Transcript Highlights:

• for a briefer comment than the one minute we allow at the end.
• So, the way the formula works is that it uses a prior year average; it's a rolling average that includes
• So on average, we would say the metrics are improving for a lot of districts in the state.
• Across the board, we see, on average, improvements. Okay.
• So it does allow for us to operate much more as a system as well.

Transcript Highlights:

• THE AVERAGE MARKET COST FOR INSURANCE IN FLORIDA IS $700,000.
• THE AVERAGE MARKET COST FOR INSURANCE IN FLORIDA IS $700,000.
• YOU CAN SEE HERE THE DARK GRAY GRAPH IS THE AMOUNT OF DIRECT WRITTEN THE DOLLAR AMOUNT THAT EVERY CONSUMER
• WERE NOT ALLOWED BECAUSE COMPANY WILL CLAIM IT A TRADE SECRET.
• WITH THE REST OF THE STATE AVERAGING ABOUT 10 PERCENT.

Transcript Highlights:

• The average Twin Cities summer now requires 43% more cooling than it did in the early '80s.
• The average Twin Cities summer now requires 43% more cooling than it did in the early '80s.
• The average Twin Cities summer now requires 43% more cooling than it did in the early '80s.
• Hard Times uh it allows everything to a Hard Times uh it allows everything to a steadier<00:14:30.360
• Taking inflation into consideration, he said, that is really a decreasing amount.

Summary: House File 771, as amended, was laid over for possible inclusion. The bill would create a state supplemental grant program to build on LIHEAP, with the goal of expanding energy assistance beyond the winter season to cover summer cooling needs and reduce utility shutoffs. Representative Craft said the proposal would use existing LIHEAP systems, help more eligible households, and support related services like weatherization. The committee adopted the author’s amendment, DE2, without objection. Supporters testified that energy costs remain unaffordable for many Minnesotans, especially in rural areas and among low-income households, seniors, and people using delivered fuels. Annie Levenson-Faulk of the Citizens Utility Board said only about a quarter of eligible households receive assistance, summer shutoffs are common, and cooling needs have grown significantly. Trisha Leite of the Minnesota Rural Electric Association, Amanda Macky of Minnesota Valley Action Council, and Ken Schum of the Minnesota Municipal Utilities Association all supported the bill, saying year-round assistance would help households, reduce disconnects, stabilize demand for aid, and ease pressure on utility rates. Michael Schmitz of the Department of Commerce said Minnesota has received about $112 million in LIHEAP funds so far this year and is awaiting additional federal money; he also noted recent funding has been lower than in prior years and inflation has reduced its value. Members discussed the scale of utility shutoffs, the increase in cooling demand, and whether the bill addresses root causes or serves as a temporary fix. Representative Weiner argued that the state should focus on keeping more money in taxpayers’ pockets and reducing the need for subsidies, while Representative Craft responded that the underlying issue is low incomes and widening wealth inequality, and that policies like the child tax credit are better ways to address poverty. The chair also asked how LIHEAP dollars flow, and Commerce said most benefits are paid directly to utilities on behalf of households rather than as direct cash payments to recipients.

Transcript Highlights:

• These dollar amounts, you have here.
• You know, the $206 amount is being then replaced with a $152 amount per pupil.
• </c> would be allowed into those buildings. would be allowed into those buildings.
• </c><01:10:09.360><c> You're</c><01:10:09.679><c> allowed</c> have to allow you access.
• You're allowed have to allow you access.

Committee: Senate Elections

Transcript Highlights:

• For general support of the Medi-Cal program, the amount is $2 billion.
• The current maximum amount is 6% of net patient revenue.
• Previously, you could pay up to what the average amount is in commercial health plans.
• The amount varies, but it's within the range that the director shared.
• Is the plan to double the amount of people who get it or to increase to the current amount of people?

Transcript Highlights:

• Thank you for allowing us to be here before you.
• Recommendations adjust these amounts to more accurately reflect the actual amounts that are already being
• No, the average cost for the licensure themselves.
• FTE and salary amounts into the indirect strategies for the agency.
• On average, this pay disparity is over $7,000.

Committee: House Appropriations - S/C on Articles VI, VII, & VIII

Transcript Highlights:

• And this is the average snowpack over the...
• So this is on average where we see our streamflow in Yakima.
• How do we, I mean, averages are averages. Median is median. Medium is medium.
• Well, I don't think the vegetation has quite the same amount of water.
• Well, I don't think the vegetation has quite the same amount of water.

