Transcript Highlights:

• And that information sharing, for example, as Kevin shared, is in real time.
• The third result that I want to share is that trust. Native prey.
• I just want to share really quickly one of these successful partnerships.
• I just want to share really quickly one of these successful partnerships.
• I've shared examples. How many sentences are you? I've shared, yeah, I'm wrapping it up.

Summary: The hearing focused on human-wildlife conflict in California, especially predator management involving bears, mountain lions, coyotes, and wolves. The chair and Assemblymember Hadwick framed the issue as a balance between protecting people, livestock, and property while preserving wildlife and biodiversity, citing habitat loss, development, drought, wildfire, and climate change as drivers of conflict. Department of Fish and Wildlife officials described their conflict-response work, including public education, depredation permits, wildlife incident reporting, and coordination with sheriffs, counties, and other agencies. They also noted that wildlife sightings and conflicts are increasingly common in both rural and urban areas, including recent mountain lion activity in San Francisco and ongoing bear conflicts in places like Tahoe and Sierra Madre. CDFW staff outlined the department’s human-wildlife conflict program, including the WEIR reporting system, a public toolkit, limited-term staff, and regional response efforts. They said the program grew out of drought-related incidents and later state funding, but that one-time money has expired, creating service gaps. Officials also discussed specific management approaches such as Tahoe’s trap-tag-haze bear program, DNA-based incident tracking, and the use of nonlethal deterrents before lethal action. For wolves, they explained that the species is protected and managed differently from bears and lions, that there is no general depredation-kill process for wolves, and that the department is working on data-sharing agreements, county liaisons, compensation programs, and improved coordination with ranchers and local law enforcement. Members pressed the department on underreporting, trust in state agencies, the need for sheriffs to participate in investigations, and whether more authority should be given for public-safety removals or hazing. Assemblymember Gonzalez also raised wildlife trafficking and border enforcement issues in Southern California. The panel repeatedly emphasized that more resources, technology, and local partnerships are needed. Officials gave budget context, saying roughly $17 million in one-time funding over several years supported conflict response and wolf compensation efforts, but that staffing and program capacity remain limited. The chair concluded by noting interest in further work on technology, funding, and institutionalizing collaboration, and the hearing then moved to a second panel of university researchers who presented on wolf and mountain lion conflict, habitat planning, trust, and the need for flexible, science-based, locally tailored mitigation strategies.

Transcript Highlights:

• </c> opportunities to share with each other. opportunities to share with each other.
• </c> between the environment and our shared between the environment and our shared health,<00:30:38.960
• I would like to share a personal experience.
• to share a personal experience. experience. experience.
• 10:01.440><c> you</c> successfully implemented share you successfully implemented share you shared<01

