Transcript Highlights:

• The bill prohibits the modification or expansion of any waste or disposal facility for solid waste or
• </c> Relating to waste disposal facilities.
• I'd also like to point out that once this facility is constructed, this will benefit the community in
• I'd also like to point out that once this facility is constructed, this will benefit the community in
• They even constructed a field trial of ash-amended asphalt pavement at the H-Power facility.

Committee: House Judiciary & Hawaiian Affairs

Summary: The committee heard several housing, landlord-tenant, and condominium-related measures. Senate Bill 62, relating to the Hawaii Public Housing Authority, would allow HPHA-owned parcels and related areas such as parking lots to be closed to the public with posted signage; HPHA strongly supported the bill, saying it would help reduce loitering, drinking, and other problems, and no further testimony was offered. Senate Bill 822, relating to the landlord tenant code, would create a three-year working group in the Department of the Attorney General to study and improve the residential landlord-tenant code. The Judiciary supported the measure but said the scope should be narrowed; the Attorney General opposed leading the group and suggested another agency should do so; Hawaii Realtors and the Hawaii Worker Center supported the concept and suggested moving the chairmanship to the Judiciary and including Legal Aid participation. The Judiciary said it could chair the group if the bill were narrowed to matters within the court’s purview. Senate Bill 38, relating to housing, would limit counties from imposing stricter conditions, AMI requirements, or fee-waiver reductions on certain affordable housing proposals if those changes would increase project costs. HHFDC supported the bill, saying county changes after state approval create uncertainty for developers, while the Hawaii State Association of Counties opposed it as an intrusion on local authority and a restriction on county safety and infrastructure conditions. Members asked about whether existing county review periods were sufficient, and the county association said the main concern was the bill’s language limiting counties from making cost-increasing conditions. Senate Bill 146, relating to condominiums, would revise alternative dispute resolution procedures for condo disputes, including evaluative mediation and binding arbitration. The Hawaii Real Estate Commission said it took no position overall but supported a $150 mediation fee and asked for a similar arbitration fee; Community Associations Institute supported the bill with suggested amendments; however, most testimony was strongly opposed by condominium owners and advocates, who said the bill had been changed to the detriment of owners and would increase costs and reduce protections. The committee noted 44 testimonies on the bill, with 2 in support, 37 in opposition, and 2 with comments. Senate Bill 253, relating to condominium reserves, would require a detailed budget summary to stand on its own, remove a good-faith defense for certain noncompliant budgets, and clarify standing and the association’s burden regarding substantial compliance. Hawaii Realtors and Community Associations Institute supported the measure as improving transparency and giving owners and buyers a clearer picture of association finances. Greg Msakian also supported it, arguing it would help owners and describing problems he experienced with budget committee exclusion and budget noncompliance in his own association. The discussion ended while testimony on the bill was still underway, with additional witnesses expected.

Transcript Highlights:

• Turning to the bill, House Bill 2542 prohibits animal testing facilities, contract testing facilities
• Hundreds of thousands of customers, including first responders and schools, medical facilities, have
• and schools, hundreds of thousands of customers including first responders and schools medical facilities
• the shelter, I've also seen how animals exposed to harsh or inhumane conditions often arrive with trauma

Bills: HB2361 , HB2542 , HB2629 , HB2394 , HB2274 , HB1078 , HB2294

Committee: House Consumer Protection & Business

Keywords: small loans, consumer protection, financial regulation, lending limits, credit access, animal testing, alternatives, ethical research, animal welfare, scientific methods, infrastructure, protection, safety, security, state regulations, public safety, insurance fraud, law enforcement, crime, penalties

Transcript Highlights:

• Turning to the bill, House Bill 2542 prohibits animal testing facilities, contract testing facilities
• schools, ...hundreds of thousands of customers, including first responders and schools and medical facilities
• and schools, hundreds of thousands of customers including first responders and schools medical facilities
• the shelter, I've also seen how animals exposed to harsh or inhumane conditions often arrive with trauma

