Transcript Highlights:

• And, you know, with the health care facility, maybe urgent care, there are all different types of facilities
• Question about the health care facility.
• American or Alaskan Native in need of health care.
• That's where my family goes for care, where I go for emergency care, and in a state where we're constantly
• having a conversation about health care shortages.

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• fund that takes care of that cost.
• That means that more people have access to comprehensive care under Medi-Cal.
• in emergency rooms than through primary care and preventative care.
• You are seeing health care costs rise across the country.
• What percent are seniors that need care? What percent are people with disabilities?

Committee: House Budget

Transcript Highlights:

• INCREASE OVER THE BASE BUDGET, HALF OF THIS NUMBER $905 MILLION IS DEDICATED TO FULLY FUNDING THE KID CARE
• AND MAINTENANCE ADOPTION SUBSIDY ASSISTANCE PROGRAM, $170 MILLION TO SUPPORT OPERATIONS AND CARE IN
• ADDITIONAL FUNDING FOR THE ALZHEIMER'S DISEASE INITIATIVE, 50 MILLION ADDING FUNDING FOR COMMUNITY CARE
• FOR THE ELDERLY IN HOME CARE FOR THE ELDERLY PROGRAMS, 30 MILLION CANCER CENTER RESEARCH THROUGH THE
• WHAT SB 152 DOES IS A PROTECTION FROM SURGICAL SMOKE REQUIRES HOSPITALS AND AMBULATORY SURGICAL CARE

Transcript Highlights:

• Chair and the CFO for the Health Care Authority.
• , in-home care, or TANF—would be in this area.
• health care costs change.
• But the health care inflation, or projected health care inflation, is not included in future outlook
• But the health care inflation or projected health care inflation is not included. inflation or projected

Committee: Joint Joint Legislative-Executive Committee on Budget Transparency and Fiscal Sustainability

Summary: The committee held its first meeting, with co-chairs and members introducing themselves and staff outlining the committee’s statutory charge under the 2026 supplemental operating budget. Staff explained that the committee is tasked with studying budget transparency and fiscal sustainability in two phases: first, revenue growth, spending assumptions, statutory cost drivers, and carryforward/maintenance levels; and later, staffing, overhead, performance management, and public reporting tools. The committee also discussed its goals, with members emphasizing a shared factual understanding of Washington’s fiscal situation, the causes of projected structural deficits, and possible paths to a more sustainable operating budget. Staff then gave a detailed operating budget basics presentation. They reviewed the size and composition of the operating budget, explaining that most spending is concentrated in grants and client services, salaries and benefits, and goods and services, with K-12 education, DSHS, the Health Care Authority, DCYF, corrections, and higher education making up most NGFO spending. They also walked through the distinction between constitutional, federal, statutory, and discretionary spending; the role of caseload and per-capita forecasts; how maintenance level and policy level budgets are built; and how the four-year outlook works, including revenue forecasts, reversions, budget stabilization account reserves, and the official outlook adoption process. Members asked several questions about what is or is not included in the outlook, especially future collective bargaining agreements, health care inflation, court-ordered liabilities, and whether the budget could better separate mandatory from discretionary spending over time. Staff said some of those questions would require follow-up and noted the existence of an outlook accuracy report. The committee then heard from Josh Goodman of the Pew Charitable Trusts, who introduced Pew’s state fiscal work and its role as the nonprofit partner supporting the committee. He said Pew would help analyze long-term fiscal sustainability, reserve policies, recession preparedness, and practices from other states, and would draw on its 50-state data and subject-matter experts. No votes were taken and no formal actions were reported at this meeting.

Transcript Highlights:

• students the appropriate use of health care services and...
• I don't care if I'm there just for half a day.
• So you put a list of different health care procedures.
• That's coming right from the health care authority.
• This bill does not change access to care.

Transcript Highlights:

• Health care saves lives.
• Manage it right, but take care of your people first.
• You take care of your people first; they'll take care of you.
• You take care of your people first; they'll take care of you. Plain and simple.
• So we need to take care of our folks.

