Transcript Highlights:

• If you have public testimony, please provide it in written form.
• This program provides down payment assistance as a grant or as a forgivable second lien loan to eligible
• What this bill does is provide that incentive; so if you want to take advantage of the program, you will
• It provides consistency and predictability for all home rule cities across Texas.
• This amendment doesn't provide damages; it simply ensures accountability by providing. providing injunctive

Bills: SB250, SB375, SB536, SB845, SB1633, SB1944, SB1957, SB2081, SB2137, SB2262, SB2299, SB2419, SB2452, SB2522, SB2549, SB2594, SB2605, SB2631, SB2639, SB2675, SB3029, SJR60, HB22, HB1392, HB2525, HB22

Keywords: municipal annexation, railroad, adjacent areas, local government, property rights, healthcare provider, Harris County Hospital District, hospital funding, healthcare services, public health program, home loans, nurses, veterans, public servants, Texas Heroes program, low-interest loans, social workers, housing assistance, SB 1633, Texas Tax Code

Transcript Highlights:

• </c><00:21:06.400><c> insurance,</c> she worked for credential insurance, she worked for credential insurance
• Speaker, I am providing official notice of my I am providing official notice of my intent to withdraw
• </c><04:14:59.760><c> via</c> missiles are principally provided via missiles are principally provided
• </c><07:54:26.240><c> cuts</c><07:54:26.478><c> for</c> provides much neededed tax cuts for provides
• </c><08:13:38.080><c> nearly</c> one big beautiful bill provides nearly one big beautiful bill provides

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, September 2, 2025, 1012, house, all

Transcript Highlights:

• But nurses other healthc care providers.
• </c> to reach the last mile in providing to reach the last mile in providing preventative<00:37:18.880
• </c><01:02:53.839><c> some</c> priorities, but also provide some priorities, but also provide some updates
• </c><01:14:52.159><c> hands-on</c> in addition to that it provides hands-on in addition to that it provides
• </c> the interim period before we can provide the interim period before we can provide you<01:15:26.880

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:55 Approval of Minutes 00:02:01 Information Items 00:02:10 Review of Executive Branch Agency Plans 00:02:20 A. A. Eastern Kentucky University 00:02:48 B. B. Kentucky Community and Technical College System 00:15:21 C. C. Kentucky State University 00:31:43 D. D. Morehead State University 00:41:44 E. E. Murray State University 01:01:56 F. F. Northern Kentucky University 01:16:09 G. G. University of Kentucky and Hospital 01:25:00 H. H. University of Louisville 01:42:52 I. I. Western Kentucky University 01:56:17, 958, all

Summary: The meeting opened with prayer and the Pledge of Allegiance, followed by a roll call establishing a quorum. The committee then approved the prior meeting’s minutes. Members were reminded to silence cell phones, and the chair noted an informational item on capital plan amendments made by state agencies during the latest revision period before moving to university capital plan presentations. Eastern Kentucky University President David McFaden outlined EKU’s enrollment growth, strong Kentucky student retention, and signature programs in nursing, occupational therapy, criminal justice, education, manufacturing engineering, and aviation. EKU’s main capital priorities were a new health innovation project to support a proposed osteopathic medical program, including a $50 million escrow requirement until accreditation; a collaborative center for health innovation to address outdated health sciences facilities; a $5 million startup request for an air traffic control program; aircraft upgrades for the aviation fleet; and continued asset preservation funding. In response to questions, EKU said roughly 40% of the new health facility would be dedicated to the medical school, with shared simulation space for multiple health programs, and that aviation maintenance needs are currently being met through KCTCS partners but could be expanded if demand grows. KCTCS representatives then described the system’s scale and capital needs, noting service to 107,000 students, extensive dual credit and workforce training, and a network of 342 buildings across 70 campuses. They said prior legislative support, including $277 million in asset preservation and $90 million released for approved projects, had helped with safety, roofs, energy efficiency, and campus security. Their current priorities include about $30 million for systemwide safety and security upgrades, renovations tied to consolidation and footprint reduction under Senate Joint Resolution 179, and broader asset preservation needs estimated at roughly $300 million to $325 million. Members discussed the need to preserve and expand skilled trades training, and KCTCS said its plan includes construction trades and flexible, multiuse facilities that can adapt to changing workforce needs. No votes were taken beyond approval of the minutes, and the presentations concluded with questions and discussion only.