Committee: Joint Joint Legislative Committee on Water Supply During Drought

Summary: The committee heard first from Deputy State Climatologist Karen Bumbacco, who reviewed the weather and snowpack conditions that contributed to Washington’s 2025 drought. She said the state had a very warm and dry water year, with April through September ranking among the warmest and driest periods on record, and that three straight years of below-normal snowpack and precipitation had compounded drought impacts, especially in the Yakima Basin. She also explained that a weak La Niña could bring a wetter-than-normal winter, though temperature forecasts were less certain, and noted that long-term climate projections point to continued snowpack decline and earlier runoff timing. Department of Ecology staff Rea Burns and Caroline Melor then described the state’s drought declaration process and response. They said Washington’s statutory drought threshold is less than 75% of normal water supply plus a hardship finding, and that Ecology extended the Yakima drought declaration in April and expanded it statewide in June. They discussed reliance on federal monitoring data and staffing at NRCS, USGS, Reclamation, and NOAA, and said federal staffing and funding instability has created concerns for snowpack and water data. They also reviewed drought response funding, noting that grants have supported projects in the Yakima and Dungeness basins and that the drought emergency account still has a balance available for current needs. Burns gave a detailed update on the Yakima Basin, saying it experienced unprecedented conditions this year, including nearly empty reservoirs, curtailment orders sent to about 1,500 water users, and the first time even the most senior 1855 surface water rights were turned off. She said widespread compliance occurred, though the process exposed areas for improvement, especially coordination with federal partners. Committee members asked about the long-term basis for climate projections, the 75% drought threshold, federal impacts, drought insurance, reservoir storage, and whether the state should consider more drought funding or new storage projects. No votes or formal actions were taken during the meeting.

Transcript Highlights:

• So combined, the amount was higher than 0.5%. But the amount that began in 2025-26 was that 0.5%.
• If you wanted to consider adjusting the three-year average to the greater of the three-year average or
• We have an incredible amount already accomplished.
• We measure a tremendous amount about every learner, and it allows us to understand, at any given moment
• Proposition 98 does allow for community college facilities, but it does not allow for K through 12 facilities

Transcript Highlights:

• But what this $20 million will do is allow us to offer a compensation increase, which would allow the
• Richards, what's the average salary now?
• It would close loopholes that allow traffickers, straw purchasers, and... ...that allowed traffickers
• People are not allowed to defend themselves there.
• He or she will not be allowed to work.

Bills: SB4 , SB7 , SB9 , SB17

Committee: Senate Senate Health & Public Affairs

Keywords: Medicaid, healthcare, medical education, salaries, graduate education, clinician pay, health sciences, education funding, faculty salary, University of New Mexico, healthcare funding, general fund, state budget, New Mexico legislation, gun control, firearm safety, dealer regulation, illegal trade, background checks

Transcript Highlights:

• The average household benefit is $402.
• for certain elderly and disabled households, and the deduction amount is a certain amount.
• for certain elderly and disabled households, and the deduction amount is a certain amount.
• It was below the national average.
• The amounts are the same.

Committee: House Budget

Summary: The House budget hearing focused on the Department of Social Services’ budget and a detailed briefing on how federal H.R. 1, referred to by the director as the “Big Beautiful Bill,” will affect Missouri’s SNAP and Medicaid programs. The director outlined the department’s divisions, current caseloads, staffing challenges, and the need to modernize eligibility systems and processes. Members repeatedly asked for breakdowns of enrollment, spending, provider rates, and the impact of federal changes on the department’s budget request. A major portion of the hearing covered H.R. 1’s new eligibility and integrity requirements. The department said SNAP work requirements will expand to groups previously exempt, certain noncitizen categories will lose eligibility, and utility deductions will be narrowed. For Medicaid, the bill requires work requirements for the adult expansion group, more frequent redeterminations, and shorter retroactive coverage periods. Members questioned how these changes interact with Missouri’s constitutional expansion language, and the director said the department’s view is that federal requirements must be followed under the supremacy clause, though she acknowledged the legal issue could ultimately be resolved by a court. The committee also discussed program integrity and error rates. The department said Missouri’s Medicaid PERM error rate was 35% in the last full review, with most errors tied to eligibility processing, and that H.R. 1 could create major financial penalties if error rates are not reduced by 2029. For SNAP, the department said the most recent federal error rate was 10.79%, with a current combined rate around 8.6%, and that future state cost-sharing could be substantial if the rate remains high. Members asked about the use of contractors, automation, and verification tools to reduce backlogs and improve accuracy. No votes were taken; the hearing was informational, and the chair said public testimony would not be taken that day.