Summary: The committee held public hearings on several bills. House Bill 2542 would require drug developers to use validated non-animal testing methods when available, unless federal regulators request animal testing. The sponsor said the bill builds on prior Washington action on cosmetics testing and is intended to move toward more humane and modern science. Supporters, including students, animal welfare advocates, and biotech-related witnesses, argued that animal tests often fail to predict human outcomes and that alternatives are more accurate. A biotech industry representative said animal testing is still necessary for some research and warned the bill could deter local innovation, but said the industry was open to amendments. The sponsor said she was open to discussing changes to the enforcement mechanism. No vote was taken on the bill during the hearing. House Bill 2629 would address theft and vandalism of critical communications infrastructure, including copper and fiber lines. The bill would ban cash payments for nonferrous metal transactions, require electronic or stored-value payment methods, impose civil penalties for stolen copper used in telecommunications cable, and create a new Class C felony for destruction of critical communications infrastructure. The sponsor and industry witnesses described repeated outages affecting 911, hospitals, schools, and first responders, and said Washington has a high rate of these incidents. Recycling industry representatives supported the bill after negotiations, but a prosecutor and some others said the bill should focus more on law enforcement tools such as searchable transaction databases and holding periods rather than new penalties. No final action was taken in the hearing. House Bill 2394 would expand the Insurance Commissioner’s insurance fraud program and create a Class B felony for insurance fraud, including fraudulent billing, misrepresentation of repair costs, and misuse of coding systems. The bill also broadens who can be considered a victim for restitution and gives the commissioner additional investigative tools, while the substitute removed a reporting duty for certified public accountants. The sponsor and the Insurance Commissioner’s office said the measure responds to more sophisticated, technology-driven fraud schemes that harm both insurers and consumers. Insurance industry and fraud bureau witnesses supported the bill as a consumer protection measure. No vote was taken. House Bill 2361 would raise the maximum principal amount for small loans from $700 to $1,200, with annual inflation adjustments, while keeping the existing 30% of monthly income cap and other safeguards. The sponsor said the change would better reflect emergency costs and help borrowers avoid illegal lenders. DFI raised implementation questions about inflation adjustments and publication requirements, and opponents from AARP, SEIU 775, poverty advocates, and consumer attorneys argued the bill would increase debt traps and fees for low-income borrowers and older adults. MoneyTree supported the bill, saying the current cap is outdated and that the product remains a flat-fee, regulated credit option with existing consumer protections. The hearing also included testimony on House Bill 2294, which would prohibit negative use restrictions on real property that block grocery stores or pharmacies; staff described a proposed amendment adding notice and changing enforcement, and the committee then moved the bill out with a due pass recommendation.

Transcript Highlights:

• dying, and domestic violence program leadership who help protect patients who share their deepest traumas
• consequence of hurting people who are actually on the lower income side who may work for the hospital facility
• It became a Steward facility, and then it closed, and there really wasn't a whole people.
• Cusack, an act strengthening oversight of health care facility spending; House Bill 1356, also filed
• An act strengthening oversight of health care facility spending.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• She had worked hard to address her trauma, to pursue an education, and to find work, but housing instability
• centered in Detroit, because to help us win World War II, it financed the building of hundreds of facilities
• Facilities to build the planes, tanks, aircraft, ammunition, and built two huge oil pipelines, the Big
• After the war, all of those facilities, practically all of them, were converted...
• After the war, all of those facilities, practically all of them, were converted to civilian infrastructure

Committee: Joint Joint Committee on State Administration and Regulatory Oversight

