Transcript Highlights:

• May all who are sick. and ill quickly be freed from their ailments, whatever diseases there are in the

Transcript Highlights:

• They both have rare incurable disabling diseases that require IEPs to navigate school."
• </c> disabling diseases disabling diseases that<02:50:41.120><c> require</c><02:50:41.760><c> IEPs</c
• No matter how many prescriptions you have, whether it's for cancer or any other disease.
• No matter how many prescriptions you have, whether it's for cancer or any other disease.
• No more than $2,000 a other disease.

Transcript Highlights:

• clinical decision support tool that's AI powered, it's going to understand the higher incidence of diseases
• <00:23:02.960><c> incidence</c><00:23:03.360><c> of</c><00:23:04.559><c> uh</c><00:23:04.799><c> diseases
• </c><00:23:05.360><c> related</c> higher incidence of uh diseases related higher incidence of uh diseases
• and again, the idea is to be able to intervene as early as possible to prevent the progression of disease

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

Transcript Highlights:

• help them address the comorbidities that are so common for people living with HIV: cardiovascular disease
• , diabetes, kidney disease, hepatitis, mental health conditions that direct dispense doesn't cover.
• I also think about HIV as the second disease, other than substance use disorder, that we also criminalize
• personally thank you on behalf of all the families that are impacted directly or indirectly by this disease
• You know, if you're a bench scientist, HIV is one of the most fascinating disease states to look at.

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and recognized several guests, including a state champion Crossroads Academy girls basketball team and a Florida State University student intern. The chamber then turned to executive appointment confirmations reported by the Committee on Ethics and Elections and other reference committees under Rule 12.7, with Chair Don Gates explaining that the committee had reviewed the qualifications and suitability of the nominees and held public hearings where required. Members debated several confirmations at length. The report containing 186 appointments was adopted 31-0 after Senator Polsky explained her no votes on three nominees, citing concerns about past comments and ideological views. The Senate then confirmed Jeffrey Aaron to the Public Employee Relations Commission by a 26-10 vote after sharp debate over his role as counsel to the Hope Florida Foundation and allegations tied to the diversion of Medicaid settlement funds; supporters argued he was a competent lawyer and no formal action had been taken against him. Chavon Harris was confirmed as Secretary of the Agency for Health Care Administration by a 32-5 vote, with supporters praising her work on Medicaid funding and opponents criticizing her prior leadership at DCF and the Hope Florida-related issues. Taylor Hatch was confirmed as Secretary of the Department of Children and Families by a 33-4 vote, despite concerns raised about SNAP/EBT compliance, child welfare practices, audits, and DCF’s handling of Hope Florida; supporters emphasized her commitment to reform and the difficulty of the agency’s mission. After a brief recess, the Senate held a lengthy recognition of outgoing President Kathleen Passidomo. Senators from both parties offered personal tributes focused on her leadership, toughness, humor, mentorship, and support for colleagues, especially women in the chamber. Several speakers also referenced her handling of difficult bills, her post-presidency service as Rules Chair, and her resilience after personal loss. No further legislative action was taken during the recognition segment.

Transcript Highlights:

• also known as agonizingly waiting for test results and numerous MRIs, we found out he has a rare eye disease
• also known as agonizingly waiting for test results and numerous MRIs, we found out he has a rare eye disease
• also known as agonizingly waiting for test results and numerous MRIs, we found out he has a rare eye disease
• he has a and numerous MRIs, we found out he has a rare<00:38:15.520><c> eye</c><00:38:15.760><c> disease
• > took</c><00:38:17.119><c> a</c><00:38:17.359><c> year,</c><00:38:17.520><c> but</c> ...rare eye disease

Bills: HF3422 , HF3461 , HF2904

Committee: House State Government Finance and Policy

Transcript Highlights:

• developmental disabilities deserve to have access to quality and timely dental care to prevent dental disease
• These foods have been linked to serious health harms, including cancer, cardiovascular disease, metabolic
• jurisdictions, whether the product or ingredients have been linked to harm such as cancer, cardiovascular disease
• , or metabolic disease, and whether the product contributes to food addiction.
• Unless they have been linked by scientific research to cancer or any other serious disease, they're absolutely