Keywords: 910, house, all

Summary: The joint committees on Education and Higher Education first heard HCR 75 and HR 67, which ask the Department of Education and the University of Hawaiʻi to assess criteria for building an educational pipeline and curriculum for advanced manufacturing and cybersecurity. The Department of Education said it would stand on its written testimony, and UH supported the measure, noting existing community college and four-year programs related to the topic. Members asked how DOE promotes cybersecurity opportunities and whether it provides funding; DOE said schools usually connect with partners and its office works with them, but it does not have separate funding for such efforts. UH also explained that some advanced manufacturing concepts may overlap with 3D printing, material sciences, and entrepreneurship, and described P20 as a forum for aligning K-12 and higher education pathways. The committees then recessed the joint hearing and moved to the Education Committee agenda. The committee next heard HCR 46 and HR 39, which would make DOE recreational facilities available to the public during non-peak hours and non-school days. DOE said it already uses facilities agreements with insurance, liability waivers, indemnification, and certificates of insurance to protect schools. The Attorney General opposed the resolutions, warning that unrestricted public use without safeguards could create substantial liability and cost risks for the state. The measure’s introducer said the goal was to help underserved communities that lack access to public recreation spaces, and DOE said it would be open to joint-use arrangements with larger organizations but remained concerned about vandalism and liability. The committee also heard HCR 86 and HR 80 on creating an Aloha Civics working group, with DOE offering comments and Common Cause Hawaiʻi strongly supporting the idea. DOE described a civic learning and engagement task force that met with stakeholders, including UH and the PACE Commission, and produced recommendations such as building partnership inventories, integrating civic learning across grade levels, and aligning the work with DOE’s HA framework and learner outcomes. Common Cause said civic education can be implemented effectively and affordably, citing existing school projects such as ranked-choice voting and classroom constitutions. Later, the committee took up HCR 87 and HR 81, urging an annual Climate Week in public schools. DOE again stood on written comments, while the Climate Change and Health Working Group, Climate Future Forum, a student from Kaimuki High School, and other supporters argued that a dedicated week would ensure consistent climate education, build resilience, and connect climate issues to health, food security, and disaster preparedness. Supporters said existing climate-related opportunities are uneven across schools and that a formal Climate Week would create a more equitable approach. The committee then heard HCR 95 and HR 91 on informing students about changes to gun safety and storage laws; DOE asked for clarification on the measure’s intended outcome, and one individual testified in support. Finally, the committee heard HCR 104 and HR 100 on strengthening farm-to-school initiatives. DOE said it is already working to improve menus, emphasize local products, and meet with distributors to increase local procurement, while the College of Tropical Agriculture and Human Resilience offered food science, nutrition, and extension support. Climate Future Forum, the Hawaii Youth Food Council, and other supporters said farm-to-school efforts are important for student health, local farmers, and food sovereignty, noting that local food procurement in schools remains far below the state’s 30% by 2030 goal. DOE explained it is trying to provide distributors and farmers with more predictable demand and is meeting with distributors to set up next year’s supply chain.

Transcript Highlights:

• and premiums are reduced, but reporting isn't the same as requiring savings being shared.
• The experience of the rheumatologists they share is that there are differences.
• But the example I wanted to share was a physician had a patient that was stable on Humira.
• Item number 11, SB 1199 by Weber Pearson regarding prescription drug cost sharing.
• Existing federal law requires all cost sharing to count toward the MOOP.

Keywords: 988, house, all

Transcript Highlights:

• Please share that with us in writing.
• And I know you had more; please share that with us in writing.
• I also built the handout that I shared with you.
• I'm here to share my assessment.
• My town of Sterling is at the 82.5% target share cap, more due to decline in the 5% target share cap.

Keywords: 995, all

Summary: The Joint Committee on Education opened a hybrid public hearing on a large slate of bills related to school buildings, school finance, technology, data privacy, safety, and related education issues. Chairs Jason Lewis and Ken Gordon outlined procedures for the hearing, including two-minute testimony limits and the plan to group similar bills together. Several bills drew no testimony and were closed without further discussion, while others drew extensive testimony from legislators, school officials, parents, advocates, and educators. A major theme was school safety and student well-being. Lori Al-Hadeth testified in support of bills on alert systems in public schools, describing the loss of her daughter in the Parkland shooting and urging adoption of Alyssa’s Law-style panic alert technology. Representative Gallagher and disability advocates also supported a bill authorizing, but not requiring, airway clearance devices in schools, arguing they could save lives in choking emergencies and provide an option for people who cannot use the Heimlich maneuver. Another bill on reducing cafeteria waste drew support from a legislator and a Lexington sustainability official, who said installing dishwashers during construction would reduce waste and long-term costs. Much of the hearing focused on Chapter 70 school funding and the inflation cap. Senator Pavel Payano, Senator Sal DiDomenico, Representative Senna, and multiple local officials and school committee members from Bridgewater, Chelsea, Groton-Dunstable, and other districts argued that the 4.5% cap on inflation adjustments has left schools underfunded during years of high inflation, forcing layoffs, larger class sizes, and cuts to programs and student supports. They urged bills to eliminate the cap, restore lost funding, increase the Commonwealth’s share of the foundation budget, or create commissions to study reforms. Testimony also highlighted the impact on special education, English learners, and low-income students, with Chelsea witnesses saying the cap has cost their district about $7 million annually. School construction and MSBA reform were the other major topic. AIA Massachusetts, Boston Public Schools, Lynn officials, and AFT Massachusetts described aging facilities, overcrowding, deferred maintenance, and the difficulty of financing new schools under current reimbursement rules. Boston officials said the district has many pre-World War II buildings and has only built a handful of new schools in decades, while Lynn leaders said reimbursement rates have fallen well below the statutory 80% because of caps and ineligible costs. Witnesses urged modernization of the MSBA program, higher reimbursement rates, and more resources for school construction. The committee also heard support for a bill to study the adequacy and equity of the school building program, and chairs indicated some bills would be closed after no one signed up to testify.

