Transcript Highlights:

• the Agency for Health Care Administration to seek federal approval and update managed care and fee-for-service
• of small children at home, who don't take care of an elderly person at home, who don't take care of
• They're going to be using the emergency room for regular care.
• These work requirements experiments just lead to loss of care.
• Under tab 21, we have HB 5301 by Health Care.

Keywords: 999, senate, all

Transcript Highlights:

• </c><00:06:41.600><c> my</c> Since I took office, I've directed my Since I took office, I've directed
• Second, real choices in care and coverage.
• practices, give underserved areas access to more choices for care, and rebuild our health care workforce
• </c> for care, and rebuild our health care for care, and rebuild our health care workforce. workforce
• </c> These are just a few of the health care These are just a few of the health care proposals<00:29:

Keywords: 927, senate, all

Transcript Highlights:

• management, then you're going to pay less through urgent care.
• So we have the opportunity to use rural health funds in that direction.
• these funds to help support movement in that direction.
• These funds to help support movement in that direction.
• I'll go to rural health care instead of my birthday.

Keywords: 989, all

Summary: The Rural Health Transformation Committee approved the minutes from its May 28 meeting and received an update from DHW Director Juliet Sharon on the status of the Rural Health Transformation Program. Sharon said the department has posted a public funding-opportunities page with a subscribe feature, is using an expedited committee review process for solicitations and subgrant opportunities, and plans to provide monthly summaries, award information, and federal progress reports. Members asked for clearer access to information on applicants and awards, and Sharon said the department is open to posting more complete listings in SharePoint and to simplifying provider-facing applications. The committee also discussed outreach to rural providers and the need to ensure smaller organizations know about opportunities and can apply within the short timelines. The committee then heard from the Idaho Military Division on its portion of the program. Bureau Chief Wayne Denny said the division is working with DHW on modernizing state communications and emergency systems, including next-generation 911, relocating backup communications infrastructure, coordinating exercises, and supporting rural health extenders such as community health workers and community health EMS providers. Members asked how those roles would function, how counties would participate, and how the work would be sustained after the five-year funding period; Denny said the goal is to demonstrate return on investment so counties and payers can support the services long term. Jennifer White of the State Board of Education described higher education and graduate medical education proposals. She said Idaho’s institutions are coordinating on statewide strategies for rural health workforce training, including mobile simulation, shared clinical infrastructure, learn-in-place programs, and targeted equipment and facilities. She also outlined GME and medical education options, including a strategic rural GME incubator, a rural training site network, and possible support for undergraduate medical education such as expanded seats or the University of Idaho–University of Utah partnership. Members debated sustainability and whether rural health funds should support only GME or broader medical education; some supported using the funds to build Idaho-based training capacity, while others cautioned against creating long-term state obligations without broader legislative approval. No formal votes were taken on those policy questions. In closing, Sharon said the department expects more provider subgrants, ongoing assessments, the first federal reporting deadline at the end of August, and the creation of a governor-appointed rural health transformation task force with legislative and rural representation. The committee tentatively scheduled an additional meeting for August 18 and discussed a later September meeting, likely around September 23-25, to review the federal report and any emerging issues.

Transcript Highlights:

• We care about our young people. We care about our seniors. We care about our social safety net.
• We care about our young people. We care about our seniors. We care about our social safety net.
• And this underlying bill will direct resources to the Working Families Tax Credit, health care, child
• care.
• child care, but to actually find child care spots.

Bills: HB2720, HB2073, SB5816, SB5919, SB5831, SB6244, SB6044, SB5109, SB5877, SB6258

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, juice grapes, agriculture, commerce, state regulation, market access, fire safety, insurance incentives, best practices, community protection, voluntary measures, mortgage modification

Transcript Highlights:

• Advanced directives being DNRs are a kind of advanced directive.
• There are other advanced directives.
• It's made scarce by the way that our health care facilities work and the way our health care programs
• It's about whether politics... our health care facilities work and the way our health care programs are
• The Senate version, yes, out of Health Care Financing. Yes, out of Health Care Financing.