Summary: The Assembly met after a quorum call and first dealt with a procedural dispute over four amendments to AB 1240. The Speaker ruled the amendments out of order as not germane, and the Assembly sustained that ruling on a 49-16 vote. Members then added co-authors to several consent-calendar resolutions, including measures on the National Conference of State Legislators, Suicide Prevention Awareness Month, ALS Awareness Month, and Men’s Mental Health Month, before adopting the consent calendar. The chamber also heard guest introductions, including a welcome for Oakland Mayor Barbara Lee, and took up a motion to bring AB 41 up out of file, which failed 19-48. The bulk of the meeting was floor action on a long series of bills and resolutions, many of which passed with broad bipartisan support. Measures approved included ACR 40 supporting immigrant students and FAFSA privacy; AB 917 on permanent status for certain school employees; AB 985 on anesthesia access; AB 7 and AB 42 on higher education and student services; AB 245 providing property tax relief for wildfire victims; AB 255 allowing funding for drug-free recovery housing; AB 279 updating K-12 library standards; AB 289 creating a pilot for automated speed enforcement in highway construction zones; AB 291 on an educator apprentice program; AB 327 addressing swatting; AB 340 on confidential union communications; AB 341 creating an oral health technical assistance center for people with disabilities; AB 356 on San Diego health care infrastructure; AB 410 on bot disclosure; AB 476 on copper theft enforcement; AB 477 on educator pay targets; AB 485 on stolen wages and business licensing; AB 487, the insurance committee’s technical omnibus bill; AB 573 on tobacco retail license fees; AB 598 on school mapping technology; AB 635 on mobile home law enforcement referrals; AB 651 on remote participation for incarcerated parents in dependency hearings; AB 654 on homelessness hotline assistance in Los Angeles County; AB 662 creating a South County higher education task force; AB 667 on language access in professional licensing; AB 669 limiting early denial of addiction treatment; AB 670 on naturally occurring affordable housing; AB 695 on online continuation of community college for deported students; AB 723 on disclosure for digitally altered real estate images; AB 727 placing Trevor Project information on student IDs; and AB 736, a $10 billion affordable housing bond for the June 2026 ballot, which passed on a 61-11 urgency vote after extensive debate. Debate on AB 736 was the most extensive of the day, with supporters arguing the bond would help address California’s housing crisis and give voters a chance to weigh in, while opponents criticized the state’s bond debt and past spending results. The Assembly then recessed for caucus meetings and later returned to continue the daily file, where additional measures were taken up, including AB 798 adding diapers and wipes to the emergency food bank reserve program, which passed 56-0, and AB 821 on career technical education, which was presented as bipartisan-supported as the transcript continued.

Transcript Highlights:

• trees on public or tribal land for environmental benefits, to replace trees lost to forest pests, disease
• Um, and establishes a more diverse community forest that's better able to withstand disease and forest
• forest that's better able to withstand forest that's better able to withstand disease<01:15:02.960><c
• </c><01:15:04.320><c> It</c><01:15:04.560><c> specifies</c> disease and forest pest.
• It specifies disease and forest pest.

Committee: Senate Capital Investment

Transcript Highlights:

• waitlists and provide in-home services, including $3 million to serve 314 seniors in the Alzheimer's Disease
• projects at $50 million, state park improvements at $15 million, and citrus greening, canker, and other disease
• Florida Health Shands Cancer Center, and $5 million to the Norman Fixel Institute for Neurological Diseases
• University of Florida Healthshan Cancer Center, 5 million to the Norman Fixel Institute for Neurological Disease
• , Cancer Center, $5 million to the Norman Fixel Institute for Neurological Diseases at the University