Summary: The committee heard Assembly Bill 664, which would authorize Southwestern College in Chula Vista to develop a limited pilot of faculty-led bachelor’s degree programs tied to regional workforce needs, with collaboration requirements, an independent evaluation, and a sunset in 2035. The author and supporters argued the bill would address local access and affordability problems in South San Diego, where many students are place-bound and the region lacks a nearby public university offering bachelor’s degrees. Opponents from the CSU, UC, and AICCU said the measure would bypass the existing AB 927 consultation process and could set a precedent for duplication and expansion outside the current statewide framework. After debate, the committee passed AB 664 on a due-pass motion to Appropriations, with the roll showing eight ayes and one no, later updated to nine ayes and one no after the roll was held open. The committee then took up Assembly Bill 1241, which directs a study of a “pay-it-forward” higher education financing model in which students would attend without upfront tuition and repay costs later based on income. The author and Superintendent of Public Instruction Tony Thurmond framed the bill as a response to rising college costs and student debt, arguing California should study innovative affordability models used elsewhere. Some members raised concerns about fiscal feasibility and whether the model had worked in other states, while others supported the study as a modest first step. AB 1241 passed to Appropriations on an eight-aye, two-no vote. Assembly Bill 713 would allow undocumented students at UC, CSU, and community colleges to access paid campus jobs, internships, and research positions. Supporters said the bill would improve equity, affordability, and student success, and that campus employment is a critical pathway for undocumented students who already pay tuition and fees. Opponents argued the bill conflicts with federal law and could expose campuses and the state to legal and funding risks; supporters responded that state entities are not bound by the federal prohibition in the way described and emphasized the need to protect students and expand opportunity. The committee also heard concerns about student privacy and data protection. The bill was moved to Appropriations, with the roll initially showing five ayes, three noes, and one not voting, and the roll held open for additional members. Finally, Assembly Bill 1171 was presented as a modernization of the existing part-time faculty health insurance program for community colleges, aimed at making coverage more consistent and predictable across districts. The author said the bill would not create a new entitlement but would strengthen participation in the current program to better reflect the realities of a workforce made up largely of part-time and multi-district faculty. The transcript ends as the presentation begins, before testimony, debate, or a vote on AB 1171.

Transcript Highlights:

• Health care saves lives.
• Manage it right, but take care of your people first.
• You take care of your people first; they'll take care of you.
• You take care of your people first; they'll take care of you. Plain and simple.
• So we need to take care of our folks.

Committee: House Higher Education

Transcript Highlights:

• </c> taken care of my son. taken care of my son.
• </c> care of it. care of it. No. No. No.
• </c> care, but there's a greater need. care, but there's a greater need.
• </c> private child caring facilities. private child caring facilities.
• </c> uh continuum of care on who serves what. uh continuum of care on who serves what.

Summary: The committee met with a quorum and first considered Senate Concurrent Resolution 61, sponsored by Senator Shelley Funke Frommeyer and Representative Matt Lockett. The resolution, as amended by committee substitute, would create a legislative task force tied to the MAHA (Make America Healthy Again) framework to study Kentucky health policy, including Medicaid drug approvals, preventive and alternative therapies, holistic health education, oversight and transparency in health care, and research into integrative approaches. Supporters said the goal was to address chronic disease and reduce over-medication, while emphasizing the effort was not intended as an attack on agriculture or the pharmaceutical industry. The resolution received favorable expression and passed the committee 9-0. The committee then heard Senate Resolution 18 from Senator Neal, urging Kentucky to maximize participation in the federal SNAP Employment and Training (SNAP E&T) program. Testimony from Jessica Klein of the Kentucky Center for Economic Policy and Secretary Eric Friedlander explained that SNAP E&T provides job training, education, and support services for SNAP participants, and that the program is federally matched and does not require additional General Assembly funding in the normal course. Members discussed how the program works, whether it could create new state costs, and how it fits with efforts to connect food assistance, workforce development, and local agriculture. Questions also focused on whether SNAP spending can be steered toward healthier foods and farmers markets, including Kentucky’s Double Dollars program, which was described as helping participants buy produce, meat, and dairy at participating markets and some retailers. Several members expressed support for the workforce goals but asked for more information on fiscal impacts and purchasing data. Secretary Friedlander said the SNAP E&T funds are separate from nutrition benefits, and that the state match generally comes from employer, university, or workforce partner contributions rather than new state appropriations. Senator Herron explained her vote in favor by saying the program could help people gain education and employment and reduce reliance on SNAP over time. Senate Resolution 18 was then adopted by the committee.