Transcript Highlights:

• And I would not be here today sharing the plea.
• So I know that the Rep. had shared his support. I'd like to echo mine.
• I'm here to share the painful journey of one of my sons, Matthew.
• Thanks for sharing. Thank you very much.
• Thank you for sharing your story.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• The current Medi-Cal share-of-cost policy requires older adults and people with disabilities who are
• I think it's important to share some of the high-level takeaways from the report.
• Thank you again for the opportunity to share the county perspective at this hearing.
• I have a couple of examples that I would like to share with you, a couple of our clients.
• I just wanted to share with you a quick story.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• And Council for Equal Shared Parenting.
• </c> working on a lot of 50/50 equal shared working on a lot of 50/50 equal shared parenting<00:02:24.320
• </c><00:03:11.200><c> some</c> So, hopefully I can share some So, hopefully I can share some information
• </c><01:02:31.640><c> your</c> how would you like to share your how would you like to share your testimony
• </c> camera on on a Zoom meeting and shared camera on on a Zoom meeting and shared my<01:02:40.360><c

Keywords: 958, all

Summary: The meeting was a discussion of fatherhood and a possible response to Senator Robby Mills’ Resolution 112, which had proposed a task force on fatherhood initiatives. After approving the June meeting minutes and confirming a quorum, the committee heard a presentation from Mark Ludwig, executive director of the National Council for Equal Shared Parenting, who argued that fatherhood is often left out of public policy and that stronger father involvement is linked to better outcomes in crime, education, substance abuse, and family stability. He cited Kentucky’s 50/50 shared parenting law as a model and urged fatherhood classes, employment support, mentoring, co-parenting education, and partnerships with community organizations, schools, and social workers rather than relying solely on state spending. He also said fatherhood engagement could save the state money by reducing incarceration and related costs. Members then raised concerns that the presentation did not sufficiently address structural causes of fatherlessness, especially incarceration, racial disparities, gun violence, poverty, housing, transportation, and sentencing policy. Senator Berg and Representative Kulkarni emphasized that Black and brown families are disproportionately affected by incarceration and violence, and questioned whether fatherhood programs alone can solve the problem without broader reforms. Ludwig responded that some fathers are pushed out by the court system or lack legal resources, and said reintegration programs and legal, financial, and community supports are part of the solution, though he had focused mainly on the need for fatherhood programming in this presentation. No bill was voted on and no formal action was taken beyond approving the minutes. The discussion appeared to be an initial policy conversation to gather ideas and perspectives for possible future work on fatherhood-related initiatives.

Transcript Highlights:

• What I can share with you from HCAI's perspective...
• Can you share?
• If the Chair would be interested, we can share that.
• That was a consensus process, and we're happy to share.
• There's also the federal share that goes to the network.

Keywords: 987, senate, all

Transcript Highlights:

• For this presentation, I'll be sharing just a few highlighted strategies for designing a program.
• I appreciate your sharing this. I have two questions.
• Thank you for sharing that important perspective. I appreciate it. Thank you.
• Thank you for sharing that important perspective. I appreciate it.
• Thank you for sharing that important perspective. I appreciate it. Thank you.