Summary: The House convened with prayer, the pledge, quorum call, and several recognitions, including guests for Education and Sharing Day, law enforcement officer of the day Detective Miata Anderson, and later FAMU Day at the Capitol and other visiting groups. The chamber adopted the special order report and then moved through a series of budget-related bills and conforming measures, with debate focused largely on recurring funding, environmental programs, housing, insurance reserves, and tax policy. Members approved HB 5011/SB 2506, which conform environmental resource funding to the proposed budget by shifting Seminole Gaming Compact-related dollars from recurring to nonrecurring funding; supporters said this preserves annual legislative review, while opponents warned it would reduce funding for the Resilient Florida program, wildlife corridor protection, invasive species removal, and other conservation efforts. The House then passed HB 5013, reducing state-funded property reinsurance reserves by lowering the RAP program and repealing FORA funding, and HB 5501, which redirects documentary stamp tax revenues from housing and transportation trust funds to general revenue; Democrats argued the housing changes would reduce affordable housing support, while Republicans said the move was needed to control recurring spending. The chamber also passed HB 5015 on state group insurance, HB 5201 on Florida PALM accounting conforming changes, HB 5203 on Capitol Center tenancy and utilities control, and HB 5009 creating a Florida Accountability Office and revising audit and budgeting functions. The most extended debate came on HB 7031, which permanently reduces the state sales tax rate from 6% to 5.25% and also lowers several related tax rates. Supporters described it as broad-based, immediate tax relief for Floridians, while opponents said property tax relief would be more targeted and that sales tax cuts also benefit tourists and out-of-state visitors. The bill passed 112-0. The House then took up the main budget bill, HB 501, and subcommittee chairs outlined the proposed $112.9 billion budget, including education, health care, transportation, agriculture and natural resources, higher education, state administration, justice, and IT spending. Members began questioning the pre-K-12 budget on school funding, vouchers, proration, mental health and safety allocations, and inflation, with the discussion continuing beyond the excerpt provided.

Transcript Highlights:

• waitlists and provide in-home services, including $3 million to serve 314 seniors in the Alzheimer's Disease
• projects at $50 million, state park improvements at $15 million, and citrus greening, canker, and other disease
• projects at $50 million, state park improvements at $15 million, citrus greening, canker, and other disease
• of Florida Health Shands Cancer Center, $5 million to the Norman Fixel Institute for Neurological Diseases
• Cancer Center, $5 million to the Norman Fixel Institute for Neurological Diseases at the University of

Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present, then adopted the special order report and moved into a series of budget-related bills. The chamber first took up HB 5011/SB 2506 on environmental resource management and natural resources funding, where Democrats argued the bill would reduce recurring support for the Resilient Florida program, the Florida Wildlife Corridor, invasive species removal, and other conservation efforts. Supporters said the change would shift money from recurring to nonrecurring funding so the Legislature could reassess priorities each year and rely more on private-sector stewardship. After a strike-all amendment and conference posture change, SB 2506 passed 97-12. HB 5013, reducing state-funded property reinsurance reserves, passed 108-0, and HB 5501, redirecting documentary stamp tax distributions from housing and transportation trust funds into general revenue, passed 82-26 after extended debate over its impact on affordable housing and transportation funding. The House also passed HB 5015 on state group insurance, which requires DMS to develop a formulary management system and was described as producing significant savings; members raised concerns about prescription access and implementation, but the bill passed 109-0. HB 5201 on state financial accounting and HB 5203 on the Capitol Center both passed unanimously, as did HB 5009, which creates a Florida Accountability Office and reorganizes audit functions. The chamber then passed HB 7031, a major sales tax reduction bill lowering the state sales tax rate and several related rates; supporters framed it as permanent relief for all Floridians, while opponents said property tax relief would be more meaningful and that the sales tax cut would also benefit tourists and out-of-state visitors. HB 7031 passed 112-0. The House then began consideration of HB 501, the proposed fiscal year 2025-26 budget, totaling $112.9 billion and emphasizing reduced recurring spending and large reserves. Subcommittee chairs outlined their budget silos: K-12 education at $20.6 billion with teacher raises, school hardening, literacy, transportation stipends, and security funding for Jewish day schools; health care at $47 billion with full Medicaid and KidCare funding, opioid settlement spending, mental health beds, and senior services; transportation/economic development at $18.5 billion; agriculture and natural resources at $5.8 billion with reduced Everglades spending but continued water, resiliency, and land management funding; higher education at $8.7 billion; state administration at $2.9 billion; justice at $7.3 billion; and IT at $529 million for Florida PALM, FX, and other systems. Members then began questioning the K-12 budget, focusing on FEFP funding, proration, voucher growth, stabilization dollars, mental health and school safety funding, and whether districts would be held harmless under the proposed allocations.