Transcript Highlights:

• </c> to make available to healthc care to make available to healthc care providers<01:56:33.400><c> a
• They don't care about the science, and they don't care about public health.
• </c><02:52:40.880><c> to</c> breaching student physician care to breaching student physician care to
• So I definitely support this bill with TRICARE Extra care, whatever kind of care.
• ><c> care</c><03:58:08.359><c> if</c><03:58:08.479><c> they're</c> care whatever kind of care if they're

Committee: House Finance

Transcript Highlights:

• I'm Director of Bernalillo County Animal Care Services.
• I'm director of Bernalillo County Animal Care Services.
• This will be Senate Bill 101, Health Care Delivery and Access Act.
• This will be Senate Bill 101, Health Care Delivery and Access Act.
• Hospitals are required to reinvest this funding in health care, workforce, and quality of care initiatives

Summary: The committee heard testimony on SB 38, which would continue New Mexico’s affordable spay and neuter grant program. Supporters, including animal shelter officials, veterinarians, county advocates, and nonprofit representatives, said the program is needed because shelters are overwhelmed by dog and cat overpopulation, and they cited high intake and euthanasia rates, especially in rural and low-income areas. Several speakers said the grants have already funded spay/neuter and trap-neuter-release work and should not sunset. One public comment raised concerns that some money was going to private parties and could create anti-donation issues, while another witness responded that the legal challenge is still pending and no court has ruled on the law’s constitutionality. Dr. Lawrence Young of the Veterinary Medicine Board said about $1 million has been awarded to 28 organizations, with additional funds in escrow, and described the program as transparent and accountable. The chair said the bill would be taken up for a vote later, not at that meeting. The committee also heard SB 101, the Health Care Delivery and Access Act, which would repeal the program’s July 1, 2030 sunset and make it permanent. The sponsor and the Health Care Authority said the act has already helped optimize nearly $1.5 billion in federal hospital funding, which hospitals must reinvest in care, workforce, and quality improvements. Support came from the New Mexico Chamber of Commerce, New Mexico Safety Over Profit, the New Mexico Hospital Association, and the Greater Albuquerque Chamber of Commerce, all of whom said the program provides stability for hospitals, especially rural and safety-net facilities, and helps avoid service disruptions. No opposition was voiced, and the chair said the committee would return to the bill for a vote on Thursday.

Transcript Highlights:

• And just to remind everyone, 85% of all mental health care is taken care of at a primary care facility
• c> at</c> is is taken care of at a primary care at is is taken care of at a primary care at a<00:53:33.920
• It's not to pay for health care, for child care, for housing. Mr.
• We care about our elders. We care about our littles. We care about people in greater Minnesota.
• We care about our littles. We care about people in greater Minnesota.

Transcript Highlights:

• Grandparents caring for children in the foster care system, and informally, keep them outside of the
• foster care system.
• They'll be lost to the foster care system.
• Many seniors do step up to care for their grandchildren who would otherwise be left in their foster care
• Many seniors do step up to care for their grandchildren who would otherwise be left in the foster care

Summary: The committee heard and advanced several tax and revenue measures, beginning with SB 1329 on solar property tax assessment. The author and solar industry witnesses argued the bill would create a uniform statewide method, provide certainty for developers, and exclude tax credits and other intangibles from valuation; county assessors and several counties opposed it, saying it would reduce assessed value and depart from market-based appraisal. The bill was moved to Appropriations on a 2-0 vote and placed on call. The committee also heard SB 1406 to close the “Montana tax loophole” used to avoid California vehicle taxes, with support from the California Teachers Association and no registered opposition; it passed 2-0 and was placed on call. SB 984, conforming California law to the federal tipped-income deduction, drew support from the restaurant industry, Howard Jarvis Taxpayers Association, and enrolled agents, and passed 3-0 to Appropriations, on call. Later, the committee considered wildfire- and energy-related tax credits. SB 1084 would create a fire-safe home tax credit for home hardening and defensible space improvements; supporters said it would reduce wildfire losses and insurance costs, and it passed 3-0 on call. SB 1118 would provide credits for backup generators and solar battery systems in high fire-threat areas; the author framed it as a resilience measure for households and small businesses, but members raised concerns about cost, diesel use, and whether the credit would reach lower-income households. The bill was moved 1-0 and placed on call, with the chair and other members noting unresolved budget and policy concerns. SB 1424, expanding a partial sales tax exemption to zero-emission vehicle refueling equipment, received support from hydrogen and electric transportation groups and passed 4-0 on call. The committee also advanced SB 1249, a senior tax deduction for taxpayers ages 86 to 90, with support from LeadingAge California and senior advocates; members noted it was narrowly targeted and passed 4-0 on call. SB 1113, conforming California tax law to the federal tonnage tax regime for U.S.-flag international shipping companies, drew support from maritime industry groups and opposition from ILWU over the fiscal impact; it passed 4-0 on call. SB 1137, the Medical Expense Deduction Act, would allow a targeted deduction for medical expenses for lower-income taxpayers; supporters said it would help families facing high out-of-pocket costs, and it passed 4-0 on call. Finally, SB 1415 would extend a partial welfare property tax exemption to mixed-income housing that includes moderate-income units; supporters said it would help finance “missing middle” housing, while assessors and housing stakeholders requested amendments and guardrails. The bill was also moved forward on a committee vote and placed on call.