Summary: The Joint Legislative Audit and Review Committee heard a State Auditor’s Office performance audit on expanding the use of pretrial services in Washington. Auditors said most of the 14 local courts they reviewed wanted to expand or implement pretrial services but faced barriers such as funding, limited community resources, and public safety concerns. The audit found variation in how courts use pretrial services, potential disparities in who receives them, and major data limitations because most courts do not track pretrial outcomes in an accessible, standardized way. Auditors recommended that local courts engage stakeholders early, improve data collection and evaluation, and that the Administrative Office of the Courts provide more standardized guidance and support. They also noted the legislature had funded an AOC pilot program to help courts expand pretrial services. Court representatives from Spokane Municipal Court, Grays Harbor County District Court, and Yakima County described their own programs and supported the audit’s general conclusions. Spokane officials said their pretrial unit, funded locally and built around risk and needs assessments, had reduced bail use, detention time, failures to appear, and recidivism, but emphasized the need for stable funding and better public understanding of pretrial alternatives. Grays Harbor staff similarly said pretrial supervision and least-restrictive alternatives save jail costs and reduce reoffending, but that collecting data across all cases is labor-intensive and difficult without dedicated staff. Yakima and Spokane also highlighted the value of integrated case-management systems and centralized data tracking. Committee members asked about how reduced detention time occurs, how courts can communicate cost savings and public safety outcomes, and why many courts struggle to track pretrial data. Auditors explained that early risk and financial screening helps judges make quicker release decisions and that better data and stakeholder communication are key to building support. No formal action or vote was taken; the committee held the required hearing and then adjourned after public testimony was invited and written testimony information was provided.

Transcript Highlights:

• our shared advocacy.
• </c> together is due to the fellows sharing together is due to the fellows sharing their<00:03:16.000
• </c> their skills and talents in our shared their skills and talents in our shared advocacy.<00:03:19.560
• Now just quickly in order to share them.
• Appreciate you sharing your stories.

Keywords: 1183, house

Transcript Highlights:

• I'll just start by sharing that OIC has seen an uptick in complaints.
• I'll just start by sharing that OIC has seen an uptick in complaints from insurance customers who have
• across all price points and around 35% market share of the luxury market.
• By comparison, our next closest competitor has around 8% market share in the Seattle area.
• brokers to keep growing that market share to the detriment of other brokerages and consumers.

Bills: SB5831, SB6178

Keywords: mortgage modification, uniform regulations, homeowners, financial stability, foreclosure prevention, SB6178, property insurance, insurance claims, assignment of benefits, AOB, post-loss assignment, post-loss benefits, homeowners insurance, policyholder, insured, restoration contractor, mitigation contractor, public adjuster, insurance commissioner, claims handling

Transcript Highlights:

• APS's share of that is 11,150 megawatts.
• APS's share of that is 11,150 megawatts.
• APS's share of that is 11,150 megawatts.
• APS's share of that is 11,150 megawatts.
• APS's share of that is 11,150 megawatts.

Bills: HB2133, HB2592

Keywords: sexual material, consent, synthetic depiction, privacy, internet regulation, rights protection, artificial intelligence, government regulation, innovation, procurement, administrative burdens, 1182, all

Transcript Highlights:

• On behalf of Jacob's Pillow, I'm here to share strong support for the Accessibility and the Creative
• My son Jake, as Joan has shared, is 31.
• Thank you for sharing Jake with us and your story.
• She shares: 'I have a spiky profile.
• And thank you for sharing Austin and Andrew's words as well. Any questions from the committee?

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hearing focused on accessibility-related legislation, with the chairs emphasizing ASL and CART accessibility and asking testifiers to speak slowly and clearly. The committee heard testimony first on H.223/S.130, a bill to establish a livable wage for community-based human service workers by reducing the pay gap with state employees. Providers’ Council, Communities for People, the Key Program, and BAMSI all supported the bill, describing persistent wage disparities, high vacancy and turnover rates, and the impact on continuity of care for children, youth, and families. Witnesses said the bill would help recruitment and retention and stabilize services across the Commonwealth. The committee then heard extensive testimony on H.224/S.160, the ACE Act, which would create a dedicated funding source to improve accessibility in the creative economy. Arts organizations and advocates, including Community Access to the Arts, Abilities Dance Boston, Jacob’s Pillow, the Multicultural Arts Center, Northampton Community Music Center, Mass Creative, Open Door Arts, and Monkey House, described barriers such as inaccessible buildings, lack of ASL interpretation and captioning, inadequate lifts and backstage access, and the high cost of renovations. Testifiers said the bill would help smaller and historic institutions make physical and programmatic improvements and allow people with disabilities to participate as artists, workers, and audiences. The committee also heard testimony on H.4180, which would require DDS to consider neuropsychological evaluations when determining eligibility for intellectual disability services. Parents and advocates argued that IQ cutoffs alone can miss significant functional needs, especially for autistic adults and others with complex developmental profiles, and urged broader access to DDS supports. Additional testimony supported S.101 on closed captioning and telecommunications in public areas, and S.158 on requiring restaurants to have some chairs with arms to better accommodate physically disabled and older patrons. No votes were taken during the hearing, and the chair adjourned after hearing from the scheduled witnesses and noting a few signups that were not present.