Transcript Highlights:

• research and then take the results of our research to train local farmers on new techniques, new plants, disease
• /c><00:53:00.280><c> new</c><00:53:00.880><c> plants</c><00:53:01.880><c> um</c><00:53:02.520><c> disease
• </c> new techniques new plants um disease new techniques new plants um disease resistance<00:53:04.119
• research and then take the results of our research to train local farmers on new techniques, new plants, disease

Committee: House Agriculture & Food Systems

Transcript Highlights:

• It's, I mean, we intervene in a lot of things in health care, you know, we intervene in disease process
• It's, I mean, we intervene in a lot of things in health care, you know, we intervene in disease process
• It's, I mean, we intervene in a lot of things in health care, you know, we intervene in disease process
• ><00:26:37.919><c> process</c><00:26:38.400><c> like</c><00:26:38.640><c> I'm</c> we intervene in disease
• process like I'm we intervene in disease process like I'm trying<00:26:39.120><c> to</c><00:26:39.279

Bills: HB60

Committee: Joint Judiciary

Transcript Highlights:

• Department of Health Disease Outbreak Control Division offering comments.
• Sarah Campbell, who is in the Disease Outbreak Control Division for the Department of Health.
• I'm Lola Arnott from the Department of Health, Chronic Disease Prevention and Health Promotion Division
• 50.040><c> Chronic</c> Department of Health from the Chronic Department of Health from the Chronic Disease
• Prevention and Health Promotion Disease Prevention and Health Promotion Division.<01:48:52.880><c> So

Bills: HB2323 , HB2324 , HB1509 , HB2164 , HB2165 , HB2367 , HB2619 , HB1765 , HB2187 , HB1864 , HB1452 , HB2314 , HB1898 , HB2558 , HB2319 , HB1643 , HB2121

Committee: House Consumer Protection & Commerce

Summary: The committee heard several administration bills related largely to workers’ compensation and unemployment insurance. On HB 2323 HD1, which would modernize workers’ compensation notice and filing procedures, DLIR and other agencies testified in support of the original bill language but said HD1 removed key components and weakened the bill’s clarity and continuity. HB 2324 HD1, which would repeal state hoisting-machine certification requirements and the separate crane operator certificate, drew support from DLIR; members asked about whether the change would affect safety or local operators, and DLIR said OSHA-compliant certifications already exist and the union supported the change. HB 1509 HD1, which would require faster employer responses to treatment plans and impose penalties for nonresponse, received support from DLIR and others, while DHRD said it wanted an amendment. The committee also took up HB 2164 HD1 on compounded prescription drugs in workers’ compensation. DLIR supported the bill as a way to define compounded drugs and curb inflated pricing, but DHRD and a medical provider opposed it and asked for amendments. Testimony focused heavily on whether the definition should include 503B compounding facilities and whether physician dispensing should be limited to the first 30 days after injury. HB 2165 HD1, dealing with unemployment insurance eligibility and removing the two-year limit on recouping overpayments, was supported by DLIR but opposed by Unite Here Local 5, which argued it would make it harder for striking workers and other claimants. Members questioned the impact of changing reporting deadlines from calendar days to business days and raised concerns about future benefit offsets; DLIR said the bill was needed for federal conformity and that the committee would revisit the offset percentage and effective date. Later, the committee heard HB 2367 on pay transparency, requiring salary ranges in job postings and removing the small-employer exemption. The Hawaii Civil Rights Commission, AAUW, Hawaii Women Lawyers, and an individual testifier supported the bill, saying pay transparency promotes fairness, trust, and pay equity; one testifier described being underpaid compared with a predecessor and said posting ranges would save applicants’ time. HB 2619 HD1, concerning homemade food products and farm kitchens, received generally supportive comments from the Department of Health, which requested an amendment to preserve flexibility in future rulemaking. HB 1765 HD1, on spear-fishing safety warnings, drew support from a safety educator and comments from DLNR; supporters said warning labels would help prevent hypoxic blackout deaths and were low-cost and easy to implement. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• The Centers for Disease Control, or CDC's website, states that drinking alcohol can raise cancer risk
• The Centers for Disease Control, or CDC's website, states that drinking alcohol can raise cancer risk
• term on the House Health, Human Services and Elderly Affairs Committee. >> Our state faces a chronic disease
• Uh our state faces<01:41:55.679><c> chronic</c><01:41:56.159><c> disease</c><01:41:56.719><c> epidemic
• </c> faces chronic disease epidemic. faces chronic disease epidemic.