Transcript Highlights:

• We also had a big increase in the amount of rate.
• We have to flow a certain amount of money to those providers.
• These charts show the average monthly premium approved for individual market plans and the average change
• That's kind of a ceiling amount.
• These are funds that must be used in the allowable, there are 11 allowable uses of funds in this program

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• We also weren't allowed to match the $2.7 million.
• The next column over is your minimum amount payable column.
• We didn't do any averaging based on that. And that was the intent.
• Those things, I would say, that dollar amount, that is what it is.
• or not allowed?

Summary: The committee met to discuss higher education funding and capital building policy. Members first heard an update from NDUS Deputy Commissioner Lisa Johnson on low-producing academic programs. She described a proposed board policy using a five-year rolling window and thresholds of fewer than 10 undergraduate graduates or fewer than 5 graduate graduates, with programs flagged for three consecutive review periods going to the board. Possible outcomes would include continuation, continuation with modifications, inactivation, or termination. Members asked about how the review would account for program costs, service to other students, workforce demand, and the difference between inactivation and termination. Johnson said the board would consider broader factors and that campuses already do detailed program analysis. Several members also asked about cost savings and staffing impacts from program terminations, and Johnson said the board would try to provide more information later. The committee then received a report on the Capital Building Fund from Jamie Wilkie. He reviewed the program’s history, matching requirements, and recent uses, noting that about $334 million in state and matching dollars has been invested overall, with most going to deferred maintenance and extraordinary repairs. Members discussed whether the program is reducing deferred maintenance and requested updated systemwide data on deferred maintenance and campus space utilization. Wilkie said the board is considering a new study to update deferred maintenance figures, which are based on information more than 12 years old. He also reported that several institutions have used current biennium funds for projects such as residence hall renovations, health sciences housing, generators, and building repairs. Later, the committee began a detailed walkthrough of a draft bill that would replace the current higher education funding formula with an FTE-based model and also revise the capital building fund structure. The draft would use fall enrollment FTEs, add completion incentives for degrees in in-demand fields, and create a separate research funding component for UND and NDSU tied to doctoral completions and external research expenditures. Members raised concerns about the use of older data in the formula, the treatment of waivers, the weighting of professional and health sciences programs, and the use of CIP codes to define CTE and education incentives. The bill draft would also combine capital building fund tiers, broaden eligible uses for deferred maintenance and legislatively authorized projects, change matching requirements, repeal the old formula chapter and the capital pool, and transfer funds from the Strategic Investment and Improvements Fund into the capital building fund. No final votes were taken during the portion provided; the meeting was primarily discussion and review.

Transcript Highlights:

• It’s to help the kind of average Hawaii resident or maybe even lower than the average Hawaii resident
• It’s to help the kind of average Hawaii resident or maybe even lower than the average Hawaii resident
• It’s to help the kind of average Hawaii resident or maybe even lower than the average Hawaii resident
• “...to help the kind of average Hawaii resident or maybe even lower than the average Hawaii resident
• </c><00:45:00.680><c> for</c> plan is going to allow for plan is going to allow for that<00:45:02.559

Transcript Highlights:

• $150 on average, and that's for the six largest providers.
• And the average dollar amount for the total of transactions was $848.
• The average user is 36 years age or younger. Most of them are non-white.
• They’re typically for smaller amounts.
• The installment amount for every two-week period is much lower than, like, the average credit card payment