Summary: The committee first heard testimony on a proposed Massachusetts baby bonds program, including H. 3429, S. 2146, and the Treasurer’s related bill H. 48. Treasurer Goldberg and a broad coalition of advocates, researchers, health professionals, and people with lived experience said the program would create trust accounts for children born into low-income families or in DCF custody, with funds available at age 18 for education, homeownership, business startup, or other long-term asset-building uses. Supporters argued the program would help close the racial wealth gap, improve economic mobility, and not affect eligibility for financial aid or public benefits. Committee members asked about administration, investment returns, eligibility, and withdrawal rules; the Treasurer said the accounts would be held in trust and managed by her office with an advisory board, with funds accessible at 18 and usable through age 35 if the beneficiary remains a Massachusetts resident. No vote was taken during the testimony shown. The committee also heard testimony on legislation establishing Lobular Breast Cancer Awareness Day, including S. 2666 and H. 4625. Senator Ross, Representative Badger, physicians, survivors, and advocates described invasive lobular carcinoma as difficult to detect because it often grows in lines rather than forming a lump, can be missed on mammography, and is underfunded and underrepresented in research and clinical trials. Witnesses said the bill would codify an annual October 15 proclamation to raise awareness, improve diagnosis, and encourage more targeted research and treatment. Committee members asked why the disease is so hard to detect, and medical witnesses explained the imaging challenges and the lack of lobular-specific protocols. The witnesses urged favorable reports. The committee then took testimony on H. 4648, a bill concerning the purchase or lease of Fenn Farm in Stockbridge by the Stockbridge-Munsee community. Representative Davis, the Stockbridge Land Trust president, and the tribal president testified that the bill would remove a conservation restriction tied to a state MVP grant so the tribe could manage the land without a restriction that they said would conflict with tribal sovereignty and Indigenous stewardship practices. They said the parcel is a sacred site connected to Monument Mountain and that the restriction is unnecessary because the land is already surrounded by conserved property. The witnesses asked for favorable action on the bill. Finally, the committee heard testimony on H. 3416, a resolution urging Congress to create a national infrastructure bank. Representative Senna and several advocates argued that an off-budget infrastructure bank could finance major repairs and upgrades to roads, bridges, rail, water systems, broadband, and housing without adding to the state budget, while creating jobs and supporting economic growth. Witnesses cited historical precedents for national infrastructure banks and said Massachusetts could benefit substantially from such a program. The transcript shown does not include a committee vote or final action on the resolution.

Transcript Highlights:

• It would delay scheduled increases and rebates for assisted living facilities, as well as nursing homes
• CACs ensure that when a child discloses abuse, the response is timely, coordinated, and trauma-informed
• And Central assumed that, per standard practice, a capital-budget-funded facility would come with those
• costs in the operating budget, and so we hope that you can... ...facility would come with those costs
• Most of the claims received are alleged abuse that occurred in our juvenile detention facility prior

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• It caps the total state directed payment amounts for inpatient hospital and nursing facility services
• The proportion of rural health facilities in the state relative to the number of rural health facilities
• control improvements, including the acquisition, construction, sustainment, and improvement of facilities
• We're only 6% of hospitals but the public hospital system constitutes 50% of all burn and trauma center
• In particular, the distance of health care facilities in rural areas can be significant barrier to access

Transcript Highlights:

• This specifically applies to inpatient, outpatient hospital services, nursing facility services, and
• of things that that goes to work currently, but especially our nursing homes and assisted living facilities
• And it sounds like there's a variety of things that we use those funds for SNFs, skilled nursing facilities
• The typical state has hospitals, clinics, FQHCs, or other health care facilities approved by the board
• a new step, and just knowing that we needed access to our mentors, to grief circles for secondary trauma

