Transcript Highlights:

• </c> permanent care. permanent care.
• But if we have something that's gone 90 days, 120 days, 180 days without any verification to the department
• ><c> without</c> gone 90 days, 120 days, 180 days without gone 90 days, 120 days, 180 days without any
• </c> 60 days in advance. 60 days in advance.
• </c> we'll reply within 10 days. we'll reply within 10 days.

Keywords: 928, house, all

Summary: The committee first approved the minutes and consent calendar, then moved through several Department of Health and Human Services Medicaid-related rules. Rule 25-220 from the Department of Energy was postponed until June so stakeholders would have more time to review revised language. Rule 25-240, involving Medicaid income verification and deductible provisions for medically needy applicants, was adopted after staff noted the cited sections had expired but the agency said it had continued operating under federal law and the state plan; the agency also said it had begun rulemaking on the cited provision. Rules 25-265 and 2633 were also adopted, with staff explaining that although parts of the rules had expired, the agency had continued implementing the policies through the Medicaid state plan, billing manuals, and related rules. The most extended discussion centered on rule 25-304 from the Bureau of Aging and Adult Services, which covers case management services for the CFI program. Staff and the agency explained that the amended conditional approval request clarified how case management agencies indicate staffing capacity, how telehealth decisions are evaluated, and that the department—not the case management agencies—sets the timeline for accepting or denying cases. The agency said the rule is intended to ensure participants are not pushed into telehealth when they do not want it or cannot use it, while leaving technical and clinical telehealth decisions to the provider. A case management provider testified in opposition to parts of the rule, arguing that the committee should not require agencies to admit unverified patients, that reimbursement-rate issues belong in legislation, that the quality-management section duplicates existing licensure oversight, and that the telehealth language improperly gives case managers authority over how other licensed providers deliver services. Committee members questioned whether the telehealth language was simply allowing case managers to determine whether telehealth fits a person’s care plan, and agency representatives responded that this was the intent. No final vote on rule 25-304 is shown in the transcript excerpt.

Transcript Highlights:

• A health care provider in Mankato, who's in the building today for Chiropractic Day, recently shared
• days accumulated.
• She told me, 'Your sick days aren't sick days; that's your maternity leave.
• So I saved my sick days.
• that's</c> your sick days aren't sick days that's your sick days aren't sick days that's your<00:48:

Keywords: 1183, house

Transcript Highlights:

• Our staff care for 231 veterans in both the long-term care and domiciliary program.
• with an average of 6.37 hours of direct patient care per day in our long-term care setting.
• Good day, Mr. Secretary.
• , or congregate care setting.
• And then we adapt our programs sometimes day by day as to what that... Thank you.

Keywords: 995, all

Summary: The hearing opened with remarks from Senate Chair Robyn Kennedy and House Chair Chynah Tyler, who emphasized that the fiscal year 2026 hearing was focused on the Health and Human Services budget, asked members to keep questions budget-related, and noted that no public testimony would be taken. They also highlighted the choice of Doherty Memorial High School as the venue to showcase Worcester’s investment in career and technical education. Committee members then introduced themselves before the first panel, the Executive Office of Veterans Services and the state veterans homes, began testimony. Secretary John Santiago said the governor’s FY26 proposal would support implementation of the HERO Act, which he said is now about 95% implemented, including higher disabled veteran annuities, expanded behavioral health benefits, and other service expansions. He described efforts to reduce veteran homelessness, including nearly $20 million in ARPA-funded housing and outreach initiatives, and said the agency has delivered more than 100,000 supportive services to nearly 8,500 veterans. Leaders from the Chelsea and Holyoke veterans homes reported on staffing, quality measures, electronic medical records, and major construction projects at both facilities, including a new Chelsea campus and the new Holyoke home. Members asked about funding transfers, geographic equity in access to the homes, outreach to women veterans and veterans of color, suicide prevention, Gold Star family support, and the impact of federal uncertainty; Santiago said the homes are now licensed and certified, that the current budget is sufficient, and that the agency is expanding engagement and data collection. The second panel, the Office of the Veteran Advocate, testified that its FY26 request is about $3.3 million, up from the current $2 million, to cover staffing, a larger office, and higher technology costs. Veteran Advocate Bob Notch said the office is a new independent oversight agency created in 2022 to examine systems, coordinate with local veteran service officers, and investigate fatalities or serious harm involving veterans in state care. He said the office’s work depends on research, data, and collaboration with other agencies, and that current funding is only enough for minimum operations. In response to questions, Notch and Deputy Commissioner David O’Callaghan discussed the difficulty of tracking veteran suicides, the need for better data across agencies, and the office’s role as an oversight body rather than a direct service provider. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• a day.
• Some examples of how it can be covered under PCCA for PDN are bowel care, wound care, central line care
• , called enhanced care services.
• We created it for complex care assistant called enhanced care services.
• Also, just more options for care.