Keywords: 995, all

Summary: The Permanent Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from Colin Killick of the Autistic Self-Advocacy Network on disability discrimination in crisis standards of care during COVID-19. He described how Massachusetts and other states initially used standards that prioritized longer life expectancy and, in some cases, quality-adjusted life years (QALYs), which he argued devalued the lives of disabled people and older adults. He also discussed related issues such as denial of transplants, pressure on disabled patients to sign do-not-resuscitate orders, and inequities affecting communities of color. He said disability advocates, legal groups, and public officials pushed back through litigation, media, and organizing, leading to revisions of Massachusetts’ standards and the eventual inclusion of disability advocates in the drafting process. Killick also discussed vaccine rollout, saying disabled people were initially under-prioritized but later gained broader access and more accessible vaccination options such as ASL interpretation and in-home vaccination. He closed by urging support for S. 869, an act relative to preventing discrimination against persons with disabilities in the provision of health care, which he said would ban disability-based discrimination in crisis standards, prohibit QALYs in health care decision-making, and add protections against coerced DNRs. He noted the bill had been favorably reported out of the Health Care Financing Committee but still needed support. In questions, members asked why the bill had not advanced further; Killick said earlier opposition from QALY supporters had been resolved, and the main barrier now was lack of legislative prioritization. Members thanked him for the presentation and for the work on revising crisis standards. The subcommittee then completed roll call, approved the prior minutes, and adjourned, noting the next meeting would be August 31.

Transcript Highlights:

• Access to care.
• about the quality of care.
• of future care.
• We know that the hospitals present a huge percentage of the care—doctor care and other provider care—in
• It gives us direction.

Summary: The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion. The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care. The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.

Transcript Highlights:

• providing medical care.
• So some facilities might implement a medically directed care model where you have physicians and then
• Some facilities might implement a medically directed care model where you have physicians and then CRNAs
• care facilities, small and large health care acute care hospitals, and we work on subsidies.
• patient care. fees, pharmacy boards can put on entities that aren't providing direct patient care.

Summary: The committee heard testimony on several health-related bills. HB 2726 would require coverage for diagnosis and treatment of mild obstructive sleep apnea, including a tongue-muscle stimulation device. The sponsor and medical witnesses said the device is a less burdensome alternative to CPAP and could improve adherence and reduce long-term complications, while Access said it already covers medically necessary sleep apnea treatment but was neutral and concerned the bill could narrow review and limit cost-effectiveness analysis. The committee adopted the Bliss amendment and then gave HB 2726 a due-pass recommendation by an 8-4 vote. HB 2435, as amended, would create a provisional licensing pathway for internationally trained physicians who meet specified ECFMG-related criteria, with supervision, fees set by the Medical Board, and automatic conversion to a full license after four years if conditions are met. Supporters argued Arizona faces severe physician shortages, especially in rural and tribal areas, and that the bill would bring in experienced doctors while preserving oversight. Opponents, including the Arizona Medical Board, said current law already allows case-by-case licensure review and warned the bill could weaken safeguards and bypass existing scrutiny. After adopting the amendment, the committee approved HB 2435 on a due-pass recommendation. HB 2958 would require Access coverage for comprehensive dental care for pregnant women age 21 and older, with a $500,000 general fund appropriation for a pilot program. The sponsor and public health witnesses said dental care during pregnancy is linked to better maternal and infant outcomes and could reduce emergency room use and complications. The committee adopted the bill and sent it out with an 11-1 due-pass recommendation. HB 2176, which sets timelines and standards for health care institution complaint investigations and dispute resolution, also received broad support from hospitals and was approved unanimously on a 12-0 due-pass recommendation. The committee then heard HB 2447, which would bar insurers from reimbursing certified registered nurse anesthetists at a lower rate than anesthesiologists for the same service. Opponents argued the bill would interfere with private contracting, ignore differences in training and liability, and likely raise costs for the state and taxpayers; supporters said anesthesia demand has outpaced reimbursement and that parity is needed to protect access, especially in rural areas. The transcript ends during testimony on HB 2447, before any vote is taken.

Transcript Highlights:

• of care.
• That includes direct care workers and support staff across both fee-for-service and managed care delivery
• Care and maternity care, strengthens local capacity to reduce avoidable out-of-area travel for care.
• Again, funds may not be used for routine operating subsidies, direct patient care reimbursement, or to
• care, including care integrated into OBGYN or primary care visits.

Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.

Transcript Highlights:

• at outcomes related to extended foster care.
• at outcomes related to extended foster care.
• at outcomes related to extended foster care.
• , child welfare, direct cash assistance, the work that we did on HEN and ABD.
• We don't need more restrictions; we need more care.