Transcript Highlights:

• I know how to take care of that.
• And it's time to start protecting and taking care of everybody.
• We don't just get to use rhetoric to take care of one section.
• not offer the life-saving care needed by Arizona's citizens.
• . ...the effects not just on the surgery, but also all of the other care that goes into health care for

Committee: House House Government Committee of Reference

Summary: The committee first took up SB 1167, which would allow municipalities and counties to satisfy certain public-notice requirements by posting advertisements, publications, and printings on their official websites. The sponsor argued the bill is permissive, intended to modernize notice practices, reduce costs, and help governments meet statutory deadlines, while a Blackmun amendment required a six-month transition period in which notices would still be published in newspapers and the public would be alerted to the change. Newspaper and media representatives, along with tribal and rural community advocates, opposed the bill, arguing that print notices remain important for transparency, historical recordkeeping, and access in areas with limited internet service. Supporters from county and local government said newspaper publication schedules have become unreliable and that websites are a more effective way to reach the public. The committee adopted the Blackmun amendment and then passed SB 1167 as amended on a 4-3 vote. The committee then considered SB 1021, as amended by a strike-everything that would require the Auditor General to refer evidence of possible criminal activity involving health profession regulatory boards to the Attorney General, with procedures for investigation and conflict-of-interest handling. The sponsor and amendment sponsor said the measure would create a mechanism for criminal findings in audit work to be acted on. With no opposition testimony, the committee adopted the amendment and passed SB 1021 as amended on a 4-3 vote. Next was SB 1011, which would require county medical examiners or forensic pathologists to review an infant’s immunization and vaccination history, along with any countermeasures administered in the prior 90 days, in sudden unexplained infant death cases. The sponsor said the bill was a data-collection measure meant to improve accuracy, transparency, and prevention efforts. Opponents, including vaccine advocacy and disability representatives, said Arizona already collects this information, that unsafe sleep is the primary issue in most SIDS cases, and that the bill could fuel misinformation about vaccines. The committee passed SB 1011 on a 4-3 vote. The committee also heard SB 1013, a merit-based public employment bill that would prohibit hiring based on conditions other than merit. Supporters said it would ensure public employees are selected by qualifications and objective criteria; opponents argued existing law already bars discrimination and that the bill could create litigation risks and hinder outreach to underrepresented communities. The committee passed SB 1013 on a 4-3 vote. Finally, the committee considered SB 1015 and a strike-everything amendment that would replace the bill’s original detransition-liability language with the Arizona Thriving Families Act, creating a family and medical leave insurance program within Medicaid beginning in 2029. The original bill sponsor defended the underlying detransition-related liability concept as accountability and support for detransitioners, while opponents said it would function as a discriminatory backdoor ban on transition care for minors. The transcript ends during debate and explanation of the strike-everything amendment, before a final vote on SB 1015 is shown.

Transcript Highlights:

• As we all know, the health care delivery system has evolved tremendously over the years, and the care
• </c> care for patients at the bedside? care for patients at the bedside?
• </c><00:21:44.920><c> Yes,</c> care. Senator McGrew, a question? Yes, care.
• </c> long care under RSA 167 18A. long care under RSA 167 18A.
• shoulders long-term care Counties shoulders long-term care obligations. obligations. obligations.