Transcript Highlights:

• care provider when pediatric primary care provider when appropriate.<00:29:42.760><c> This</c><00:29
• If you say shall round for cash transactions... provide any more clarity. provide any more clarity.
• ><c> and</c><01:02:29.360><c> they</c> This provides some flexibility and they This provides some flexibility
• It provides them some give back.
• </c><01:07:48.720><c> the</c> required documentation and provides the required documentation and provides

Keywords: Senate streaming session for Tuesday, March 10, 2026, 960, senate, all

Transcript Highlights:

• I like to say that our colleges and universities provide education and training to the people who get
• Thank you for the opportunity to provide an overview of the Rochester campus. I'm Lori Carroll.
• Starting a new campus provided a blank canvas.
• /c><01:31:56.440><c> practices</c> provided we chose to provide practices provided we chose to provide
• So thank you very much for the opportunity. again providing new ways to create more again providing new

Keywords: 1187, senate, all

Transcript Highlights:

• , provides for applicability.
• , provides for statutory entities.
• House Bill 955 by Representative Kerner, provides relative to electronic monitoring providers, provide
• Next bill is House Bill 548, Borepson-A-Bouye, provides relative to certified public accountants, provides
• Provides for functions and duties of the Louisiana Workforce Investment Council; provides relative to

Bills: HR70, HR71, HCR35, HB31, HB326, HB1013, HB1014, HB1015, HB1016, HR65, HR66, HR67, HR68, HR69, HCR33, HCR34, HB1006, HB1007, HB1008, HB1010, HB1011, SB2, SB13, SB24, SB28, SB40, SB47, SB48, SB70, SB79, SB80, SB109, SB127, SB139, SB154, SB181, SB199, SB200, SB208, SB277, SB317, SB336, SB349, SB357, HR15, HR20, HCR14, HB51, HB58, HB69, HB82, HB93, HB143, HB166, HB199, HB201, HB202, HB218, HB222, HB223, HB224, HB231, HB235, HB246, HB338, HB349, HB352, HB379, HB405, HB429, HB535, HB547, HB577, HB588, HB626, HB636, HB652, HB653, HB669, HB688, HB691, HB721, HB738, HB749, HB806, HB843, HB851, HB857, HB861, HB889, HB904, HB907, HB908, HB929, HB955, HB1009, HB952, HB8, HB9, HB10, HB15, HB16, HB17, HB18, HB19, HB22, HB33, HB34, HB35, HB44, HB46, HB47, HB48, HB61, HB101, HB126, HB135, HB142, HB164, HB185, HB215, HB226, HB232, HB233, HB242, HB284, HB292, HB297, HB301, HB334, HB436, HB468, HB548, HB571, HB582, HB593, HB594, HB609, HB613, HB712, HB722, HB732, HB746, HB827, HB845, HB848, HB921, HB923, HB951, HB953, HB999, HB53, HB57, HB64, HB102, HB106, HB111, HB137, HB152, HB155, HB177, HB238, HB256, HB258, HB337, HB359, HB363, HB386, HB434, HB546, HB557, HB584, HB661, HB697, HB726, HB727, HB747, HB756, HB758, HB759, HB765, HB767, HB825, HB858, HB930, HB941, HB957, HB964, HB868, HB119, HB140, HB739, HB842, HB875, HB919, HB52, HB228, HB289, HB735, HB796, HB901, HB193, HB400, HB570, HB733

Keywords: Northside High School, basketball, state championship, sportsmanship, athletic recognition, commendation, criminal justice, community contributions, Bridget A. Dinvaut, law enforcement, tax delinquency, property sale, rehabilitation, Louisiana State Law Institute, legislation, retirement, police benefits, disability, municipality, Social Security