Summary: The House Health Care and Wellness Committee met at policy cutoff and first took up executive session on four bills. It considered a proposed substitute for HB 1589 on health carrier contracting practices, which would require carriers to provide providers advance notice and clean copies of contract changes and payment methodologies, and would also add notice requirements for significant payer contract modifications. The committee also considered HB 2402 on phthalates in IV solution containers and tubing, with a substitute delaying implementation dates and creating shortage and FDA-related exemptions. HB 2555, concerning Medicaid coverage of traditional health care practices, and HB 2685, concerning tribal data and disease reporting to tribal health jurisdictions, were also before the committee. HB 2599 was deferred. The committee reported HB 1589, HB 2402, HB 2555, and HB 2685 out of committee with do pass recommendations, with recorded votes showing some members voting no or no without recommendation on the more contested bills. The committee then held a work session on private duty nursing in the Medically Intensive Children’s Program. Health Care Authority and DSHS staff described how the program serves children with complex medical needs through managed care and fee-for-service pathways, the role of prior authorization and medical necessity review, and the ongoing shortage of nursing staff. They said many approved hours are not filled, especially in rural areas, and that family members often provide unpaid care to fill gaps. Committee members asked about the structure of the children’s and adult PDN programs and about how many authorized hours are actually being served. The committee also heard testimony from a home care agency representative and a parent caregiver, both of whom described severe staffing shortages and the burden on families when nursing shifts go unfilled. They supported models that would allow trusted family caregivers to be paid for some of the skilled care they already provide. The committee then heard examples from Montana and Massachusetts of similar family caregiver or complex care assistant programs. Montana described its pediatric complex care assistant model as a gap-filling service with prior authorization and a set hourly rate, while Massachusetts outlined its complex care assistant program, including training, supervision, wage pass-through requirements, and early growth in participation. The meeting concluded after the work session.

Transcript Highlights:

• continued home care, which is good care, safe care, and the best care.
• His doctor has ordered 22 hours per day of home care nursing.
• I know what I care about.
• I would just be careful.
• FIRST WE CAUGHT CARE TO LONG-TERM CARE THEY CUT FUNDING TO LONG-TERM CARE THEN WE CUT FUNDING TO LONG-TERM

Keywords: 1187, senate, all

Transcript Highlights:

• </c> resources in the day. resources in the day.
• prior to their release, which means that by the day that they are released, all of their care is ready
• There's no gap in care. to be paid for. There's no gap in care.
• </c> for that person's care. for that person's care.
• Care program.

