Transcript Highlights:

• try and make this much more transparent try and make this much more transparent and<00:54:25.920
• S7 for maintenance contracts. S7 for maintenance contracts.
• And in my view, that was a little bit less transparent than what we're trying to do here.
• <01:11:15.760> So a process that is not as transparent.
• So a process that is not as transparent.

Keywords: 916, all

Transcript Highlights:

• It's been 15 years with a new contract that went into effect February 2025, The managed care plans were
• can practice to include hospitals and clinics, positions like clinics and physicians, Like Linux contracted
• committee, the PS for HB 1013, enhances consumer protection by requiring nurse registries to be more transparent
• about their business model, transparent requirement.

Transcript Highlights:

• I believe this is just purely a transparency issue.
• A retroactive contract after a job is done, just because the intent of the bill may say that...
• And just so that we're all on the same page, the neutrality agreement is a voluntary contract that the
• It says clear standards, enforces accountability, and ensures transparency, and once again is a work
• There's no contract that can be entered without affirmative parental consent on any app.

Summary: The committee first took up SB 1236, which would condition state economic development incentives on employers at subsidized companies using secret-ballot union elections and prohibiting neutrality agreements. The sponsor said the bill is meant to protect workers and taxpayer dollars, and he noted he would amend the Attorney General enforcement language to allow appeals. Supporters argued it protects secret ballots and transparency, while opponents said it is a form of union-busting, could conflict with federal labor law, and would burden contractors and workers. After debate, the committee reported the bill favorably on a roll call vote, with Senators Bracey Davis, Smith, and Errington voting no and the remaining recorded votes in favor. The committee then heard CS/SB 198, which regulates cryptocurrency kiosks to combat fraud, especially against seniors. The bill requires kiosk registration, fraud warnings, blockchain analytics, transaction limits, receipts, and refund protections for certain first-time transactions involving non-U.S. wallets. Supporters from consumer and senior advocacy groups said the bill would help stop widespread scams, while one industry witness praised the bill’s fraud protections but suggested narrowing the daily limits and new-customer period. The committee reported the bill favorably by roll call vote. Next, the committee considered CS/SB 1356 on dog breeding, pet sales, and breeder registration. The sponsor described it as a work in progress aimed at ending inhumane breeding conditions, improving consumer disclosures, and creating breeder standards and penalties; an amendment removed state oversight of local animal shelters. Pet store representatives supported many animal welfare provisions but objected to the three-day financing waiting period, shelter-space requirements, expanded reimbursement, and litigation exposure. Animal welfare supporters backed the bill, and the committee reported it favorably. The committee also heard SB 1722 on app stores and minors’ access to apps. The bill requires age verification, parental consent for minors, notice of app changes, and enforcement by the Department of Legal Affairs. Supporters said it would better protect children online and help enforce existing age-based restrictions, while opponents warned it could require overcollection of personal data, create privacy and constitutional problems, and duplicate tools parents already have. After debate, the committee reported the bill favorably. Finally, the committee took up CS/SB 422, which would bar use of ADS-B aviation data to calculate or collect certain airport fees, with an amendment adding departures to the covered activities. A pilot supported the bill as a safety and privacy measure, while airport advocates opposed it, saying it would undermine airport finances and force less efficient fee collection methods. The transcript ends during testimony on this bill, before final action is shown.

Transcript Highlights:

• which essentially allows for these HOAs to supersede state law in a matter if it's in their private contract
• which essentially allows for these HOAs to supersede state law in a matter if it's in their private contract
• which essentially allows for these HOAs to supersede state law in a matter if it's in their private contract
• So the amendment seeks to curb that suspicion and increase transparency in our HOAs by defining financial
• And as long as I'm in this legislature, I'm going to continue to strive to bring more transparency to