Summary: The House convened with a quorum, heard a prayer and pledge, adopted the journal, and received Senate messages, committee reports, and a large number of bill introductions and committee referrals. Several resolutions were adopted without objection, including condolences, commendations, and designations such as Jeanerette as the French bread capital of Louisiana and recognition of Women’s History Month. The chamber also received numerous House and Senate bills for referral, many involving retirement systems, education, transportation, criminal justice, natural resources, and local government matters. The floor then moved through a long series of House bills, with many local and retirement measures passing unanimously or near-unanimously. Among the bills discussed were changes to retirement systems for district attorneys, clerks of court, sheriffs and deputies, assessors, and municipal police employees; local court jurisdiction and commissioner authority; bankruptcy and succession thresholds; civil procedure revisions; and measures on election administration, public records, seafood labeling and safety, state symbols, and OMV fees. Members asked questions on several bills, especially about fiscal impact, retirement governance, and procedural changes, but most bills advanced with little opposition. A few bills were returned to the calendar, including HB 9, HB 61, HB 126, HB 185, HB 233, HB 284, HB 301, HB 436, HB 468, HB 582, HB 613, and HB 722. The House also considered bills affecting education, labor, health, and public safety, including employment certificates for minors, student questionnaires and hazing procedures, a state seal of fine arts diploma, Louisiana Works reauthorization, naloxone immunity, veterans’ medical-record fee waivers, and a bill creating a privacy protection act for sex offense victims. Several measures drew brief debate over fairness, administrative burden, or humanitarian concerns, such as a bill requiring a Rule 10.1 conference before requests for admissions are deemed admitted, and a bill allowing OMV fee waivers in emergency or humanitarian situations. Most of the bills taken up on the floor passed, often by wide margins, with a few receiving a small number of dissenting votes.

Transcript Highlights:

• , provides for applicability.
• , provide relative to powers and duties.
• risks, provide for governance of a company.
• House Bill 955 by Representative Kerner, provides relative to electronic monitoring providers, provide
• Next bill is House Bill 548, Borepson-A-Bouye, provides relative to certified public accountants, provides

Bills: HR70, HR71, HCR35, HB31, HB326, HB1013, HB1014, HB1015, HB1016, HR65, HR66, HR67, HR68, HR69, HCR33, HCR34, HB1006, HB1007, HB1008, HB1010, HB1011, SB2, SB13, SB24, SB28, SB40, SB47, SB48, SB70, SB79, SB80, SB109, SB127, SB139, SB154, SB181, SB199, SB200, SB208, SB277, SB317, SB336, SB349, SB357, HR15, HR20, HCR14, HB51, HB58, HB69, HB82, HB93, HB143, HB166, HB199, HB201, HB202, HB218, HB222, HB223, HB224, HB231, HB235, HB246, HB338, HB349, HB352, HB379, HB405, HB429, HB535, HB547, HB577, HB588, HB626, HB636, HB652, HB653, HB669, HB688, HB691, HB721, HB738, HB749, HB806, HB843, HB851, HB857, HB861, HB889, HB904, HB907, HB908, HB929, HB955, HB1009, HB952, HB8, HB9, HB10, HB15, HB16, HB17, HB18, HB19, HB22, HB33, HB34, HB35, HB44, HB46, HB47, HB48, HB61, HB101, HB126, HB135, HB142, HB164, HB185, HB215, HB226, HB232, HB233, HB242, HB284, HB292, HB297, HB301, HB334, HB436, HB468, HB548, HB571, HB582, HB593, HB594, HB609, HB613, HB712, HB722, HB732, HB746, HB827, HB845, HB848, HB921, HB923, HB951, HB953, HB999, HB53, HB57, HB64, HB102, HB106, HB111, HB137, HB152, HB155, HB177, HB238, HB256, HB258, HB337, HB359, HB363, HB386, HB434, HB546, HB557, HB584, HB661, HB697, HB726, HB727, HB747, HB756, HB758, HB759, HB765, HB767, HB825, HB858, HB930, HB941, HB957, HB964, HB868, HB119, HB140, HB739, HB842, HB875, HB919, HB52, HB228, HB289, HB735, HB796, HB901, HB193, HB400, HB570, HB733

Keywords: Northside High School, basketball, state championship, sportsmanship, athletic recognition, commendation, criminal justice, community contributions, Bridget A. Dinvaut, law enforcement, tax delinquency, property sale, rehabilitation, Louisiana State Law Institute, legislation, retirement, police benefits, disability, municipality, Social Security

Transcript Highlights:

• </c> with schools and the cost of providing with schools and the cost of providing this.<00:31:06.720
• c> framework provides consistency while framework provides consistency while giving<00:36:18.240><c>
• We provide support for a wide centers.
• For some students, that pathway leads directly to a 3650 to provide structure to create 3650 to provide
• </c> thank you for the opportunity to provide thank you for the opportunity to provide an<01:37:23.360