Committee: Senate Health & Long-Term Care

Summary: The committee opened with an extensive update on the expected effects of federal HR1 on Washington’s health care system, especially Medicaid and the individual market. Governor’s office and Health Care Authority staff said the bill is likely to cause immediate coverage losses in the exchange beginning in January, followed by larger Medicaid impacts over the next several years. They highlighted likely premium increases, administrative burdens from more frequent eligibility checks and work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, and possible effects on rural hospitals and safety-net providers. They also noted separate CMS rules already being implemented in Washington on prior authorization, managed care access, home- and community-based services, and eligibility/enrollment, and explained how those rules interact with HR1’s new requirements and timelines. Members asked about Planned Parenthood funding, work requirements, rural health grants, provider impacts, and how the state will use existing systems and a forthcoming timeline to prepare for implementation. The committee then received an update on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Presenters described the state’s clinical experience license, the clinical evaluation tool used to assess readiness, a grant program for career guidance and clinical training, and a 2025 law adding a hardship waiver process. National presenters from World Education Services and the Federation of State Medical Boards said many states have adopted similar pathways because of physician shortages, but approaches vary widely. They recommended clear guardrails, employment offers before application, ECFMG certification, supervised provisional practice, data collection, and protections against exploitation. Committee members asked about portability across states, retention of IMGs, and whether Washington should pursue additional options such as dedicated residency slots, preceptorships, or practice-ready assessment models. The final topic was an update on the Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles praised the state’s work, noting Washington’s high Medicaid reimbursement rate for doulas and the importance of building infrastructure to support equitable maternal care. Health Care Authority staff said the benefit launched on January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled with Apple Health, 287 clients served, and 641 claims paid so far, while also acknowledging barriers such as provider enrollment, claims submission, client matching, and language access. Doulas for All described the hub as part of a broader effort to expand access, support community-based birth workers, and reduce maternal and infant mortality disparities, especially for Black and Indigenous families.

Transcript Highlights:

• This specifically applies to inpatient, outpatient hospital services, nursing facility services, and
• of things that that goes to work currently, but especially our nursing homes and assisted living facilities
• And it sounds like there's a variety of things that we use those funds for SNFs, skilled nursing facilities
• The typical state has hospitals, clinics, FQHCs, or other health care facilities approved by the board
• a new step, and just knowing that we needed access to our mentors, to grief circles for secondary trauma

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:

• joy, for community, and to help through artistic expression and conversation ease some of the pain, trauma
• And with grants through MassDevelopment and the Mass Cultural Council's Cultural Facilities Fund, we

Committee: Joint Joint Committee on Tourism, Arts and Cultural Development

Summary: The Joint Committee on Tourism, Arts, and Cultural Development held a hearing on October 21, opening with a moment of silence for former committee chair Senator Edward Kennedy. Chairs Senator Paul Mark and Representative Sean Garballey then heard testimony on several bills related to tourism funding, arts infrastructure, public art, Native heritage, and a choreographer laureate. A major focus was legislation to require earlier distribution of regional tourism council grants from the Tourism Trust Fund, with testimony from regional tourism leaders from North of Boston, Metro West, Cape Cod, and Senator Joan Lovely. Witnesses said delayed grant allocations make it difficult to plan fall, winter, and shoulder-season marketing, and they argued that an October 1 or September 1 deadline would help preserve tourism’s economic impact without increasing appropriations. They cited tourism’s role in jobs, tax revenue, and regional economic development, especially for smaller and less prominent tourism regions. The committee also heard strong support for the Creative Space Act and the PLACE Act, which would help municipalities preserve affordable creative workspace and create a public art funding mechanism tied to state construction projects. Testimony from MassCreative, MAPC, arts organizations, muralists, and local arts leaders emphasized loss of workspace, displacement of artists, and the economic and community benefits of public art. Additional testimony supported bills to protect Native American heritage by preventing the sale of funerary and sacred objects in public or nonprofit collections, and a bill to establish a first-in-the-nation choreographer laureate of the Commonwealth. No votes were taken during the hearing, and the committee adjourned after public testimony concluded.

Transcript Highlights:

• concurrent resolution requesting strategic plans for the repurposing of underutilized public school facilities
• And we just worked together to free the kid with trauma shears and get him on a stretcher, where we instantly

