (AB 1913), cannery law modernization (AB 2706), child care planning in local governments (AB 1914), EV charger permitting fees (AB 1820), election-record notice requirements (AB 1664), nursing home discharge notices (AB 2135), a San Diego energization-delay pilot (AB 2518), mental health training for school coaches (AB 1665), and education governance and oversight changes (AB 2117). Several bills were described as committee or sponsor measures with technical or clarifying changes, including AB 2780, AB 2615, AB 2121, and AB 2771. Testimony was largely supportive, often from sponsor groups, industry representatives, labor, or advocacy organizations. Notable support included TechNet for AB 1792, the California State Sheriffs’ Association for AB 1913, California Dairies and food manufacturers for AB 2706, the Low Income Investment Fund for AB 1914, EV and environmental groups for AB 1820, the Attorney General’s Office for AB 1664, long-term care ombudsman advocates for AB 2135, and the California State Association of Psychiatrists for the cannabis and mental-health-related bills. Some bills drew limited opposition or “opposed unless amended” positions, including AB 2350, AB 1820, and AB 2506, while AB 2697 and AB 2532 were presented as efforts to support the legal cannabis market and consumer safety. The committee also heard a presentation-only item, AB 2541, creating a lowrider specialty license plate, which drew enthusiastic bipartisan comments and co-author requests from members. Most bills were reported out with due pass recommendations, many on roll call and several with specific members not voting or voting no. AB 1664 was reported out as due pass as amended and placed on call before later being moved out on a B roll call. AB 2350 and AB 1914 were also later reported out from call on B roll calls, with AB 1914 noted as passing despite some Republican no votes. The suspense calendar was then deemed approved without individual action, and the meeting concluded after a brief public comment period in which members of the public voiced positions on unrelated bills, including support for AB 2497, AB 1729, AB 2189, AB 1575, AB 2170, and opposition to AB 1603, AB 2447, AB 2411, AB 2492, and AB 1952.

Transcript Highlights:

• c><00:05:23.160><c> tax</c> Data collection tax, banning private equity entities from taking over nursing
• No, I think that there is a number of program integrity measures that are being discussed in the human
• integrity measures that are of program integrity measures that are being<00:13:01.600><c> discussed<
• </c> etc., and making sure that the programs etc., and making sure that the programs in<00:13:15.240>
• uh for for uh profoundly nursing uh for for uh profoundly disabled<00:16:00.920><c> kids.

Summary: A Minnesota Senate leader discussed the end-of-session budget deal and said the Senate had passed a comprehensive budget that addresses several recent crises and federal policy changes. He highlighted funding to respond to gun violence, Metro Surge, and the effects of a federal Republican budget bill, saying the package includes retroactive medical assistance coverage, support to keep SNAP functioning, $10 million for food banks and shelves, rental assistance, and aid for counties and property taxpayers. He also said the Senate secured $205 million for HCMC, a $30 million uncompensated care pool for other distressed hospitals, and a $500 million health care stabilization reserve, along with a one-year license tab fee reduction and a $1.2 billion bonding bill. He said some priorities were left out or rejected in negotiations, including small business relief, low-income rent, energy assistance, rural EMS stabilization, a manufactured home bill of rights, a social media platform data collection tax, and proposals to block private equity from nursing homes and single-family homes. He also said the House Speaker had promised but not brought a gun vote to the floor, and he expressed disappointment that immigration-related action and some gun control measures did not advance further. He defended the rental assistance as available to Minnesotans regardless of documentation status and said it was not tied only to Operation Metro Surge. The leader also addressed concerns about payment withholding and program integrity in human services, saying the goal was to fight fraud without cutting services. He said hospitals seeking access to the stabilization reserve would need to show distress and financial need, and that both the governor and a legislative advisory committee would have to approve. He closed by saying the process had been difficult and too much negotiation had moved into backroom settings, but that the chambers were working toward an orderly conclusion and that he expected the remaining bills to be finalized and sent to the governor.

Transcript Highlights:

• For nursing home placement, functional eligibility is based on an assessed need for nursing facility
• Second, the food assistance program for legal immigrants, known as FAP, is a state-only program.
• I'm going to talk through the impacts of H.R. 1 on SNAP programs and food assistance programs.
• And then there is what I call a mirrored program, which is the food assistance program.
• paid out for the federal program.

Committee: Senate Ways & Means

Summary: The committee held a work session to review how H.R. 1 would affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on state budget impacts and implementation challenges. Staff and agency officials explained Washington’s Medicaid financing, eligibility categories, caseload trends, and the role of managed care, then outlined H.R. 1 provisions affecting the expansion population, including work requirements, six-month redeterminations, changes to immigrant eligibility, reduced retroactive coverage, cost sharing, provider tax and state-directed payment limits, and penalties tied to eligibility error rates. Officials also described the need for major IT and systems changes across agencies, including the state’s existing CMS corrective action plan for automated renewals and the difficulty of implementing new federal requirements before guidance is finalized. Health Care Authority and DSHS witnesses said the expansion population would be most affected, with potential coverage losses for about 620,000 Apple Health expansion enrollees and additional impacts for some lawfully present immigrants and a smaller number of long-term care and developmental disability clients. They said many current enrollees already work, but the new requirements would create administrative barriers and could increase uninsured rates, emergency room use, and uncompensated care. Agency leaders also discussed the immediate prohibition on Medicaid funding for Planned Parenthood services, with the state planning to backfill about $11 million so clients can continue care. Members asked about FMAP comparisons, work requirement experiences in other states, waiver possibilities, definitions of exemptions, and whether the changes would affect COFA communities, rural areas, and behavioral health services. The committee then heard a separate presentation on H.R. 1’s food assistance provisions. DSHS said the bill would broaden SNAP work requirements, end certain immigrant eligibility for federal SNAP, eliminate SNAP-Ed, increase the state administrative match from 50% to 75%, and create a future state cost share for SNAP benefits based on payment error rates. Officials estimated a four-year fiscal impact of about $750 million, with significant costs tied to the immigrant eligibility shift, administrative match changes, and possible benefit cost sharing. DSHS also described the state’s integrated eligibility system and the large amount of work needed to update it across multiple quarterly releases while coordinating with other agencies. No votes or formal actions were taken.

Transcript Highlights:

• For nursing home placement, functional eligibility is based on an assessed need for nursing facility
• Second, the food assistance program for legal immigrants, known as FAP, is a state-only program.
• I'm going to talk through the impacts of HR1 on SNAP programs and food assistance programs.
• And then there is what I call a mirrored program, which is the food assistance program.
• paid out for the federal program.

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• That person must attend a mandatory educational program. on human trafficking and child exploitation
• To establish a grant program to support community based organizations that provide direct services and
• Assembly Bill 876 clarifies the scope of practice for a certified registered nursing anesthetist.
• There were many skilled nursing facilities that were burnt down.
• Skilled nurses and surgical nurses became full-time caregivers.