Summary: The committee met with a quorum and first postponed CS for HB 781 at the sponsor’s request. It then heard and passed CS for HB 429, which codifies the existing process for terminating or cancelling motor vehicle dealer franchises and requires manufacturers to provide written sales and service performance criteria; the bill was supported by the Florida Automobile Dealers Association and was reported favorably 12-0. The committee next took up HB 983 on homeowners associations, where the sponsor described HOA fraud and abuse concerns and proposed expanding local law enforcement authority to investigate, inspect, and audit HOAs, easing recall procedures, and allowing prevailing-party attorney’s fees in recall disputes. Two amendments were adopted: one removing constitutionality-problematic Kaufman language, and another defining financial statements more comprehensively to improve HOA transparency. The bill drew support from Miami-Dade County and the Miami-Dade Sheriff’s Office and was reported favorably as amended 14-0. The committee also passed CS for HB 1343 on public nuisance abatement fines, which raises daily fines from $250 to $500, removes the $15,000 cap, adjusts foreclosure timing on unpaid nuisance liens, and allows attorney-fee calculations to include legal assistance time. Members discussed due process and notice concerns, and the sponsor said he would work on clarifying notice for both owners and nuisance-causing parties; the Orange County Sheriff’s Office supported the measure, citing violent crime tied to nuisance properties. CS for HB 643 on residual market insurers was then reported favorably without discussion. CS for HB 1183 on cybersecurity incident liability followed; it would shield government and private entities from liability if they substantially comply with cybersecurity standards, with the sponsor explaining that the bill was revised after a prior veto to define substantial compliance through policy letters, disaster recovery planning, and multi-factor authentication. Despite concerns about the breadth of the liability protection, the committee adopted an amendment and reported the bill favorably 13-1. PCS for HB 915, addressing advertisements for representation services, was also reported favorably 14-0. The bill targets misleading advertising by nonlawyers and notaries, especially in immigration-related services, requiring clear bilingual disclosures and allowing damages, fees, and injunctive relief for violations; it was supported by faith-based and civil rights groups. CS for HB 585 on former phosphate mining lands was then approved 14-0; the sponsor said it would create a defense to Water Quality Assurance Act strict liability for naturally occurring substances on former phosphate mine sites, require notice recording, radon surveys, and pre-suit radiation testing, and it would not apply retroactively to pending litigation. HB 6503, a claims bill for Mandy Penny Lemon, was also reported favorably 14-0 after brief sponsor remarks describing her severe injuries and homelessness following a 2018 incident. Finally, the committee considered HB 129 on pesticide-related products liability. A strike-all amendment was adopted that bars failure-to-warn claims for EPA-registered pesticide products when the label is consistent with EPA’s most recent human health risk assessment and carcinogenicity classification, while preserving claims if information was withheld, concealed, misrepresented, or destroyed to obtain or maintain the label. Supporters argued the bill provides certainty and respects EPA’s scientific labeling process; opponents warned it would effectively block access to courts and delay claims until after lengthy EPA investigations. After extensive debate, the committee reported the bill favorably as amended 13-1.

Transcript Highlights:

• Capabilities, reporting, transparency, there is so much you can do when you do that. would be dismissed
• goal-plated, endless rules, and the big defense contractors have an advantage just based on how contracts
• You believe in transparency. You believe in accountability.
• They're not in the bids and proposals and contracting area.
• You know, as a DoD and intelligence contractor, we've had a lot of classified contracts.

Keywords: Steven Feinberg, Deputy Secretary of Defense, national security, budget cuts, military readiness, global threats, Department of Defense

Summary: The meeting primarily focused on the nomination of Steven Feinberg as Deputy Secretary of Defense. The committee emphasized the urgent need for strong leadership in response to a complex array of global threats posed by adversarial coalitions, including China, Russia, and Iran. The discussions highlighted concerns regarding budget cuts and personnel reductions within the Department of Defense, showcasing the challenges posed by the current economic context and the pressing need to maintain military readiness and capabilities. Various members expressed their apprehensions about how impending layoffs and budget reductions would impact the defense workforce and national security.

Transcript Highlights:

• I believe there would still be a contract with each town, and depending on what that contract stated,
• <00:32:44.080> whether on what that contract stated uh whether on what that contract stated
• <04:33:22.199> so or enters into a carbon contract so or enters into a carbon contract so
• It's contract by contract.
• <04:44:09.840> piece<04:44:10.080> is contract by contract the other piece is contract

Keywords: 1189, house, all

Transcript Highlights:

• Second, the lack of transparency of the program. And third, the impact of MinnesotaCare.
• Second, as to the transparency of the program, to say that reinsurance is obscure would be kind of an
• That lack of transparency, we would suggest, fuels misunderstanding and mistrust, both of government
• Second, as to the transparency of the program, to say that reinsurance is obscure would be kind of an
• That lack of transparency, we would suggest, fuels misunderstanding and mistrust, both of government

Keywords: 1183, house

Transcript Highlights:

• So that's the other type where we do it on a contract-per-project basis.
• So that's the other type where we do it on a contract per project basis.
• And they cannot issue those contract awards without approval from the division.
• where we can basically reduce that construction contract to get it into bid.
• But they still control contracting timelines. They still control the project delivery.