Summary: The Senate Human Services Committee heard testimony on three bills. SB 6212, sponsored by Sen. Nobles, would create a Department of Commerce pilot program providing monthly cash benefits to families with children who qualify for free or reduced-price lunch, with a control group and a final report to the Legislature on whether to expand the program statewide. Supporters said the pilot could reduce child poverty, improve family stability, and provide evidence on the effects of direct cash assistance; the sponsor acknowledged the bill would be expensive and said funding would need to be worked out. No vote was taken. SB 6186, sponsored by Sen. Warnick, would direct DSHS to seek a federal waiver to prohibit SNAP benefits from being used to buy candy and sweetened beverages, with annual reapplication if needed. The bill’s preliminary fiscal note was described as significant, and the sponsor said she was open to amendments, including possibly limiting the proposal to Sun Bucks. Testimony was overwhelmingly opposed from anti-hunger advocates, public health experts, economists, SNAP educators, and individuals with lived experience, who argued the restrictions would be costly, hard to administer, stigmatizing, and unlikely to improve nutrition; one supporter said the measure would promote healthier choices and reduce long-term health costs. No action was taken. SB 6707, also by Sen. Warnick, would have WSIPP study DCYF’s screening tools and risk assessment processes for child welfare referrals and their effects on outcomes such as services, removals, re-referrals, and fatalities. DCYF said it supports evaluating its risk assessment tool but is already working with Chapin Hall on a similar redesign and pilot of the North Carolina Family Assessment Scale, and asked how the bill would avoid duplicating that work. Sen. Warnick said the bill was intended to examine child welfare outcomes more broadly. The committee heard testimony but took no vote, and the chair announced amendments for Wednesday’s executive session are due by noon the next day before adjourning.

Transcript Highlights:

• Ending managed care could also invalidate Hennepin Healthcare's directed payment program and the state's
• It absolutely makes sense to me to take out the middlemen to ensure that we are directing funds for care
• It absolutely makes sense to me to take out the middlemen to ensure that we are directing funds for care
• It absolutely makes sense to me to take out the middlemen to ensure that we are directing funds for care
• It absolutely makes sense to me to take out the middlemen to ensure that we are directing funds for care

Keywords: 1187, senate, all

Transcript Highlights:

• Would you care to clarify how you believe this will add efficiency to resolve Would you care to clarify
• The OIC has been studying health care affordability issues at the direction of the legislature.
• Specialized care is moving.
• We need more primary care doctors and staffing for primary care doctors, which impacts our quality of
• I care deeply about the entire...”

Summary: The committee held public hearings on House Bill 2255, House Bill 2548, and House Bill 2320. HB 2255 would regulate third-party litigation funding by requiring disclosure of funders and agreements, prohibiting funder control over litigation, capping funder recovery at 25%, and creating enforcement remedies. Supporters, including the sponsor, insurance groups, and liability reform advocates, described it as a transparency and consumer-protection measure that could improve court efficiency and reduce costs. Opponents, including the Washington State Association for Justice and the commercial litigation funding industry, argued it would burden plaintiffs, reveal protected work product, chill access to justice, and create satellite litigation. No vote was taken; the chair closed the hearing and asked testifiers to submit written comments. HB 2548 would expand state oversight of health care market transactions by broadening the types of mergers, acquisitions, asset sales, and ownership/control changes that trigger notice to the Attorney General, pausing transactions until information requests are substantially complied with, expanding interagency data sharing, and revoking nonprofit status in certain transactions. Supporters, including patient advocates, nurses, the Office of the Insurance Commissioner, the Attorney General’s office, physicians, and individual health care workers, said private equity and consolidation are driving higher costs, reduced access, and lower quality. Opponents from the Washington State Hospital Association and MultiCare said the bill is unclear, may contain drafting errors, does not adequately target private equity structures, and could create problems around nonprofit status and charitable assets. The hearing ended with the committee moving on to the next bill. HB 2320 would update Washington’s ghost gun laws to address 3D-printed firearms, CNC manufacturing, digital firearm manufacturing code, and the sale of machines marketed for firearm production, and would make certain violations per se Consumer Protection Act violations. The sponsor and supporters, including school officials, gun violence prevention advocates, a trauma survivor, a 3D-printing industry representative, and others, said the bill closes a public safety loophole and responds to the growing availability of untraceable weapons. Opponents, including the NRA, makerspace representatives, and some industry witnesses, argued the bill is overbroad, may sweep in lawful 3D-printing and CNC activity, raises First, Second, and Fifth Amendment concerns, and could create uncertainty through rebuttable presumptions and the CPA provisions. The transcript ends during the HB 2320 hearing, with additional testimony panels still to come and no final committee action recorded.