Keywords: 910, house, all

Summary: The Committee on Public Safety held an informational briefing on best practices for medical or compassionate release programs used by correctional systems nationwide and how Hawaii’s current approach compares. Kristen Johnson of the Hawaii Correctional System Oversight Commission introduced Molly Crane of Families for Justice Reform, noting that the commission, the Department of Corrections and Rehabilitation, and the Hawaii Paroling Authority have all been involved in developing proposed legislation, though the bill itself was written by community advocate Bob Merse. Crane described FAM’s work on justice reform and said the group has studied compassionate release programs across the country, including federal reforms, to help Hawaii align with best practices. Crane argued that compassionate release is intended for people who are too ill or cognitively impaired to pose a public-safety risk and who are often the most expensive and resource-intensive people to incarcerate. She said Hawaii is the only state without a compassionate release statute and currently relies on an agency policy, which she described as complex and slow. She cited examples of severe medical cases in custody, including people with advanced dementia, multiple sclerosis, kidney failure, and hospice needs, and said the burden on correctional medical staff, overtime, off-site transport, and specialized care can consume a disproportionate share of staff time and state resources. She also said the recidivism rate for this population is under 1 percent, citing Vera Institute research. Members asked about the source of the recidivism figure, how a statute would streamline the process, and why the issue had not advanced in the past. Crane said the proposed bill would reduce layers in the process by moving cases from the medical director to the director and then to the Hawaii Paroling Authority, with a target timeline of about 30 business days from petition to hearing. Johnson said prior efforts failed in part because the agencies most affected were not included early in drafting and revision, and she said one attempt was vetoed, another was removed in conference committee, and another passed one chamber but did not advance. Johnson also explained that incarcerated people’s medical care is paid entirely by the Department of Corrections and Rehabilitation, with no private insurance or Medicaid/Medicare coverage while incarcerated, making severe cases a direct burden on state funds. No votes or formal actions were taken because the briefing was informational only.

Transcript Highlights:

• So today is a very important day.
• Happy Assistance Day. Thank you. Happy Assistance Day. And thank you on behalf of all of us.
• She's taken care of me.
• I just want to wish everyone a happy Earth Day. Today is the 56th anniversary of Earth Day.
• Happy Earth Day. Thank you. ...to pollution and sustainability challenges. Happy Earth Day.

Keywords: 1182, all

Transcript Highlights:

• My entire paycheck is going toward child care.”
• and one toddler in care in Arkansas.
• My entire paycheck is going to child care.”
• You know, I could get a better job elsewhere, but it matched my routine, my day-to-day, my kid drop-off
• So just balancing the needs of taking care of their kids throughout the day and being at work.

Keywords: 1204, all

Transcript Highlights:

• Back in the day. Back in the day. Yes. Allison Brown is there. Back in the day. Back in the day.
• must perform a health care activity, AI should not be allowed to do that care in our place.
• Nurses use technology every day.
• And I'm a primary care doctor. And I'm a primary care doctor one day a week.
• We've all had those days—tough to focus on the big ones. We've all had those days.

Keywords: 988, house, all

Transcript Highlights:

• know</c> 7 days a week 365 days a year we know 7 days a week 365 days a year we know that<00:13:52.240
• Minnesotans are angry and feel the day-to-day impact of rising costs, from health care to the price of
• When I started in health care, I never cared who I was caring for.
• When I started in health care, I never cared who I was caring for.
• And at the end of the day, should Minnesota taxpayers and the people who receive health care who are

Bills: HF10, HF27

Keywords: undocumented immigrants, state funding, MinnesotaCare, scholarship ineligibility, state assistance, permit to carry, concealed carry, handgun permit, firearm permit, pistol training, sheriff, application process, electronic filing, mail application, fax submission, certified mail, certified delivery, gun rights, Second Amendment, firearms regulation

Transcript Highlights:

• Collaborative care is an effective evidence-based model which integrates care into primary care settings
• to addiction-focused consultation, care management, and referrals to specialty care.
• To set a standard of care.
• is 64 days.
• To access that care.

Transcript Highlights:

• I move that the five-day rule... I move.
• To enforce the CPA, at least 60 days prior to the affected date of any material change among health care
• And folks are concerned about little access to care, but also the quality of care once these mergers
• care prices to rise.
• In health care generally causes health care prices to rise.