Keywords: 965, house, all

Summary: The Ways and Means Committee held an informational hearing on the state capital outlay process, with Roger Husser and Matt Baker of the Division of Administration’s Office of Facilities Planning and Control (FPNC) presenting a detailed review of House Bill 2 and proposed improvements. They said FPNC administers about 54% of the bill, while other agencies administer the rest, and emphasized that the capital outlay program has improved significantly over the last few years, with project expenditures more than doubling due to better cash-flow management, staffing changes, and more efficient project administration. They also explained how the bill is structured by priorities, how the priority-one cash line of credit is capped and adjusted for construction inflation, and how the bill has grown into a much larger, longer-range plan than a true five-year program, especially on the non-state side. A major theme was that the bill contains too many dormant, legacy, and low-priority projects, which creates false expectations and ties up funding. Committee members pressed the presenters on culture change, third-party project management, staffing shortages, and the use of technology and statutory interpretation to speed projects without sacrificing compliance. Husser and Baker said they had reduced internal bureaucracy, used staff augmentation because of hiring difficulties, delegated smaller projects to agencies when appropriate, and improved cash-flow analysis so projects can move forward with less money up front. They also discussed overappropriations, dormant projects, and the need to reappropriate unused funds to projects that can actually spend them. The presenters offered several recommendations and considerations: limit the number and size of new projects, reduce scope creep, require more regular endorsement of long-running projects, consider caps on priority-five funding, impose time limits and reporting requirements on non-state grant projects, and possibly require non-state entities to escrow or otherwise demonstrate their match earlier. They also suggested bundling related projects together, expanding that approach beyond the current pilot, and improving transparency by showing full project funding history and the first year each project appeared in the bill. No votes were taken, and the meeting remained informational, with members generally supportive of the efficiency reforms while also raising concerns about false hope, dormant projects, and the need for clearer expectations and accountability.

Transcript Highlights:

• The legislation also emphasizes consolidation, transparency, and improved forecasting across agencies
• The legislation also emphasizes consolidation, transparency, and improve forecasting across agencies.
• And I can give you a good case there is we have a contract with HHS for food stamps... the tax credit
• a contract with HHS for food stamps.
• Okay, so getting into the forecast, as you're aware, the legislature does contract with S&P Global to

Keywords: 908, all

Summary: The Leadership Division of the Budget Section approved the prior meeting minutes and then received an update from Senator Jonathan Sickler on the Cash Management Board’s interim work under House Bill 1278. He said the board has reviewed state cash, investments, and liquidity across agencies and concluded the state’s overall mix of long-term and short-term assets is appropriate, with about $35 billion in total liquid assets and investments and roughly 89% in longer-term investments. He highlighted process improvements already underway, including replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work, and said the board sees opportunities to improve forecasting, automation, and statewide coordination. Members asked about whether the CD change would increase returns, how the Legacy Fund transfer for the homestead tax relief bill affected earnings, and whether more state cash could be consolidated or better managed through BND; Sickler and BND staff said those issues are being studied and may lead to legislation for the 2027 session. Representative Nathan Toman then updated the committee on the Task Force on Government Efficiency. He said the group has focused less on cutting dollars and more on defining metrics and asking how the legislature knows whether programs are working. The task force is pushing a standard set of questions for new or expanding programs—who is affected, expected outcomes, alternatives, how success will be measured, and full funding—and OMB has agreed to require those answers in future budget requests. Members discussed possible use of dashboards, program evaluators, AI tools, and possible rule or statutory changes to require performance measurement. Toman said the task force will continue meeting with agencies such as the courts, university system, auditor, HHS, Commerce, and ITD to identify workflow bottlenecks and potential efficiencies. Phil Davis of Job Service North Dakota gave a workforce update, reporting that North Dakota’s unemployment rate is 2.5% and labor force participation is about 68.7%, both well above national performance. He described Job Service’s 15 workforce programs, including H-2A housing inspections for foreign agricultural workers, the job placement partnership program with DOCR, WOTC, and other federal and state workforce efforts. Davis said the agency served more than 11,000 individuals in 2025, operates nine workforce centers, and tracks outcomes through quarterly and annual reporting. In response to questions, he said job openings data reflect only positions in the system and may understate actual hiring needs, that child care and other assistance programs could be better tied to employment outcomes, and that the DOCR partnership has shown strong results with lower recidivism and higher earnings. He also said the H-2A inspection workload is growing quickly and additional staffing or less frequent federal inspection requirements could help. Allen Knutson then presented S&P Global’s updated revenue forecast. He said oil prices have risen sharply since the prior month’s outlook, improving the state’s near-term revenue picture, though the economy remains volatile and agriculture is facing weaker commodity prices. Based on the updated forecast, total major tax revenues for the current biennium are projected to be about $89 million above the legislative forecast, and the next biennium could be about $500 million higher, though that estimate is preliminary and may change. He also walked through an alternate oil-price scenario showing significantly higher oil and gas collections and a larger Strategic Investment Fund balance if prices remain elevated. Members asked whether another forecast should be requested once oil markets stabilize and about tribal allocation changes in the alternative scenario; Knutson said additional updates are possible through OMB and future forecast cycles.