Summary: The Senate received communications from the House listing numerous bills, substitutes, amendments, and concurrent resolutions passed by the House or returned to the Senate, and it also noted a Senate amendment being stricken from House Bill 190. Committee reports were read on a wide range of nominations and bills, including favorable reports on several executive nominations and legislation involving nurse preceptors, voting, agricultural/forestry grants, child care, Title IX coordination, vehicle security devices, dry needling, human remains disposition, child care assistance, autism-related oversight, nursing advancement, correctional oversight, massage and bodywork, probate letters, computer security breaches, automobile insurance, medical debt protection, and technical corrections. The Senate also assigned House Bill 300, House Bill 64, and House Bill 385 to the Finance Committee. The chamber confirmed several gubernatorial nominations by roll call vote, each receiving the required majority: Heidi J. A. Gilmore to the Marijuana Appeals Commission; Lee Wynne and Ruth J. Tucker to the Delaware River and Bay Authority Board; Jennifer R. Hallman and Lindsay E. Alexich to the Professional Standards Board; Jason M. Munion and F. Todd Kulata to the Environmental Appeals Board. The Senate also passed House Substitute 1 for House Bill 383, which changes overtime eligibility for certain DelDOT employees and clarifies covered positions, and Senate Bill 315 with Senate Amendment 1, which revises the Delaware Technical Innovation Program to give the Division of Small Business more flexibility in using federal grant funds. Consent Agenda M passed unanimously, including Senate Substitute 1 for Senate Bill 319 on menopause and perimenopause coverage, House Bill 411 on alcohol/tobacco/marijuana enforcement, House Bill 271 on marijuana establishment spacing, House Bill 258 on alcohol licenses, House Bill 303 on juvenile probation/parole officers and DCYF employees, and House Bill 377 on Ocean View municipal election deadlines. Consent Calendar 63 also passed unanimously, including resolutions recognizing Day of Service, National Adoption Month, National Coaches Day, Free Speech Week, Women’s Equality Day, and Spirit of America 250, along with resolutions encouraging a veteran cemetery in Kent County, seeking plans for repurposing underused public buildings, and honoring Delaware Boys State. The Senate spent significant time on floor remarks about the Boys State delegates and on a tribute to emergency responders who helped save a seven-year-old child trapped by a seatbelt; the responders were recognized individually and thanked for their work. Additional remarks explained the purpose of the menopause coverage bill, the adoption month resolution, the free speech resolution, and the America 250 resolution. The session ended with no further business and the Senate recessed until June 18.

Transcript Highlights:

• co-sponsor SB 5, so I feel like I do have quite familiar and rooted in PTSD, rooted in, you know, violent trauma
• So on the New Mexico Public School Facilities Authority, the question was about the clarity of the financial

Bills: SB104 , SJR3 , SM3 , SB104 , SJR3 , SM3

Committees: Senate Senate Rules , Senate House Rules & Order Of Business

Keywords: wildlife commission, removal procedures, malfeasance, appointed officials, governance, education reform, public education, state board of education, superintendent, chartering authority, constitutional amendment, policy setting, insects, insect workshop, insect identification, ecology, monitoring, management, pollinators, pollination

Transcript Highlights:

• the ability to identify identify a road, compare the safety performance of that road to similar facilities
• That our trauma can also respond to those crashes that are going to happen and turn them not into fatalities

Transcript Highlights:

• Torres-Fossett, revises provisions relating to the designation of hospitals as centers for the treatment of trauma
• introduced by Assembly Member Edgeworth, exempts certain offices of physicians and other health care facilities

Transcript Highlights:

• HB 1403 authorizes child care facilities to participate in the school guardian program, and it also clarifies
• Fifteen years and some traumas never fade away. This bill is way overdue. Thank you.

Summary: The Pre-K Through 12 Budget Subcommittee met with a quorum and considered four bills. CS/HB 1403, by Rep. Yeager, would allow child care facilities to participate in the school guardian program and clarify school perimeter and door security requirements. An amendment clarifying that private security companies would pay for training was adopted, and the bill was reported favorably 11-0. CS/HB 447, the Evan B. Hartzell Act by Rep. Salzman, would provide guidance for schools that choose to teach disability history and awareness during the first two weeks of October, including age-appropriate instruction by grade band. The bill received supportive testimony from advocates and was reported favorably 11-0. CS/HB 257, by Reps. Chambliss and Tramont, would expand on a prior pilot program to allow video cameras in certain self-contained classrooms serving nonverbal students and others with significant disabilities, as a safeguard against abuse and to improve accountability. The bill drew strong support from parents and disability advocates describing abuse concerns, and it was reported favorably 13-0. CS/HB 1255, by Vice Chair Trabulsy, was a broad education bill addressing teacher shortages, scholarship program screening, health and math instruction, corporal punishment policy, and restrictions on spending public funds on organizations tied to discrimination or political/social activism. A major focus of debate was the bill’s human embryologic development instruction and related video language, with supporters calling it science-based and opponents warning it could be medically inaccurate or ideological. After the sponsor said she would amend some language, including removing ABCTE-related text and clarifying the video language, the bill was reported favorably 12-1. The meeting then adjourned.