Summary: The committee first waived the five-day notice rule for five House bills, then held public hearings on several measures. On Engrossed Substitute House Bill 2548, the committee heard staff and sponsor testimony on expanding health care merger notice requirements to the Attorney General, adding transactions involving majority ownership/control and asset sales, requiring public posting of notices, pausing closings until information requests are substantially complied with, and adding filing fees. Supporters, including the sponsor, the Attorney General’s Office, the Office of the Insurance Commissioner, nurses, and patient advocates, said the bill would improve transparency and oversight of consolidation and private equity in health care; the Washington State Medical Association and Washington State Hospital Association were neutral after compromise language, though the hospital association raised concern about the added fees. The hearing closed with many people signed in pro and con but not testifying. The committee then heard Second Substitute House Bill 2333, which would allow candidates and elected officials to use campaign or surplus funds to reimburse personal security expenses related to threats tied to their public roles. The sponsor and several prosecutors described personal threats and argued the bill is needed to protect public servants, while public disclosure officials said current PDC processes and the state Address Confidentiality Program already provide some protections and cautioned against over-codifying agency discretion. Some testimony urged restoring earlier address-protection provisions, while county auditors said the revised bill removed operationally unworkable redaction language and was acceptable as amended. The bill had broad signed-in support and opposition, but no vote was taken. For Engrossed House Bill 1574, staff explained the bill would expand Good Samaritan-style protections for people seeking overdose help, bar arrest or conviction for possession in those circumstances, limit related penalties and forfeiture, and allow hospitals and other health facilities to distribute public health supplies without committing paraphernalia infractions. Supporters said it would save lives and improve access to drug checking and harm reduction services, while prosecutors and law enforcement groups said the bill was too broad, especially regarding arrest limits, protection-order violations, probation/parole, warrants, and civil forfeiture. The sponsor said the bill was intended to keep people alive and encourage calls for help. The committee also heard Engrossed House Bill 2156, which would let Attorney General investigators be designated limited authority peace officers to electronically serve search warrants in economic and financial crime cases; the AGO and retailers supported it as a tool against organized retail theft and wage theft, while sheriffs and police chiefs opposed it and urged added guardrails and deconfliction with local law enforcement. Finally, on Engrossed Substitute House Bill 2320, the committee heard a bill to regulate 3D-printed and digitally manufactured firearms and digital firearm manufacturing code. The sponsor and supporters, including students, pediatricians, and a gun-violence survivor’s family member, said it was needed to address untraceable ghost guns and keep pace with technology, while opponents argued the bill was overbroad, raised constitutional concerns, and targeted files and speech rather than criminal conduct. No votes were taken in the hearing excerpts provided.

Transcript Highlights:

• You have 30 days to identify it and treat it.
• We were surviving day to day.
• We were surviving day to day.
• primary care and specialty care doctors.
• health outcomes, reduce unnecessary health care spending, and help build a more sustainable health care

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• Because if you don't have a health care workforce, you don't have access to health care.
• provider in the last 30 days.
• provider in the last 30 days.
• in Linton or care in Rugby, you know, or care in these rural areas.
• need some kind of care every day.

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• Folks, if we do this, cost of care, total average cost of care and quality—cost of care goes down, quality
• care or specialty care.
• And this is what we see every day, all day, every day. And it is real.
• now have nothing to do with health care, quality care, or patient care.
• So we do that all day, every day. I just want this to be fully transparent.

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• , Senator Eggman and I carried a bill that established the care program and care.
• Eggman and I carried a bill that established the care program and care court.
• CARE Court does not pay for real care, like treatment or housing.
• That's not caring. What's caring is trying to take control and offer assistance.
• ICE detained day laborers at our center that day and a second time days later.