Transcript Highlights:

• We shared a little bit about this campaign last month, actually I guess now a month and a half ago during
• So we have opportunities to share financial aid updates, you know, how is Washington State doing with
• And I'll share a few examples.
• ...sharing your success. And every student is different, right?
• What I'm here to share with you today is our learner access and support plan.

Bills: SB6325, SGA9302, SGA9286, SGA9289, SGA9290, SGA9292, SGA9293, SGA9309, SGA9310, SGA9311, SGA9312

Keywords: higher education, student procedures, academic policies, enrollment processes, educational standards, 904, all

Transcript Highlights:

• </c> years old and I'm here to share years old and I'm here to share how<00:09:55.280><c> court</c><00
• and how frequently they're sharing that and how frequently they're sharing that data,<00:44:59.960><
• </c> agreement between um agencies to share agreement between um agencies to share that<00:56:11.960>
• </c> share some outcomes from those programs. share some outcomes from those programs.
• </c><02:45:50.280><c> uh</c> stuff being shared uh stuff being shared uh in<02:45:51.400><c> order</c

Keywords: 1187, senate, all

Transcript Highlights:

• So, So, since we don't have anyone here, and you guys know I like to share fun facts, I did want to share
• And one fun fact I have to share, obviously, I Pretty interesting.
• Share with the members and the members' lounge the other day.
• But again, just wanted to share those fun But again, just wanted to share those fun facts.
• And so just to share a little bit about Victor.

Summary: The Assembly Committee on Agriculture met to hear one bill, SB 1223 by Senator Padilla, which would require district agricultural associations and fairs to follow competitive bidding standards under the Public Contract Code and prohibit sole-source contracting. Senator Padilla and his witness argued the bill was needed to close a loophole exposed by litigation and investigations involving fair contracts, citing alleged bid tailoring and favoritism in San Diego and Orange County fair contracting. They said the measure would promote transparency, accountability, and fair competition, while noting that existing exemptions and guidance should allow smaller fairs to continue routine procurement without difficulty. Committee members asked how the bill would affect small and rural fairs and what steps managers would need to take to comply. The author and witness responded that the bill was aimed at large contracts where abuse had occurred, and that fair managers generally already know how to write RFPs so more than one bidder can qualify. The vice chair indicated support after receiving clarification, and the chair and other members spoke in favor of the bill as a safeguard against corruption. No opposition was presented in committee or public comment. The committee then voted to send SB 1223 to the Appropriations Committee. The roll call showed the measure passing with eight aye votes. Before adjournment, the chair also recognized the committee’s chief consultant, Victor, and secretary, Nicole, for their long service and upcoming retirements, thanking them for their work with the Agriculture Committee.

Transcript Highlights:

• shared with me, and I feel it's my responsibility to ensure that I'm also sharing what my constituents
• shared with me, and I feel it's my responsibility to ensure that I'm also sharing what my constituents
• When students have shared power and families are genuine partners in shared decision-making, deep trust
• Students and families sit at the table with educators to share.
• And what I shared there, I'll share here now: across the state, community schools are leveraging the

Keywords: 987, senate, all

Transcript Highlights:

• And so it's, I guess, in that spirit that I share these.
• Cost sharing, October 2028, requires folks to pay up to $35 for many services.
• Cost sharing requirements, I mentioned them.
• Cost sharing requirements, I mentioned them.
• And so we're just looking forward to continuing to share those numbers.