Transcript Highlights:

• CCRCs are residential facilities that provide a continuum of care to residents who may need different
• So that's about four current facilities, and the idea is for OIC to review the actuarials and post on
• rather than a JR facility.
• The average cost per individual in a juvenile facility is $291,000.
• The average cost per individual in a juvenile facility is $291,000.

Bills: HB2675 , HB2681 , HB2714 , HB2688 , HB2481 , HB2116 , HB1408

Committee: House Appropriations

Keywords: accounts, finance, business regulation, transparency, audits, cannabis, license fees, regulatory framework, revenue generation, legalization, HB 2714, caseload forecasting, food assistance, SNAP, Supplemental Nutrition Assistance Program, state food assistance, budget forecasting, caseload forecast council, caseload forecast supervisor, Washington State

Transcript Highlights:

• employee assistance program to sidestep workers' comp, a lot of money could be saved and a lot of trauma
• :41:42.000><c> of</c> money could be saved and and a lot of money could be saved and and a lot of trauma
• could be avoided on the part of trauma could be avoided on the part of the<00:41:44.400><c> um</c><00
• So we have staff that go up to a United Way facility one day a week.
• </c><01:47:24.400><c> one</c> that go up to a United Way facility one that go up to a United Way facility

Committee: House Labor, Industrial and Rehabilitative Services

Transcript Highlights:

• their childhood, something from the military experience, or something that they buried so deep in trauma
• that they're not able to fully and... ...or it's something that they buried so deep in trauma that they're
• Sometimes, if you know, for anybody who understands psychology or the brain or trauma, there's several
• that they might not even realize are... ...So for anybody who understands psychology or the brain or trauma

Committee: House Veterans and Armed Forces

Transcript Highlights:

• We've gotten it into this trauma issue with your bill. Mr.
• </c><00:02:38.920><c> it</c><00:02:39.040><c> into</c><00:02:39.320><c> this</c><00:02:39.600><c> trauma
• </c><00:02:40.160><c> issue</c> we've gotten it into this trauma issue we've gotten it into this trauma

Summary: The Senate Standing Committee on Health Services met with a quorum and first took up Senate Joint Resolution 116, sponsored by President Stivers. The resolution directs the University of Kentucky, the University of Louisville, and Eastern Kentucky University to work over the next year on a statewide framework to improve health care access, especially in underserved and unserved areas. Members discussed physician shortages, maldistribution of doctors, recruitment and retention, loan forgiveness, scholarships, technology, and the connection between health care access and economic development in rural Kentucky. The resolution was reported favorably on a unanimous roll call vote. The committee then considered Senate Bill 116, relating to physician assistants and a shift from a supervisory to a collaborative practice model. The sponsor and PA witnesses explained that the bill was heavily revised through a committee substitute after discussions with the Kentucky Medical Association, physicians, and hospitals. They said the substitute keeps physician supervision in place while allowing health care teams to function more efficiently, and they emphasized that the bill is intended to improve access to care, particularly in rural areas with few doctors. Some members supported the compromise and the collaboration, while others raised concerns that expanding PA practice could worsen long-term physician shortages or reduce incentives for doctors to practice in rural Kentucky. The bill passed the committee 7-2 with favorable expression.

Transcript Highlights:

• Mexico's Crime Victims' Reparation Act has gaps that essentially tell certain victims that their trauma
• Victims that their trauma doesn't count for help.
• And expansion of the definitions would go a long way to addressing the trauma and harm that they experience
• When harm and trauma in our communities go unaddressed, it can fuel instability, retaliation, and ongoing

Committee: House House Consumer & Public Affairs