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• Third, expanded home and community-based care of mental illness.
• of small children at home, who don't take care of an elderly person at home, who don't take care of
• To the Agency for Health Care Administration.
• They're going to be using the emergency room for regular care.
• Under tab 21, we have HB 5301 by Health Care.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• deceased patients into the care of the funeral home.
• I'm a retired primary care doctor from Gloucester.
• ; depressed, go to urgent care.
• No conversation, no care, just a deadline or loss of access to care, which did happen.
• I have two young girls that come in to take care of me and help me take care of my home duties and the

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a hearing on several vaccination-related bills, including proposals to eliminate non-medical or religious exemptions for school immunizations (notably H. 2554 and S. 1557), a bill to require or improve reporting and administration of immunization data and exemptions (described as the Community Immunity Act, S. 1618), and H. 2431, which would prohibit COVID-19, mRNA, or gene-altering vaccine requirements. The committee also heard testimony on H. 2463, which would classify funeral directors as public health workers for vaccine-priority purposes during emergencies. The chair reviewed testimony rules and repeatedly asked speakers to keep comments orderly and brief so the committee could hear as many people as possible. No votes were taken during the hearing. Testimony on H. 2554 and S. 1557 was sharply divided. Pediatricians, infectious disease specialists, public health advocates, and groups such as the Massachusetts Chapter of the American Academy of Pediatrics, Massachusetts Medical Society, March of Dimes, Massachusetts Families for Vaccines, and several parents supported eliminating religious exemptions, arguing that vaccination protects medically vulnerable children and adults, improves herd immunity, and helps prevent outbreaks of measles, pertussis, and other diseases. They cited local school data showing pockets of lower coverage and incomplete reporting, and several speakers referenced outbreaks in other states and the need for stronger, more consistent reporting and exemption management. Opponents argued the bills would infringe on religious freedom and parental rights, force families to choose between faith and education, and unfairly target a small number of families; some also said Massachusetts already has high vaccination rates and that the real issue is incomplete data or the gap population rather than religious exemptions. H. 2431 drew testimony from supporters who said COVID-era mandates caused job losses, privacy concerns, and harm, and that the bill would prevent future requirements for COVID, mRNA, or gene-altering vaccines in schools, workplaces, and public settings. Supporters described personal experiences with alleged vaccine injury or mandate-related hardship. H. 2463 was supported by the Massachusetts Funeral Directors Association, which argued funeral directors work in infection-facing settings and should be eligible for vaccine priority during public health emergencies. The hearing featured extensive public testimony but no committee action beyond hearing the bills and taking questions from members.

Transcript Highlights:

• — inside health care in California.
• others involved in reproductive health care and gender-affirming care that is legal in California.
• and reproductive health care.
• Californians and those that come here to seek health care and reproductive health care and other types
• You know, thank you for child care providers. They are responsible for taking care of our children.

Summary: The committee heard several bills, with most of the discussion focused on public safety, consumer protection, and youth harms. AB 1557 by Assemblymember Papin would clarify e-bike motor power limits and set lower speed-related standards for Class 1 and 2 e-bikes. Supporters, including the California Police Chiefs Association, cities, the California Medical Association, and the American Academy of Pediatrics, argued the bill would reduce severe injuries and deaths among young riders. Opponents from People for Bikes warned it could conflict with federal law, create legal uncertainty, and disrupt the bicycle market. The author and committee members acknowledged industry concerns and urged continued work on the bill. AB 1770 by Assemblymember Garcia would place large health care service plan arbitration under California Department of Justice oversight and require compliance with the California Arbitration Act. Supporters described cases where patients were forced into private arbitration with little transparency or accountability, arguing the bill would make the process fairer and more neutral. Kaiser Permanente and the Civil Justice Association of California said they were still reviewing amendments and had not settled on a final position. Committee members expressed sympathy for the personal stories shared and encouraged continued negotiations. The committee also heard AB 2075, which would require fire suppression equipment to be kept closer at hand during brush work, and AB 1864, which would require screening of gene synthesis orders to prevent misuse for bioterrorism. AB 2075 was presented as a response to a Ventura County wildfire, with support from the Ventura County District Attorney’s office and no opposition heard. AB 1864 was backed by the author, Stanford biosecurity expert Dr. Milana Trout, and Encode AI, while Biocom opposed unless amended and California Life Sciences remained neutral. Members discussed implementation details and the role of the Department of Public Health. A major portion of the hearing was devoted to AB 1709, which would set a minimum age of 16 for social media accounts on platforms with harmful features and create an e-safety advisory commission. Supporters, including youth advocates, parents, medical groups, and Common Sense Media, said addictive design features are harming children’s mental health and safety. Opponents, including EFF, the ACLU, TechNet, and other civil liberties and industry groups, argued the bill is overbroad, raises First Amendment and privacy concerns, and could limit access to important online communities. Despite those objections, the bill was moved forward after committee discussion, with members emphasizing the need to protect children while continuing to work on carveouts and implementation details.