Bills: HF3650, HF2238

Keywords: student career pathways, education framework, experiential learning, employer engagement, career technical education, HF2238, Minnesota, workforce development, construction trades, youth skills training, youth apprenticeship, pre-apprenticeship, construction training, career and technical education, CTE, child labor laws, minor labor, labor exemption, workforce pipeline, skilled trades

Transcript Highlights:

• </c> students to a provider for screening. students to a provider for screening.
• </c><02:03:04.480><c> positive</c> and say just just provide positive and say just just provide positive
• </c><02:31:05.400><c> disclosure</c> standards, and providing disclosure standards, and providing disclosure
• ,</c><02:41:45.560><c> geographic</c> production, credentialing, geographic production, credentialing
• </c><02:46:53.400><c> clear</c><02:46:53.680><c> and</c> is to provide clear and is to provide clear

Keywords: 981, all

Transcript Highlights:

• We provide services through voucher-based programs, which provide certificates for families to obtain
• Being a child care provider is my... Being a child care provider is my life's work.
• And with few new providers entering the field, 10 years ago, and with few new providers entering the
• but there will not be another provider because all providers' doors will basically close.
• Our providers are steadfast.

Keywords: 988, house, all

Transcript Highlights:

• It would have set rates on providers—specifically, it would have established the rates that providers
• On behalf of Providence St.
• Stanford from providing life-saving care that our practitioners are trained and licensed to provide,
• Providers can apply for the grant to provide abortion and contraception services for individuals below
• Dollars to 14 grantees to reimburse health care providers for providing lower or no-cost abortion and

Keywords: 988, house, all

Transcript Highlights:

• We provide services through voucher-based programs, which provide certificates for families to obtain
• Many of the children I provide for come from single-income households Many of the children I provide
• First child care providers go.
• , but there will not be another provider because all providers' doors will basically close.
• Our providers are steadfast.

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on the Trump administration’s freeze of federal child care and social services funding and its potential impact on California. The chair opened by emphasizing that child care is economic infrastructure and warning that the freeze could destabilize California’s $10 billion child care system. The Legislative Analyst’s Office and the Department of Social Services explained that California child care programs rely on roughly $1.4 billion in federal CCDF and TANF funds, which are blended with state dollars and support hundreds of thousands of children and families. CDSS said the state and four other Democratic-led states quickly sued, obtaining a temporary restraining order that has kept the funds flowing for now. Witnesses including Los Angeles County Supervisor Holly Mitchell, child care provider Amisha Griffin, and parent advocate Mara Linda Bustamante described the practical consequences of a funding interruption: providers could lose reimbursement, close centers, cut enrollment, or lay off staff; parents could lose child care, jobs, or school opportunities; and counties could not backfill the lost federal dollars. Several speakers stressed that child care centers also provide wraparound supports such as nutrition, developmental screening, and referrals, especially in rural and low-income communities. Mitchell and others argued that the freeze would worsen child care deserts and disproportionately harm women, single parents, and communities of color. Members repeatedly challenged the federal rationale of “waste, fraud, and abuse,” asking for oversight details. CDSS said providers face extensive audits, fraud policies, monitoring, and recoupment procedures, and that identified fraud amounts to about $7 million over two years compared with roughly $6.5 billion in annual child care spending. Several members said the fraud rate is under 1 percent and criticized the freeze as politically motivated and illegal. They also discussed the need for a state “bridge plan” to protect families if federal funds remain disrupted, and some members referenced prior legislation to modernize CalWORKs and child care eligibility. During public comment, parents, providers, county representatives, and advocacy groups echoed the same concerns, citing waiting lists, workforce losses, and the risk of families falling back into homelessness or poverty. No formal vote was taken; the hearing concluded with broad bipartisan expressions of support for child care funding and a commitment to continue working on state protections and federal advocacy.

Transcript Highlights:

• Mexico providers.
• And now my doctor, my OBGYN provider, she's the last private provider here in Santa Fe, which is regional
• of providers.
• Many of the projects which are shown on the left side of the chart represent new providers or providers
• This matters because HCA uses these provider-proposed goals as a basis for evaluating whether providers

Keywords: 996, all

Transcript Highlights:

• and to provide for waiver fees for a Class E driver's license.
• in Caddo Parish and provide for the property description.
• for restrictions on services provided to veterans for compensation.
• Next bill, please. ...licensed facilities provide for hospice care.
• law provides for a transparent, uniform process when C-MAR is used.