Summary: The Consumer Protection and Business Committee held a work session on buy now, pay later (BNPL) transactions, focusing on how the products work, how they are used in Washington, and whether existing state law adequately protects consumers. Department of Financial Institutions staff described BNPL as short-term, usually no-interest installment financing offered at checkout, often with automatic payments, late fees, and varying credit-reporting practices. Members asked how BNPL compares with payday lending and earned wage access, whether it is effectively a loan or credit product, and whether Washington law already covers it. DFI explained that some BNPL structures may fall into a legal gray area under the Retail Installment Sales of Goods and Services Act because pay-in-four products may not meet the statute’s “more than four installments” language, while other structures may be covered; they also noted the Attorney General can enforce the act. DFI and committee members discussed consumer risks such as overextension, automatic debits, and lack of standardized disclosures, and DFI said it would follow up with additional data on defaults and related issues. Molly Gallagher of the Poverty Action Network and Nadine Chabrier of the Center for Responsible Lending argued that BNPL can help consumers but also poses significant risks, especially for lower-income consumers and consumers of color who already carry debt or use other alternative financial products. They said BNPL use has grown rapidly, often involves multiple simultaneous loans across providers, and can lead to overdrafts, late fees, and difficulty tracking obligations because payments are spread across different schedules. They emphasized concerns about weak disclosures, limited dispute protections, automatic payment structures, credit reporting inconsistencies, consumer overextension, and data privacy/dark-pattern marketing. They also described federal retrenchment, including the CFPB’s withdrawal of an interpretive rule that would have treated BNPL like a digital credit card, and pointed to state responses in places like New York, California, and Maryland. Committee members signaled interest in possible Washington legislation and stronger state oversight. Retail and business witnesses offered a more favorable view of BNPL as a cash-flow and sales tool. A Washington Retail Association representative described BNPL as an evolution of layaway and credit-card-style installment purchasing, noting that merchants receive payment up front minus fees while consumers get goods or services immediately and repay over time. A representative from a business using deferred-payment financing said the tool helps customers obtain equipment and helps the business manage inventory and cash flow, while NFIB said small businesses also use BNPL to bridge expenses and avoid higher-interest credit card debt. Members asked about merchant fees, consumer education, and whether BNPL is being used for impulse purchases or essential expenses like rent, car repairs, medical care, and travel. The chair concluded by saying the committee intends to pursue regulatory language and continue working with stakeholders, while also hearing from retailers to avoid eliminating legitimate financing tools.

Transcript Highlights:

• So you can see, like, where ADU is allowed, where middle housing is allowed, those kinds of things.
• They allow landowners to sit on valuable land in the middle of cities and not allow it to be developed
• They allow landowners to sit on valuable land in the middle of cities and not allow it to be developed
• So the Covenant Act did allow, or did allow for, incomes under 100% of median area income.
• As it shows in the slide, the total amount loaned was over $60 million, with an average loan amount of

Committee: Senate Housing

Summary: The committee heard a series of abbreviated presentations focused on housing supply, transit-oriented development, and redevelopment of underused commercial land. Urban Institute researcher Yona Fremark discussed Washington’s transit-oriented development efforts under HB 1491, saying the state has made progress but faces major feasibility challenges from rising construction costs, higher interest rates, and uneven market conditions. She recommended targeted infrastructure funding for lower-market transit areas, adjusting MFTE/affordability requirements to local conditions, expanding affordable housing resources in high-market areas, tightening density requirements near transit, allowing more joint development on transit agency land, and creating a stronger system to track housing, affordability, demographic change, and access outcomes over time. Senators asked about AMI calculations, labor and immigration effects on construction, and the role of developer input. Dave Anderson of the Department of Commerce outlined implementation of HB 1491, including local government responsibilities for station area designation, zoning, anti-displacement policies, and MFTE updates. He said Vancouver and Spokane are first to implement, with Puget Sound following later, and described Commerce’s timeline for updated MFTE guidance, station-area implementation guidance, a TOD model ordinance, and later rulemaking. He also demonstrated the new Washington Zoning Atlas, a live statewide mapping tool showing zoning, overlays, and station-area geographies, which Commerce said can support analysis by agencies and the public. The committee then heard from Lieutenant Governor Denny Heck and James Rolf on commercial-to-residential redevelopment, who argued that converting vacant or underused commercial sites could produce a large amount of housing, increase tax revenue, and support transit-oriented growth. They identified barriers such as zoning requirements, affordability mandates, infrastructure costs, building code complexity, private covenants, and slow implementation of new laws, and urged by-right residential use on commercial land and faster implementation of housing reforms. The State Building Code Council provided an update on its code cycle and legislative mandates, including minimum dwelling size, emergency shelters, single-exit stairs, and multiplex housing. Council staff said the single-exit and multiplex work is nearing completion and will produce prescriptive solutions, while members discussed whether future legislation might address smaller elevators or more performance-based code approaches. Finally, Dr. Stephen Barrosa of the Washington Center for Real Estate Research reviewed housing affordability trends, noting that higher mortgage rates have sharply reduced homeownership affordability, flattened prices in major cities, and lowered single-family permitting and completions, while apartment vacancy rates have returned to more normal levels. The last presentation came from the Washington State Housing Finance Commission on the Covenant Home Ownership Program, which reported strong first-year results: 547 homebuyers assisted by June 2025, more than $60 million loaned, homes in 22 counties, and nearly 1,000 families assisted by the time of the hearing. The commission also reviewed program eligibility, outreach, and recent legislative changes to income limits and loan forgiveness that were not yet reflected in the first-year report.