Transcript Highlights:

• Would you care to vote? Declare the vote. Declare the vote.
• Miller, would you care to vote? Declare the vote.
• Shriver, would you care to vote? Declare the vote.
• And then for clarity, this program is specifically for rural health care programs, not direct funding
• Just quickly to comment on your comment, we do care about rural hospitals and rural health care because

Summary: The committee met for a very long session and considered a large number of bills, with the chair noting the meeting would run late and providing pizza and a recess. Early measures included HB 1752, authorizing the AG’s office and district attorneys’ counsel to buy vehicles with available funds, and HB 2961, a tuition waiver for Gold Star recipients; both advanced with strong support, though HB 2961 drew a question about its estimated annual cost of roughly $312,000 to $520,000. Members also approved HB 2967, exempting certain family vehicle transfers from motor vehicle excise tax, and HB 2973, requiring school districts to use a specific accounting code to show how state-appropriated dollars are spent. Several education and transparency bills also moved forward, including HB 3031 on common course numbering, HB 3057 centralizing statutorily required reports with LOFT, and HB 3052 codifying child welfare procedures related to fentanyl exposure cases. The committee then took up a series of public safety, health, and infrastructure measures. HB 3242, which would create a framework for student prayer during non-instructional time, generated extensive debate over whether it was a mandate, whether it could create fiscal and supervision burdens, and whether it raised local control and constitutional concerns; it passed 17-10. Other bills approved included HB 3066 creating a revolving fund tied to rural behavioral health workforce dollars, HB 3086 requiring the DOC director to brief the board annually on budget and inmate deaths, HB 3175 creating an Oklahoma Advanced Nuclear Energy Office, HB 3177 letting the Oklahoma Corporation Commission set salaries for its court reporters, HB 3178 establishing standard depreciation tables for farm equipment, HB 3429 creating an alternative funding mechanism for career tech capital projects, HB 3548 encouraging youth-run small businesses, HB 3638 directing Oklahoma to participate in the federal Summer EBT program, and HB 3704 expressing intent to opt into a federal tax credit for scholarship-granting organizations. Later, the committee approved HB 1590 creating an education infrastructure linked deposit program for charter and nonprofit schools, HB 3759 requiring temporary school allocations to be set before June 30, HB 3831 recognizing and funding Oklahoma Task Force One after federal support declines, HB 3904 unbundling Medicaid maternal health payments, and HB 4092 creating a protected 988 mental health trust fund and related oversight. After a brief recess, the committee continued with HB 1979 creating a task force to study a centralized early childhood office, HB 1983 requiring a middle school course on online scams and digital safety, HB 1242 expanding agricultural sales tax exemptions to deer and elk, HB 1250 creating a law enforcement public safety technology revolving fund, HB 2952 changing motor vehicle excise tax treatment for trade-ins, HB 3404 setting up a prescribed burn association fund, HB 3671 allowing experienced teachers to carry career teacher status to a new district with approval, HB 3920 extending a tax exemption to organ transplant nonprofits, HB 4118 creating a nonrefundable caregiver tax credit, HB 3944 cleaning up the State Finance Act, HB 3969 renaming a correctional facility after a former sheriff, HB 3973 creating a revolving fund tied to reopening Swojack, HB 3975 and HB 3976 creating mechanisms for oversight and potential funding of rural health initiatives, HB 3978 updating the Oklahoma World Jobs Act, HB 3983 serving as a placeholder for tobacco tax negotiations, and HB 3984 creating a mechanism to recruit productive new residents. Most bills passed on strong votes, while HB 1983 failed in committee 13-14 and was not reported out.

Transcript Highlights:

• must perform a health care activity, AI should not be allowed to do that care in our place.
• Human health care professionals.
• expect a certain level of care.
• Every additional minute spent on administrative tasks is a minute taken away from direct patient care
• And I'm a primary care doctor. And I'm a primary care doctor one day a week.

Keywords: 988, house, all

Transcript Highlights:

• must perform a health care activity, AI should not be allowed to do that care in our place.
• Human health care professionals.
• level of care.
• Every additional minute spent on administrative tasks is a minute taken away from direct patient care
• And I'm a primary care doctor. And I'm a primary care doctor one day a week.