Transcript Highlights:

• And to be honest, and I want to be fully transparent, this is my first participation in a major buildout
• To be honest, and I want to be fully transparent, this is my first participation in a major buildout
• Well, we're told the first quarter of 2027 is what our contracts are.
• So these are not temp FTEs or contracted FTEs. These are full-time FTEs.
• We do have a combination of contract staff, temp staff, and full FTEs for that.

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• State agencies that contract with advertising agencies and marketing firms would still be allowed to
• <00:20:56.520> about<00:20:56.880> how<00:20:57.160> advertising transparency about
• how advertising transparency about how advertising dollars<00:20:58.200> are<00:20:58.320>
• State agencies that contract purposes.
• State agencies that contract with<00:21:17.040> advertising<00:21:17.760> agencies<00:21

Keywords: 1187, senate, all

Transcript Highlights:

• their first contract.
• For starters, delaying a new contract For starters, delaying a new contract ensures<04:59:44.320
• into fair contracts for workers.
• new contract in months, not years.
• My bill's clear timeline for ne contract My bill's clear timeline for ne contract negotiation<05

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, June 9, 2026, 1012, house, all

Transcript Highlights:

• she was fired the next day, and she was fired due to a loophole in the law that does not protect contract
• It seeks to extend the 15 days of protection to people who are contract employees.
• Days of protection to people who are contract employees in an incident of domestic violence.
• to have sunlight, transparency, and accountability.
• But thank you for providing the transparency for those that are interested in, particularly following

Keywords: 995, all

Summary: The Senate met on the FY27 budget and began with several ceremonial introductions and brief amendment withdrawals. Senator Collins withdrew amendments related to restoring DCF social worker funding and educator pay. The chamber then ruled a package of tax-related amendments offered by Senator Tarr out of order on constitutional grounds, finding they would create money-bill provisions that must originate in the House; the Senate upheld that ruling by a vote of 35-4. Senator Tarr later offered amendments on a gas tax suspension and related tax relief themes, but those were not adopted. The Senate considered and rejected several other amendments, including proposals on commemorating Commonwealth history, naming a bridge, repeat offenders, and no-cost calls. One amendment by Senator Fattman to extend domestic violence leave protections to contract employees was adopted unanimously, with 39 votes in favor and none opposed. The chamber also adopted an amendment creating a special commission to study the adequacy, reliability, and distribution of unrestricted general government aid (UGA), after extended debate about inequities in municipal aid and local budget pressures. Members from across the chamber supported the commission, while some emphasized that adequacy of funding, not just redistribution, remains a concern. The Senate then took up Chapter 90, passing the municipal roads and bridges bill to be engrossed. It also adopted a community programming amendment and a Senate Ways and Means amendment, then adopted the Ways and Means budget amendment as amended and ordered the underlying FY27 appropriations bill to a third reading. After lengthy closing remarks from the Ways and Means chair, minority leader, and the Senate President praising the budget process and highlighting investments in local aid, education, public safety, and other priorities, the Senate voted 40-0 to pass the FY27 budget bill to be engrossed. The chamber then adopted an order to reconvene the following Tuesday at 11 a.m. and adjourned in memory of Trooper Kevin Thomas Traynor.

Transcript Highlights:

• some of the financing approaches that have been deployed, for example in Sweden, which includes a contract
• And I guess trust and your efforts need to be transparent and unbiased.
• And after they got the contract signed, one of the fellows had been quiet the whole day walked up and
• Will's work, as far as the contract, is complete with this, but he has agreed to be available online
• Any legislative changes must transparently address these implications for local residents.

Keywords: 908, all

Transcript Highlights:

• And I guess trust and your efforts need to be transparent and unbiased.
• To be dependent upon, and I believe transparent and unbiased information. Absolutely.
• And after they got the contract signed, one of the fellows had been quiet the whole day walked up and
• Will's work, as far as the contract, is complete with this, but he has agreed to be available online
• Any legislative changes must transparently address these implications for local residents.