Transcript Highlights:

• Most states average 3.5. budget.
• Um, or looking at averages, weighted averages, things of that nature.
• They got the same amount no benefits. They got the same amount no matter<01:08:52.080><c> what.
• the date of death on average.
• </c> &gt;&gt; Older people pay more average. &gt;&gt; Older people pay more average.

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• which was the average annual growth rate from 2000... ...percent, which was the average annual growth
• That level of budgeted amount.
• And so that structural balance will allow the budget to absorb any economic shocks to the system or allow
• I’m trying to just do a high level on this one, is the amount for...
• That'll give us $14 million for '26 and about double that amount for '27.

Committee: Senate Local Government and Taxation

Transcript Highlights:

• We allowed you to go over the two minutes. Oh, sorry.
• There's an assumption that you're around this average amount. ...and that's what's baked into the numbers
• It's an assumption that you're around this average amount.
• for that amount of coverage.
• I will allow. Senator, oh, okay, I will allow the chair to do his job. Thank you.

Committee: Senate Insurance

Transcript Highlights:

• There is an indeterminate minimum amount to implement it.
• Across our sector, we have a $17,000 average for that.
• It's above the national average, but I can get it to you, the total.
• And again, the average is $17,000 a student discount off the sticker price.
• So do we have, well, I guess two, one and a follow-up if you allow.

Summary: The Higher Education Budget Subcommittee heard and advanced House Bill 1145, which clarifies that public charter schools may participate in the CAP Grant Fund. The bill’s amendment expanded a separate “money-back guarantee” concept for state colleges, requiring participating institutions to offer six eligible programs and refund tuition if graduates do not find qualifying employment within six months under standardized job-search requirements. Members asked about refund rates, student notification, fiscal impact, and whether the proposal accounted for disability or out-of-state job searches. Public testimony on the amendment and bill was in support from Nathan Hoffman of the Foundation for Florida’s Future, and the committee adopted the amendment and reported the bill favorably as a committee substitute by a 16-1 vote, with Representative Aristide voting no over the charter school issue. The committee then received presentations on the William L. Boyd IV Effective Access to Student Education (EASE) Grant and the private nonprofit college sector. Department of Education staff explained that EASE, created in 1979, provides tuition assistance to eligible full-time undergraduates at participating private institutions, with a 2024-25 maximum award of $3,500 and an additional EASE Plus incentive of up to $850 for students in high-demand fields. The department reviewed the program’s funding history, disbursement process, and accountability metrics, including access, affordability, graduation, retention, and postgraduate employment/continuing education. Members asked about award proration, eligibility for other aid, religious-program restrictions, and why some institutions had low or unavailable graduation-rate data. ICUF President Robert Boyd argued that EASE is a strong return on investment and described ICUF institutions as not-for-profit, four-year schools serving many Pell-eligible, adult, military, and minority students. He said the sector produces a significant share of Florida’s bachelor’s, graduate, nursing, and education degrees, and highlighted ICUF’s dashboard with additional transparency metrics, program earnings data, and net price calculators. Boyd and members discussed graduation and completion rates, NCLEX passage rates, affordability, institutional flexibility, and whether schools with lower graduation rates should be compared differently because of their student populations. The presentations ended with no further business, and the meeting adjourned.

Transcript Highlights:

• And that allows people to be home. That allows people to be home where they want to age.
• It includes allowed amounts and billed charges for out-of-network providers as well.
• It allows you to go look at aggregated, kind of averaged claims prices for facilities by location around
• It allows you to go look at aggregated kind of averaged claims prices for facilities by location around
• year, or of next year, I should say, and will allow us to publicize paid amounts and negotiated rates

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.