Summary: The committee heard several bills focused on privacy, accessibility, labor, and public safety. AB 1798 by Assemblymember Wilson would bar life and disability insurers from using non-diagnostic genetic information, including direct-to-consumer test results, in underwriting. Supporters argued the bill would protect privacy and encourage genetic testing, while insurers opposed it as unnecessary and said genetic data should be treated like other predictive health information. The bill passed the committee on a 7-0 vote and was held open for absent members. AB 2190 by Assemblymember Wallace would create website accessibility standards based on WCAG guidelines and add affirmative defenses intended to reduce serial litigation while improving access for people with disabilities. Disability advocates supported the measure as a needed civil-rights update, while business groups warned it could increase liability and create unclear compliance obligations. The bill passed 9-0 and was sent to Appropriations. AB 2721 by Assemblymember Carrillo would require hotels to post notice when they know or should know that U.S. Customs and Border Protection or ICE are using the premises, with supporters saying workers and guests deserve transparency and safety. Hotel and business groups opposed it, citing privacy, liability, and concerns about interfering with federal operations. The committee voted 6-2 to pass the bill to Appropriations, with the roll left open. AB 2027 by Assemblymember Ward would restrict employers from using worker data to train AI systems that replace workers and limit sharing of worker data for automation; labor groups supported it and business and public-sector groups opposed it as too broad. The bill passed 7-2 to Appropriations, with the roll left open. The committee also heard AB 1837 by Assemblymember Mark Gonzalez, which would extend and tighten privacy rules for transit agencies’ use of forward-facing cameras to enforce bus-lane violations; supporters said the cameras improve transit flow and safety, and the bill was presented with amendments, though no final vote is reflected in the transcript excerpt.

Transcript Highlights:

• This bill says mental health and behavioral health deserve the same level of seriousness and care.
• And I think we need to change that, and this is a good step in the right direction. Thank you.
• Senate Bill 6135 would take us in the opposite direction.
• I just want to say that I think that those who care for our families and who care in our homes deserve
• Thank you. determine whether their medical care is approved or denied.

Summary: The committee heard several bills and took executive action on a number of them. Senate Bill 6282, by Senator Nobles, would require building and construction trade apprenticeship programs to provide two hours of behavioral health and wellness training starting in 2027, covering stigma reduction, distress recognition, suicide prevention, substance use awareness, peer support, and resource connection. The bill drew strong support from labor and construction groups, who described high suicide and substance use rates in the industry and said the training would help apprentices and, with a planned amendment, journey-level workers as well. No vote was taken in the hearing portion shown, but testimony was overwhelmingly pro. Senate Bill 6135, by Senator King, would require interest arbitration panels for certain uniform personnel at local governments to consider the employer’s ability to pay. Counties and cities supported the bill as a modest fiscal-relief measure and argued it would align local arbitration with existing state-law language. Teamsters representatives and other labor witnesses opposed it, saying it would weaken collective bargaining and give employers leverage to stall or deny fair contracts. The committee closed the public hearing with 5 in favor, 22 opposed, and no other testimony. In executive session, the bill was later advanced subject to signatures. The committee also heard Senate Bill 6128 on independent medical exams, which would require IME recordings to be made through an L&I-approved third-party app and prohibit independent local recording. Supporters said the change would improve security, consistency, and reliability of recordings and reduce cancellations and disputes; opponents said it would burden injured workers and undo the 2023 right to record IMEs on their own devices. The committee then heard Senate Bill 6068, which would make owners and direct contractors jointly liable for unpaid wages and related damages on construction projects, with a notice-and-cure process before suit. Workers and labor groups supported it as a tool against wage theft and labor trafficking, while contractors and industry groups opposed it as overbroad and costly. The committee also heard Senate Bill 6303 on cannabis packaging and vapor devices, with testimony split between sustainability advocates and industry supporters on one side and public health and poison center witnesses on the other, who warned that loosening individual edible packaging could increase child poisonings. In executive session, the committee adopted a substitute for SB 6053 and moved it forward, and also passed SB 6134, SB 6147, SB 6106, and SB 6045 subject to signatures, with SB 6045 amended before passage to Ways and Means.

Transcript Highlights:

• across our state from foster care, community-based care, family preservation, mental.
• We'd ask you to direct DFPS to fund community-based care providers to maintain their caseloads, uh, by
• We'd love to direct DFPS and the community-based care providers to work better together to identify other
• No child should be coming into foster care because the state cannot meet the child's mental health care
• It's a reason that kids should not be coming into care.

Transcript Highlights:

• On top of the payments for those direct services, it would also pay primary care providers a small monthly
• ><c> and</c><00:04:07.519><c> this</c> care care coordination payments and this care care coordination
• Was it in the managed care portion? How much was in the direct payment portion?
• Oh, that's only from the direct payment portion. Well, the vast majority of it is in managed care.
• portion how much was in the manage care portion how much was in the<00:36:24.000><c> direct</c><00:36

Keywords: 1187, senate, all

Transcript Highlights:

• Same thing for child care.
• In the 2023-2024 program year, we had approximately 6,900 child care providers caring for roughly 212,000
• It includes data on the current fiscal year rates, provider county, provider type, unit of care and care
• We saw it in child care, right?
• We saw it in child care, right?