Committee: Senate Commerce

Transcript Highlights:

• What we have today is Senate Bill 27, which is legislation to establish a Kentucky Parkinson's Disease
• What we have today is Senate Bill 27, which is legislation to establish a Kentucky Parkinson's Disease
• Parkinson's Disease Research Registry.
• Parkinson's, a health care professional, individuals that are familiar with research, a Parkinson's disease
• Parkinson's, a health care professional, individuals that are familiar with research, a Parkinson's disease

Summary: The Health Services Committee met with a quorum and took up House Bill 414 with a committee substitute. The bill, described by sponsors and supporters as a continuation of prior maternal-health legislation, was framed as a clarification of medical standards and an effort to improve care for women and families facing complicated pregnancies. Representative Tate, Representative Nemes, Adair Wushar of Kentucky Right to Life, and Dr. Jeff Goldberg of ACOG Kentucky all testified in support, saying the substitute was developed collaboratively to reduce confusion in the law and help physicians provide evidence-based care without fear of criminal penalties. Supporters said the committee substitute was intended to define what is not an abortion under Kentucky law and to spell out medical treatments for conditions such as miscarriage, ectopic pregnancy, molar pregnancy, sepsis, hemorrhage, preeclampsia, premature rupture of membranes, and fetal demise. Dr. Goldberg said current statutes contain significant ambiguity and have created unintended barriers to treating pregnancy complications, including emergency situations, and he gave examples of patients who were delayed or harmed because physicians were uncertain about what the law allowed. Representative Nemes said the measure was the result of unusual cooperation among groups that do not usually agree and described it as a first step toward fixing a discrete problem. Representative Wilner raised concerns that the language could effectively require a patient to be in severe distress before treatment is clearly permitted and that it was too prescriptive about how physicians should manage miscarriages. In response, Dr. Goldberg and the sponsors said the substitute was not perfect, was meant as a short-term solution, and was designed to give doctors more confidence in providing routine, medically necessary care for pregnancy complications. The transcript indicates the committee substitute was adopted, but no final vote on the bill itself is shown in the excerpt.

Transcript Highlights:

• 59.600><c> this</c> speak in behalf of uh seniors and this speak in behalf of uh seniors and this disease
• 36:01.000><c> and</c><01:36:01.119><c> it</c><01:36:01.239><c> can</c><01:36:01.360><c> change</c> disease
• that happens and it can change disease that happens and it can change fast<01:36:02.280><c> in</c><01
• 19.679><c> specific</c> clarification on on uh this specific clarification on on uh this specific disease
• and how it affects seniors disease and how it affects seniors because<01:36:22.880><c> time</c><01:36

Committee: House Public Safety Finance and Policy

Transcript Highlights:

• Excessive added sugar consumption is linked to obesity, type 2 diabetes, pre-diabetes, heart disease,
• dietary environment for Californians and protecting them from early risk factors tied to cardiovascular disease