Keywords: 974, senate, all

Transcript Highlights:

• and to provide for waiver fees for Class E driver's licenses.
• in Caddo Parish and provide for the property description.
• for restrictions on services provided to veterans for compensation.
• Next bill, please. ...licensed facilities provide for hospice care.
• Next bill, please. ...licensed facilities provide for hospice care.

Bills: SR130, SR131, SR132, SR133, SCR74, SCR12, HB582, HB221, HCR74, HCR58, HB71, HB79, HB158, HB160, HB169, HB227, HB251, HB289, HB330, HB394, HB410, HB429, HB769, HB1017, HB1234, HB712, SCR3, SB54, SB72, SB129, SB164, SB232, SB287, SB322, SB374, SB375, SB386, SB409, SB447, SB458, SB78, SB112, SB124, SB125, SB174, SB190, SB201, SB208, SB236, SB273, SB307, SB347, SB357, SB385, SB387, SB393, SB401, SB415, SB426, SB435, SB487, SB488, SB523, SB222, SCR9, SCR58, SB480, SB514, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR31, HCR47, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB316, HB511, HB514, HB799, HB1039, HB17, HB36, HB41, HB47, HB73, HB126, HB133, HB140, HB159, HB166, HB211, HB226, HB271, HB324, HB337, HB351, HB399, HB571, HB723, HB726, HB750, HB759, HB844, HB966, HB1006, HB1018, HB1036, SB29, SB42, SB43, SB217, SB274, SB300, SB379, SB382, SB441, SB449, HB134, HB258, HB359, HB782, SB149

Keywords: E. Joseph Savoie, Dr. Savoie, University of Louisiana at Lafayette, UL Lafayette, higher education, Louisiana Board of Regents, commissioner of higher education, president emeritus, Carnegie R1, research university, student financial aid, needs-based aid, community and technical college system, teacher education, hurricane Katrina, hurricane Rita, retirement resolution, commendation, senate resolution, public service

Summary: The Senate convened with 29 members present, opened with prayer by Oren Connor, the Pledge of Allegiance, and a musical performance by the Chuck Wagon Gang. The chamber also recognized several guests and observances, including birthdays for Senators Seabaugh, Fesi, and Price, White Coat Wednesday participants, Tourism Day, the Louisiana Oil Marketers Association, Chenault International Airport’s 40th anniversary, and visiting fair queens from Washington and Tangipahoa parishes. The Senate dispensed with reading the journal and received numerous House and Senate messages, committee reports, and resolutions. Several Senate resolutions were taken up and adopted, including commendations for Isaac Herzenberg, condolences for Kathleen Sessomson and former Senator Louis Lambert Jr., recognition of White Coat Wednesday and Tourism Day, and a study resolution on transfer-on-death and payable-on-death accounts. The Senate also adopted a conference committee report on House Bill 782, which concerned vapor and alternative nicotine products and was described as giving the state more tools to combat illegal vapes. A number of Senate bills returned from the House with amendments were either concurred in or rejected, including SB 54, SB 72, SB 129, SB 164, SB 232, SB 287, SB 374, SB 375, SB 386, SB 409, SB 112, SB 124, SB 125, SB 174, SB 190, SB 207, SB 236, SB 307, SB 357, SB 385, SB 387, SB 458, SB 477, SB 590, SB 593, SB 618, SB 655, SB 692, SB 707, SB 732, SB 738, SB 748, SB 776, SB 807, SB 860, SB 868, SB 887, SB 888, SB 905, and SB 961, with votes generally passing by wide margins. The chamber also considered several House bills on final passage. Among those approved were measures on local security districts, budget review authority, school activity access for virtual students, electronic bid forms, brake equipment and trailer safety, construction management at risk contracts, temporary registration plates, the Louisiana Maritime Academy name change, OMV fee and ID issues, ferry operations, group purchasing for local governments, the Green Envelope Program for drivers with disabilities, OMV field office fees, LED fee updates, port development priorities, workforce instructor capacity, and a campus disciplinary process bill tied to hazing prevention. Some House bills were passed after amendments, while others were passed over or rejected for later conference, including bills on virtual school participation, historic preservation, civil service, suicide prevention, local government training, and economic development districts. The Senate also rejected House amendments on SB 78 and SB 208, and rejected amendments on SB 387, sending those matters toward further negotiation.