Summary: The Pre-K through 12 Budget Subcommittee met with a quorum and focused on School Readiness, specifically the new provider reimbursement rates and the School Readiness Plus program. The chair gave an overview of how School Readiness is funded and administered, noting that the Legislature now sets county-based reimbursement rates using market and cost data, and that School Readiness Plus was created to help families who would otherwise fall off the subsidy “cliff” at 85% of state median income by extending assistance up to 100% of state median income. Panelists from the Children’s Forum, the Association of Early Learning Coalitions, and the Division of Early Learning described the programs as major workforce and family-support tools that help parents stay employed and help providers recruit and retain qualified staff. Testimony emphasized that higher reimbursement rates increase parental choice, help providers cover rising child care costs, and support better staffing and lower turnover. The panel also said School Readiness Plus is easing the pressure on families to turn down raises or promotions for fear of losing child care assistance, though uptake is still early because the program only began in late 2024 and is only available to current School Readiness families at redetermination. The Division of Early Learning reported about 275 children enrolled in School Readiness Plus as of March 10, with expenditures of about $161,420 through January 2025, and said participation is increasing. Members asked about the federal-state funding split, wait lists, reverted funds, coalition accountability, county-based rate differences, and whether the entrance eligibility threshold should be raised or shifted to state median income. The panel said roughly 70% of School Readiness funding is federal, about 4% has typically reverted in recent years, and the wait list is around 12,000 children, with reasons including income ineligibility, lack of available seats, and funding limits. They argued that raising the entrance threshold would expand access but would require additional funding, and they also discussed the need to reduce workforce barriers such as in-person testing and training requirements. The meeting ended with no formal action beyond the presentation and member discussion, and the subcommittee adjourned.

Transcript Highlights:

• The story is the same, unfortunately, that we're dealing with our direct care workforce crisis.
• We are providing direct care to individuals, and so if we aren't passing through that increase to the
• care worker, and so you were able to draw down more money that was going to your direct care workforce
• Chairman, Senator Epstein, but I think we are on our own incentivized to provide it to our direct care
• I think we are on our own incentivized to provide it to our direct care workforce. We have to.

Bills: SB1072, SB1111, SB1114, SB1116, SB1122, SB1179, SB1250, SB1308, SB1455, SB1456, SB1457, SB1487, SB1547, SB1549, SB1551, SB1552

Keywords: reimbursement rates, intellectual disabilities, community services, economic security, funding appropriations, automated license plate readers, law enforcement, privacy, data access, public records, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare

Transcript Highlights:

• or medical care to a child.
• It then goes on to say, including the right to direct the upbringing, education, health care, and mental
• With the acceptance, care because it says upbringing education, health care, and mental health of the
• So if they're directing the health care of the child free from government interference, are you saying
• We're talking about health care. We're not talking about health care.

Summary: The House began with prayer, the Pledge of Allegiance, and approval of the prior day’s journal by a 123-1 roll call vote. Members then spent time introducing guests, including physicians, sheriffs, students, interns, and school groups from several districts. The chamber also heard a personal privilege statement recognizing a member’s son’s birthday. On third reading, House Bill 1758, dealing with permanent daylight saving time in Missouri, drew debate over whether ending clock changes would improve convenience or create safety and health problems by leaving more commutes in darkness. Supporters argued it would align with public preference and reduce disruption, while opponents warned of circadian and safety concerns. The bill passed 107-31 with two present. The House then moved to perfection of House Bill 3329, which repeals expired or unused tax credits, and House Bill 3405, which reclassifies SALT/pass-through entity items as deductions rather than tax credits for reporting purposes; both were described as cleanup and efficiency measures and were perfected without opposition. The chamber then took up House Bill 2426, a broad parental rights bill covering medical, educational, privacy, and related decision-making for children, and a major amendment focused on individualized education plans (IEPs). Supporters said the bill and amendment strengthen parental involvement and require stricter judicial review, while opponents raised concerns about overbreadth, school district administration burdens, transparency requirements, and possible conflicts with existing law on truancy, medical care, and records. House Amendment 1 was adopted 98-25 with six present, and debate continued on the underlying bill with no final vote shown in the transcript excerpt.