Summary: The committee heard several public safety measures, with extensive testimony on firearms regulation, disability and sexual assault, mental health diversion, emergency response, and law enforcement masking. SB 704 by Senator Arreguín would require firearm barrels to be purchased through licensed dealers with a background check, as a response to the rise in ghost guns and 3D-printed firearms; supporters said barrels are a key component of untraceable guns, while opponents argued the bill burdens lawful gun owners and does little to stop criminals. SB 258 by Senator Wahab would eliminate the remaining spousal rape exception for victims unable to consent because of disability; supporters called it a needed closure of an archaic loophole, while disability-rights advocates opposed it unless amended, warning it could worsen misunderstandings about capacity to consent and harm disabled people’s autonomy. After debate, SB 258 passed the committee on a due-pass motion to Appropriations, with several members voting aye and the bill held on call. Senator Umberg presented SB 398, which closes a loophole in the law prohibiting paying or offering money or other value to induce someone to vote or register to vote; there was little opposition, and the bill passed on a due-pass motion to Appropriations and was held on call. He also presented SB 27, a CARE Court cleanup measure that would allow certain misdemeanor defendants found incompetent to stand trial to be routed into CARE Court and would expand eligibility to some people with mood disorders with psychotic features. Supporters said it would improve access to treatment and reduce unnecessary incarceration, while county behavioral health directors and disability advocates warned it could blur the line between voluntary civil treatment and coercive criminal proceedings and expand CARE Court beyond its intended scope. SB 27 passed on a due-pass motion as amended to Appropriations. The committee also heard SB 36 from Senator Umberg, a price-gouging measure tied to wildfire-related emergency conditions that also expands search-warrant authority for certain misdemeanor investigations. Public defenders opposed the search-warrant expansion as unnecessary, while a late supporter from the Los Angeles County District Attorney’s Office spoke in favor; the bill was moved on a due-pass motion as amended to Appropriations and held on call. SB 571 by Senator Arreguín would increase penalties for impersonating emergency personnel and related conduct during disasters; supporters cited post-fire looting and impersonation, while opponents argued longer sentences do not deter crime and that existing law is sufficient. The bill passed on a due-pass motion as amended to Appropriations and was held on call. Finally, Senator Wiener presented SB 627, which would prohibit law enforcement from wearing extreme masks except in limited circumstances, aimed largely at masked federal immigration enforcement operations. Supporters said masked, unidentified officers create fear and undermine trust, while law enforcement groups argued the bill wrongly sweeps in local officers, is too broad, and should instead target federal agents or impersonators. Testimony was still underway when the transcript ended, and no final committee action on SB 627 is shown here.

Transcript Highlights:

• The recovery systems of care evolve each day that passes, having reaffirmed that...
• Recovery systems of care evolve each day that passes.
• The recovery systems of care evolves each day that passes, having reaffirm.
• Recovery systems of care evolves each day that passes.
• You see it every day.

Keywords: 995, all

Summary: The committee held a public hearing on a broad set of mental health, substance use, recovery, and patients’ rights bills. Early testimony focused on H. 2227, which would replace stigmatizing substance use terminology in the General Laws, and H. 3950, which would support parents in recovery involved with DCF by requiring more individualized recovery plans, clearer benchmarks for parenting time, access to recovery coaches or counselors, family counseling after sustained recovery, and staff training on addiction and lived experience. Speakers described the bills as ways to reduce stigma, increase accountability, and improve reunification outcomes for families. A major portion of the hearing centered on S. 1386, which would transfer Bridgewater State Hospital from the Department of Correction to the Department of Mental Health. Advocates, family members, and disability groups testified that Bridgewater functions like a prison rather than a hospital, with excessive restraint, seclusion, involuntary medication, poor conditions, and racial disparities, and argued DMH should oversee a treatment setting. One DMH occupational therapist and MNA member opposed the transfer, saying the real issue is mixing forensic and continuing-care patients and that DMH should instead create designated forensic units under bills H. 228/S. 1408. Committee members asked about Bridgewater’s population, the history of DOC control, capacity, staffing, and how a transfer might be implemented. The committee also heard testimony on modernizing the six fundamental rights for psychiatric inpatients, including expanding communication options, clarifying visitation and advocacy definitions, and improving access to gender-appropriate and culturally relevant items. Another bill, H. 2216, would require stronger oversight before antipsychotic medication is prescribed in nursing homes, prompted by concerns about inappropriate use. Finally, testimony supported H. 2240 and H. 2239 on sober homes, with supporters saying discharge and relocation policies are needed when a resident returns to active use or becomes unsafe, while preserving the recovery environment and resident rights. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• We're day two of session.
• My two kids went to an in-home child care center.
• Home family child care center.
• And we have immigrants that are providing in-home care.
• or health care.