Summary: The committee met to review advanced nuclear energy issues in North Dakota, beginning with approval of the April 21, 2022 minutes. Nucleon presented an overview of the advanced reactor landscape, distinguishing light-water SMRs, advanced Gen 4 reactors, and microreactors. The presentation emphasized that light-water SMRs are the most near-term deployable and use familiar low-enriched uranium fuel, while many Gen 4 designs may require high-assay low-enriched uranium (HALU), which is not yet supported by a mature U.S. supply chain. Nucleon also noted that advanced reactors are being developed primarily for industrial heat applications, while microreactors are niche, higher-cost systems for remote or mission-critical uses. Committee members asked about fuel availability, safety, recycling, and whether large reactors such as AP-1000s were evaluated; the presenter said fuel development is proceeding in parallel but remains a bottleneck, and that siting and grid capacity often make SMRs more practical than gigawatt-scale plants in North Dakota. Representatives from the National Association of State Energy Officials described how other states are supporting advanced nuclear through task forces, roadmaps, regional coordination, grants, tax incentives, workforce and supply-chain efforts, and pilot programs. They highlighted the Advanced Nuclear First Mover Initiative and said states are focusing on multi-state coordination, demand aggregation, regulatory coordination, waste management, workforce readiness, and community engagement. They also discussed affordability tools such as construction work in progress (CWIP), financing incentives, and consumer protections, citing examples from Kentucky, Texas, Virginia, Illinois, Missouri, Utah, Tennessee, and others. In response to questions, they explained that pilot programs often involve site-readiness and feasibility studies, and that the federal Nuclear Innovation Campus process is moving forward with multiple submissions while broader waste and recycling policy may require congressional action. The Public Service Commission said it would likely have a major role in any North Dakota nuclear project through certificate-of-public-convenience-and-necessity review, siting, and rate regulation, but noted gaps in current law for small reactors, co-located facilities, NRC coordination, and long-term site stewardship. The commissioner said the commission has no authority over a private, self-contained reactor not connected to the grid. The Department of Environmental Quality explained that the state regulates radioactive materials under its agreement-state authority, but NRC retains primacy over fission reactors; DEQ would likely assist with emergency planning and could have a larger role if fusion reactors emerge. The Department of Emergency Services said it would serve as the lead off-site preparedness agency, requiring a dedicated radiological emergency preparedness program, training, drills, public outreach, and likely additional funding and staffing, with industry expected to bear much of the cost. The Department of Water Resources said North Dakota’s water laws and prior-appropriation system are adequate for nuclear siting, that the Missouri River is the best likely source, and that no statutory or budget changes are currently needed from a water perspective. The committee recessed for lunch after these agency presentations.

Transcript Highlights:

• So we did contract with Guidehouse to conduct a rate study for all 1915(c) waivers.
• We also wanted to increase transparency for participants and providers.
• <00:12:13.839> for<00:12:14.399> participants<00:12:14.920> and transparency for
• participants and transparency for participants and providers<00:12:16.880> lots<00:12:17.079>
• and all transparency just showing what<00:18:00.120> the<00:18:00.240> Benchmark<00:18

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• It provides transparency and accountability when public resources are involved. accountability when public
• , and with rules, transparency, and accountability.
• right to benefit from their name, image, and likeness, and where institutions must operate with transparency
• It's becoming an arms race, schools competing financially for athletes, bidding wars, agents, contracts
• If athletes want to enter a system driven by contracts, system driven by contracts, endorsements, and

Keywords: 910, house, all

Transcript Highlights:

• between now and 2030, we'll achieve better access for our Medicaid members, improve quality and transparency
• community-based access rule, much like the managed care access rule, aims to improve access, quality, transparency
• will build a stronger direct care workforce, greater access to care, and improved quality and transparency
• We were also funded and directed to contract for a design and create an implementation plan for the statewide
• Okay, so Doulas for All advocated for and completed a contract.

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.

Transcript Highlights:

• <00:20:31.360> because be in violation of that contract because be in violation of that contract
• <00:34:07.279> for the department will either contract for the department will either contract
• of this department in full transparency of this department in full transparency and<00:50:12.160
• Contracts are going to be delayed.
• And there are contract of this sort.

Keywords: 1191, senate, all

Transcript Highlights:

• In October of 2024, we had additional operating functions such as grants and contracts compliance and
• such such as grants and contracts such such as grants and contracts compliance<00:04:57.320>
• We have a number of interagency agreements in place, in fact, to ensure that grant contracts continue
• <01:12:32.480> and Foster a culture of transparency and Foster a culture of transparency and
• <01:15:07.600> accountability that improve transparency accountability that improve transparency

Keywords: 1183, house