Summary: The Assembly Appropriations Committee met on August 5, 2026, and first approved a large consent calendar of bills, then heard and voted on a long series of measures covering health care, housing, energy, labor, public safety, insurance, and immigration-related issues. Several bills were moved on roll call with no or limited opposition, including SB 999 on delaying the Health Minimum Essential Coverage report deadline, SB 931 on Diablo Canyon’s mitigation fund, SB 952 on State Water Project clean energy procurement, SB 1288 on nonprobate asset beneficiary notification, SB 1371 on solid waste labor-dispute contract clauses, SB 1014 on housing development fee estimates, SB 1283 on EV charging station permitting, SB 1209 and SB 1244 on insurance enforcement and broker compensation disclosure, SB 1359 on gas utility infrastructure oversight, SB 677 and SB 908 on housing streamlining, SB 1323 on medical facility procedures for people in immigration custody, SB 938 on peace officer training waivers for former federal immigration officers, SB 1272 on code-violation enforcement timelines for new homeowners, SB 1117 on ADU impact fees, SB 1196 on utility hookups for small energy projects, SB 1299 on sprinkler fitter certification, and AB 2597 appropriating funds for state legal settlements. The committee also approved its suspense calendar and later lifted SB 1359 from call with an added aye vote. Testimony generally followed the bills’ themes. Supporters argued that the measures would improve transparency, reduce costs, streamline housing and energy projects, protect consumers, and strengthen public safety or worker protections. Opponents or “opposed unless amended” witnesses raised concerns about implementation burdens, disclosure mandates, labor and compliance issues, local government costs, and the scope of some proposals. Notable points of contention included SB 869, where restaurant groups objected to the on-menu sugar warning approach and urged more flexible disclosure methods, and SB 1244, where insurance industry representatives argued the bill would impose unworkable disclosure obligations on brokers and agents. SB 1272 drew opposition from code enforcement and county groups who warned it could delay health-and-safety enforcement, while SB 1117 drew opposition from special districts, counties, and fire-related groups concerned about reduced fee revenue for infrastructure. The committee also heard public comment on several bills not presented that day, including opposition to wildfire mitigation/CEQA-related legislation, staffing regulation fees, and education and demographic-data bills. Overall, the hearing was dominated by fiscal and policy debates over housing affordability, energy infrastructure, consumer transparency, and the balance between regulatory streamlining and local or industry compliance costs.

Transcript Highlights:

• We are in the process of developing a list of diseases, diagnoses, disorders, and other health factors
• up to nine months afterward—that is really the data source that gives us an indication of chronic disease

Summary: The Senate Health and Long-Term Care Committee met on July 30, 2026, to hear two main briefings. The first, from the Health Care Authority, focused on implementation of federal H.R. 1 Medicaid changes and Washington’s rural health transformation funding. HCA said the state is preparing for major eligibility changes, including the October 1 loss of Medicaid coverage for about 14,000 lawfully present non-citizens and January 1, 2027 work requirements, six-month renewals, and reduced retroactive coverage for roughly 600,000 Medicaid expansion adults. Officials described outreach efforts, new automated verification systems, a verification hub, and plans to use available data sources to reduce manual paperwork, while noting that about one-third of the affected population may still need manual processing. They also said H.R. 1 will limit state-directed payments over time, with an estimated long-term impact of up to $1.5 billion in hospital reimbursements. On rural health transformation, HCA said it is moving quickly to obligate its $181 million federal award through contracts and competitive grants for rural hospitals, workforce, behavioral health, technology, and tribal and community partners. Committee members asked about the impact on rural providers, community service as a work-requirement pathway, emergency Medicaid, tribal and federal reimbursement issues, and whether the state would submit comments on the federal work-requirement rule. HCA said it would file comments, that emergency Medicaid coverage for certain services remains available, and that it is working with tribes and other agencies to avoid erroneous terminations and to move eligible people into other coverage where possible. Members also raised concerns about the administrative burden on families and providers and the need for congressional attention on issues such as TRICARE reimbursement. The second briefing addressed maternal health and the Department of Health’s Maternal Mortality Review Panel report. DOH said maternal mortality in Washington increased for the first time in the report series, but most pregnancy-related deaths remain preventable. Nearly half were linked to behavioral health conditions, especially overdose deaths, with suicide, cardiovascular disease, and COVID-19 also significant causes; most deaths occurred postpartum rather than during delivery. The report found higher mortality rates among American Indian and Alaska Native, Black, Native Hawaiian, Pacific Islander, multiracial, rural, and Medicaid-covered populations, and identified lack of access to care, financial hardship, housing instability, discrimination, bias, and systemic inequities as major contributors. DOH highlighted existing state actions such as one-year postpartum coverage, doula reimbursement, inpatient substance use treatment coverage for birthing people, and vaccine coverage requirements, and offered 12 legislative recommendations focused on affordable and high-quality care, basic needs and community supports, and equitable, culturally responsive services. Presenters from the Suquamish Tribe and Kitsap OBGYN described how the tribe acquired and stabilized a threatened OB-GYN practice to preserve regional access amid provider shortages and hospital service losses. They said rural obstetric care is difficult to sustain because of thin margins, workforce shortages, long travel distances, and higher-risk patients, and emphasized that tribal health systems can offer stronger reimbursement and integrated family-centered care. The Foundation for Healthcare Quality and the Bree Collaborative then outlined statewide maternity-care quality efforts, including work on perinatal behavioral health, care coordination, postpartum screening, doula support, and better-aligned payment models. They said Washington has strengths in innovation but still needs more OB-GYN capacity, better transitions of care, and more culturally responsive, trauma-informed maternal and Native health services.