Summary: State legislative leaders held a press availability to preview a difficult session focused on responding to federal policy changes they said were threatening Washingtonians’ access to health care, food assistance, housing, and energy stability. They said the House and Senate would prioritize affordability, budget balancing, and protecting residents from federal overreach, while also advancing bills on issues such as preventive health care, housing costs, child care, transportation, and energy/data center impacts. A major topic was a proposed state income tax on high earners. Leaders said the basic mechanics were agreed to between the House and Senate prime sponsors, including a 9.9% tax on adjusted gross income over $1 million, though drafting and stakeholder outreach were still ahead. They said any new revenue would not solve the current 2025-27 budget gap in time, so the immediate budget would rely mainly on cuts and transfers, with some discussion of smaller revenue measures and possible use of the rainy day fund. They also said the tax proposal would be paired with reductions in more regressive taxes, though details were not yet set. The press conference also focused heavily on a school face-covering bill and related public safety concerns. Leaders defended the bill as a response to fears about masked individuals, impersonation of law enforcement, and recent ICE activity, citing testimony from law enforcement and advocacy groups. They also discussed a public records exemption bill for child care providers, saying concerns about privacy and safety justified limits on public access and emphasizing existing oversight through DCYF, the state auditor, and legislative audits. On initiatives and other bills, leaders said two initiatives would go to voters rather than receive hearings, and they indicated Senate Bill 5926 was not moving forward in the Senate committee process. No votes were taken during the availability.

Transcript Highlights:

• The bill does not change how Florida Virtual School serves students day by day.
• If we have extra left over, if we're flush, I don't, I really don't care if, if, I really don't care.
• I don't care. Here's what I care about. I got to sit there and beg.
• After all, Congress only cares about what's good for us, and they do it at warp speed every day.
• After all, Congress only cares about what's good for us, and they do it at warp speed every day.

Keywords: 998, house, all

Transcript Highlights:

• So I always love taking care of the blessings where we have them, kind of like the beautiful day God
• So you're talking about adult day health care? Yes. Yes, sir.
• So you're talking about adult day health care? Yes, sir.
• Adult day health care is only funded by the states. It's not a federal program.
• not for adult day health care.

Summary: The committee first heard a presentation from Major General James Hartzell of the Florida Department of Veterans’ Affairs on the agency’s mission, outreach efforts, state veterans nursing homes, and support programs. He highlighted Florida’s large and growing veteran population, the state’s existing nursing homes and the planned 10th home in Collier County, and the department’s dental assistance program, which served 245 veterans in the first quarter of the fiscal year and completed 1,631 procedures while saving more than $525,000. He also discussed veteran service officers, the benefits guide, the department newsletter, efforts to reduce veteran homelessness, and mental health outreach through the Overwatch/Firewatch program. Senators asked about future nursing home locations, adult day health care, homelessness, and the dental program; Hartzell also announced that retired Colonel D.J. Reyes will become deputy executive director on November 7. The committee then heard from Kevin Guthrie, Executive Director of the Division of Emergency Management, on disaster response, recovery, and agency modernization. He described the State Emergency Response Team, the new Florida Central Operations and Coordination Office warehouse in Auburndale, and the new state emergency operations center in Tallahassee, which is ahead of schedule and designed to hold about 220 people and withstand 200-mph winds. Guthrie reviewed recovery efforts for recent storms, including debris removal, volunteer villages, sheltering, and FEMA reimbursement totals for Hurricanes Milton, Helene, Debbie, Idalia, Ian, and earlier storms. He also discussed the Elevate Florida home-elevation program, the Florida Recovery Obligation Calculation training initiative, the DEMES platform, and WebEOC, noting that 60 counties and 22 colleges and universities are using the system. Members asked Guthrie about flood-response resources for cities, training for local officials, and lessons from inland flooding after recent storms. He explained how local governments can request pumps and other assistance through county and state channels, described upcoming elected-official training, and emphasized mutual aid and EMAC as key future disaster-response tools. The committee took no formal votes or other legislative action and adjourned at the end of the meeting.