Transcript Highlights:

• Uh, thank you, Director Johnson. provide for the state's long-term care provide for the state's long-term
• I will not belabor a lot of the context that's already been provided.
• And when you element of what we provide.
• Section two provides for shared permit.
• And so this flexibility provides an opportunity to provide that flexibility to synchronize those permits

Bills: HF1587, HF2293, HF2218, HF1208, HF1482

Keywords: HF1587, Cass County, Minnesota Department of Natural Resources, DNR, condemnation, eminent domain, state land, surplus land, public waters, tribal land transfer, federally recognized Indian Tribe, tribal ownership, land conveyance, no consideration, land appropriation, natural resources, U.S. Highway 2, Section 27 Township 145 North Range 28 West, land return, Tribal sovereignty

Transcript Highlights:

• We are providing $4.1 million for the VPK Summer Bridge Program.
• providing critical operating and fixed capital outlay needs, specifically providing formula dollars
• We are providing $20 million for security in Jewish day schools.
• This education will be provided free of charge.
• Provides that fiscally constrained counties are not required to provide matching funds.

Keywords: 999, senate, all

Transcript Highlights:

• So the providers perhaps are not participating because they're not in the right provider type to do that
• This grant program provides approximately $3.3 million to reimburse labs and hospitals to provide this
• The agency notified hospitals in the provider community of this new covered benefit via a provider alert
• that was sent out on December 20, 2023, and the provider alert, as all provider alerts are, has been
• The care providers and the physicians.

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• If the state is not provided an extension and on health care provider taxes, there's the possibility
• nonprofit entities or essential community providers. that provide abortion services other than those
• from unmanned aircraft, provides Operation Stone Garden with an additional $450 million, provides DHS
• And just for a little bit of context, for every one meal provided by a food bank, SNAP provides nine.
• Oki. providers across California.

Keywords: 988, house, all

Transcript Highlights:

• We have 36-plus entities that are providing us data.
• We have 36 plus entities that are providing us data. They do control their data.
• We had our providers basically help do this. We put it into four different domains.
• If it's got a behavioral health diagnosis, they can't provide that.
• If it's got a behavior health diagnosis, they can't provide that.

Summary: The Senate Health and Long-Term Care Committee opened its 2026 session with a work session focused on the committee’s priorities of access, quality, and affordability. Health Care Authority staff Michelle Needham and Ross Florey reviewed the Health Care Cost Transparency Board’s work, noting Washington’s uninsured rate has fallen from 15% in 2010 to 5%, but health care spending growth remains above the benchmark. They said 2023 spending grew 6.2% versus a 3.2% target, with prescription drugs, hospital outpatient care, professional services, and non-claims spending driving growth. They highlighted ongoing work on market transparency, hospital spending, primary care, and federal policy changes that could reduce coverage and increase uncompensated care. Dr. Drew Oliva of the Washington Health Alliance added quality and safety data, saying many measures remain below top national performance, primary care attachment is weak, hospital pricing varies widely, and behavioral health data are limited. He urged stronger primary care investment, more transparency, and better patient safety oversight. Committee members then introduced themselves and staff before moving to public hearings. The committee first heard Senate Bill 5877, a technical fix expanding the physician health program surcharge to certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and related educational resources. The bill sponsor and witnesses from the Washington Medical Commission, the Washington Academy of Anesthesiologist Assistants, and the Washington Physicians Health Program all supported the measure, describing it as a consistency and access fix for a newly licensed profession. The bill drew 12 pro, 2 con, and 0 other sign-ins. The committee then heard Senate Bill 5967, which would preserve access to preventive services by allowing the Department of Health to issue immunization recommendations based on multiple expert sources and by freezing state insurance coverage protections for preventive services and vaccines as of mid-2025, with OIC rulemaking authority to keep coverage at least as favorable. The sponsor, Insurance Commissioner Patty Kuderer, Secretary of Health Dennis Worsham, and Governor’s office staff said the bill is intended to protect existing coverage, not create new vaccine mandates, and to keep recommendations grounded in science amid federal uncertainty. Supporters included Dr. Helen Chu, Dr. Beth Harvey, Dr. Maria Huang, Dr. J. Miller, and Dr. Matt LaGalbo, who emphasized vaccine safety, rising vaccine-preventable diseases, and the importance of no-cost preventive care. Opponents, including Bob Runnels and Natalie Chavez, argued the bill politicizes vaccines, reduces transparency, and expands state authority without adequate fiscal detail. The hearing continued with additional testimony after the excerpt ended.