Transcript Highlights:

• cut essential, non-controversial spending for higher education and people suffering from serious diseases
• For higher education, people suffering from serious diseases such as Tourette's, ALS, diabetes, and cancer

Transcript Highlights:

• They're not disease-resistant elm trees, so we should start working on replacing those at some point.
• They're not disease resistant elm trees.

Summary: The Budget Section Leadership Division met with a quorum present and approved the March 18 minutes. The committee first heard an update from the Petroleum Council on oil and gas activity, which described North Dakota production as holding steady around 1.1 to 1.2 million barrels per day despite lower prices and market volatility. The presentation emphasized that efficiency gains, longer laterals, and improved completion technology are allowing operators to sustain output while activity shifts north in the Bakken. Members asked about gas taxation, natural gas liquids, flaring, and enhanced oil recovery; the witness said gas is taxed by volume, most liquids are handled through oil lines or gas processing, and the state’s EOR pilot projects and new gas infrastructure are intended to help hold production flat and expand future recovery. The committee then received a presentation from the Tax Department on the federal “big beautiful bill” and its effect on North Dakota income tax collections. The department explained that most of the federal changes were extensions of existing Tax Cuts and Jobs Act provisions, but several items — including the larger standard deduction, senior deduction, tip and overtime exclusions, auto loan interest deduction, and business expensing changes — affect state collections. Revised estimates showed a smaller-than-expected impact on individual income tax, with the department suggesting a net cash effect in the range of roughly $30 million to $35 million when business and individual effects are combined, plus a possible one-time distortion from large oil-field transactions in fiscal year 2025. Members asked which provisions apply to standard versus itemized returns, and the department clarified that most of the individual provisions apply broadly, while the SALT-related item is itemizer-specific. OMB then reported on major capital projects and facility funding. Updates included Capitol grounds improvements such as 18th-floor renovations, wayfinding, augmented reality displays for the Rough Rider Hall of Fame, tree management and lighting studies, and restroom and parking reconfiguration in the tower. OMB also described security upgrades at the governor’s residence, where human remains were discovered on site and are being handled with historical and legal review. The state hospital project in Jamestown remains on schedule for substantial completion in winter 2027 and opening in spring 2028, with costs currently estimated a little over $292 million and a line of credit expected to be drawn in April 2027. The North Central State Office Building in Minot is under construction, with a $5.6 million line of credit already accessed. OMB also reported on the State Facility Maintenance Fund, noting about $1.1 million spent so far on projects such as the Liberty Memorial Building roof and foundation work, Capitol window replacement, boiler replacement, and kitchen remodeling. Finally, Legislative Council staff reviewed the interim compliance report on legislative intent and state trust funds. The report highlighted the status of multiple lines of credit, including those for the state hospital and Minot office building, and noted that the executive budget will likely need to include repayment planning for about $350 million of expected outstanding balances. Other updates included the Bank of North Dakota profit transfer schedule, litigation pool spending, the new Office of Guardianship and Conservatorship, the Missouri River Correctional Center planning effort, HHS items such as FMAP and child care assistance, Job Service’s unemployment insurance modernization project, and DPI school aid turnback estimates. No formal votes were taken beyond approval of the minutes.

Transcript Highlights:

• an estimated 16,900 California residents were diagnosed with lung cancer, and 9,300 died from the disease
• have on program funding dealing with the tobacco tax, like Medi-Cal dental programs and then tobacco disease

Summary: The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary. The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs. Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.