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:

• I would encourage any members in the audience that have an anecdote to share.
• Thank you both for being here and sharing this information.
• </c><00:57:10.480><c> uh</c> was kind of tough and so to share uh was kind of tough and so to share uh
• Districts may be sharing one full-time staff between buildings.
• </c> sharing and uh what Sydney shared sharing and uh what Sydney shared earlier<01:43:04.920><c> as<

Keywords: 1187, senate, all

Transcript Highlights:

• Thanks for sharing. Jess Alder, Boston Public Health Commission.
• Thanks for sharing.
• I just want to share a few data with you guys.
• Thank you for sharing your story.
• But we will definitely share that number with you. Thank you.

Keywords: 995, all

Summary: The commission on Violence Prevention Services Funding opened by explaining that its purpose is to examine how state dollars for gun violence prevention are being spent, whether they are reaching the right places, and how effective they are. Chair Marjorie Decker noted the commission was created through a legislative bill as part of a broader gun ownership package, and emphasized that the commission will produce recommendations rather than new law. The hearing began with a moment of silence for the National Day of Remembrance for homicide victims, followed by introductions from commissioners and staff. A series of community-based organizations testified about violence prevention, intervention, and survivor services. Emmanuel Williams of the Transformational Prison Project described work with incarcerated and returning youth and families, stressing lived experience, relationship-building, and the impact of budget cuts on travel, staffing, and programming; commissioners asked about his budget, caseload, and funding mix. Teresa D. Grigario and Antonio Gutierrez of Lynn Youth Street Outreach Advocacy said their work focuses on youth ages 12 to 24 in Lynn and Lawrence, with outreach at courts and shooting scenes, and argued that prevention is most effective when it starts early, includes family engagement, counseling, therapy, case management, food, and basic needs support; they said a million-dollar annual budget would help them expand. Ruth Rollins of We Are Better Together/Warren Daniel Hairston Project, speaking as a survivor, called for long-term flexible funding, trauma-informed care, and a community-informed database, and said her organization would ideally need about $2.5 million annually. Ruth Zakarin of the Massachusetts Coalition to Prevent Gun Violence explained that the commission grew out of listening sessions during the firearms-law update process and said the goal is to identify gaps, support grassroots groups, and address regional equity in resource allocation. Other testimony highlighted youth development, reentry, and survivor response as violence prevention. More Than Words described its job-training and supportive-services model for court-involved, homeless, foster-care, and out-of-school youth, citing high rates of graduation, postsecondary enrollment, and employment; a participant, Jorge, shared how the program helped him avoid adult incarceration and build a career in trucking. The Louis D. Brown Peace Institute described its homicide-response and healing work, noting that it served more than 1,100 survivors in 2024, facilitated healing groups and trainings, and is seeking a permanent center in Dorchester; its leaders said the operating budget is $4.5 million and the desired budget is $8 million. The Massachusetts Alliance of Boys & Girls Clubs emphasized that gun violence is a youth health crisis and urged continued investment in after-school and out-of-school-time programs. UTEC called for multi-year, flexible funding, more training and networking support, and attention to nonprofit cost recovery, while Roca described its outreach to high-risk young people, strong outcomes, and major federal grant cuts that forced staff reductions. Portal to Hope discussed domestic violence and stalking services, the importance of on-site police-department-based advocacy, and the instability caused by funding restrictions. New North Citizens Council briefly underscored that violence prevention funding is needed to address poverty, lack of education, and mental health needs. State officials also presented on existing grant programs. Kevin Stanton of the Office of Grants and Research described the Commonwealth Project Safe Neighborhood Initiative and the state’s broader public safety grant portfolio, saying partnerships between law enforcement and community organizations are central to violence prevention and citing seizures of illegal firearms, narcotics, and suspected drug proceeds. Renee Contreras said the Shannon Community Safety Initiative is a national model built on nearly 20 years of sustained investment, with multidisciplinary collaborations in 25 communities and research partnerships guiding strategy and evaluation. Throughout the hearing, commissioners repeatedly asked about budgets, staffing, caseloads, and how organizations measure impact, and several speakers said they would follow up with written materials or additional data.