Transcript Highlights:

• others involved in reproductive health care and gender-affirming care that is legal in California.
• and reproductive health care.
• Californians and those that come here to seek health care and reproductive health care and other types
• Child care homes are essential to California's child care system, especially for working-class immigrant
• You know, thank you to child care providers. They are responsible for taking care of our children.

Committee: House Judiciary

Transcript Highlights:

• , they can provide really excellent care.
• For health care workers, it would make it much easier for the recruitment of health care providers who
• To practice in New Mexico or provide care through telehealth.
• I'm speaking on behalf of the Health Care Authority. We support this bill.
• And I think that applies to anyone doing clinical care.

Bills: HB10 , HB12 , HB34 , SB130 , SM21

Committee: Senate Senate Health & Public Affairs

Keywords: physician assistants, interstate compact, medical services, licensure, cross-state practice, military families, regulatory authority, physical therapy, licensure compact, interstate practice, healthcare, military spouses, criminal background check, HB34, school nurse, school nurses, nurse licensure, charter school, charter schools, school district

Transcript Highlights:

• But the way is there, right, because we take care of businesses and we take care of our workers and our
• It's beneficial to his care that staff are familiar with him.
• Which is to meet human service demand through the direct care workforce.
• But like you guys know, the direct care workforce is responsible for more than health care.
• We have a gap throughout our state of primary care doctors.

Committee: Joint Joint Committee on Labor and Workforce Development

Summary: The Joint Committee on Labor and Workforce Development held a hybrid public hearing with testimony on a wide range of labor, workforce, unemployment insurance, apprenticeship, disability services, farm labor, hospital staffing, and workplace harassment bills. Chairs Jake Oliveira and Paul McMurtry outlined hearing procedures, limited testimony to two minutes, and noted written testimony would be accepted after the hearing. Committee members and staff were introduced throughout the session as witnesses arrived in person or remotely. A major portion of the hearing focused on unemployment insurance legislation. Greater Boston Legal Services, the AFL-CIO, and Rep. Joan Meschino supported bills to adjust UI eligibility for workers with fluctuating schedules and to streamline waivers and write-offs for non-fault overpayments, arguing the current system unfairly denies benefits or burdens workers who were not at fault. They also backed bills calling for more oversight and resources for the Division of Unemployment Assistance, citing persistent delays in benefit payments. NFIB opposed the UI changes, warning that the trust fund is headed toward insolvency and arguing the bills would worsen the system’s finances. Rep. Meschino and committee members emphasized that the proposals were meant to protect good-faith claimants and did not apply to fraud. Another large set of bills addressed wages, workforce development, and working conditions. Testimony supported raising and modernizing direct care wages to address severe staffing shortages in human services and disability services, with advocates from the Massachusetts Developmental Disability Council, The Arc of Massachusetts, parents of adults with disabilities, and a direct care worker describing how low pay and turnover harm people needing support. The committee also heard support for apprenticeship-related bills from the AFL-CIO and the Carpenters, while Associated Builders and Contractors opposed mandatory apprenticeship ratios and urged changes to align them with licensing laws. Farm worker advocates supported a bill to raise farm labor standards, including minimum wage, paid breaks, and paid time off, while the Farm Bureau opposed parts of it beyond the minimum wage increase. The hearing also featured testimony on workplace harassment training, overtime protections, hospital mandatory overtime, suicide prevention signage on construction sites, and a proposal to update the Massachusetts Medical Society’s mission language from “citizens” to “people.” Labor groups, educators, and compliance trainers strongly supported mandatory annual sexual harassment training, saying it would improve workplace culture and reduce harm. SEIU 1199 supported extending the hospital nurse mandatory overtime ban to the broader hospital workforce. Witnesses on the suicide prevention bill described personal losses in construction and recovery work and urged posting 988 information on job sites. The committee took no votes during the hearing; witnesses repeatedly asked for favorable reports, and members asked follow-up questions on UI calculations, apprenticeship ratios, small-business impacts, and emergency exceptions for hospital staffing.