Transcript Highlights:

• We have maps of the state where, you know, there's where we have licensure information.

Bills: SB6138 , SB5899 , SB6072 , SB6094

Committee: Senate Health & Long-Term Care

Keywords: dental procedures, sedation, patient safety, multiprovider system, healthcare regulation, chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, veterinarian-client-patient relationship, VCPR, veterinary telehealth, telemedicine, teletriage, teleadvice, animal health, licensed veterinarian, Washington veterinary board, prescription drugs

Transcript Highlights:

• We have maps of the state where, you know, there's where we have licensure information.

Summary: The committee first heard Senate Bill 5899, which would create a chiropractic license endorsement allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on non-human animals. The sponsor described it as a complementary tool to veterinary care, especially in rural areas with limited access to veterinarians. Testimony was mixed: supporters said the bill would expand access to animal chiropractic with training, certification, and veterinary referral to non-chiropractic issues, while opponents from the veterinary community warned about animal and public safety, disease detection, and the lack of a required veterinary referral. The hearing on SB 5899 was suspended and later reopened; testimony concluded with strong support from animal chiropractic practitioners and opposition from veterinarians, and the committee noted 57 signed in pro, 4 con, and 1 other. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described major access gaps, especially for Apple Health enrollees, rural communities, and communities of color. They highlighted low preventive-care utilization, high rates of untreated decay, workforce vacancies for hygienists and assistants, and the value of career ladders such as community health aides and proposed oral preventive assistants. Several speakers emphasized that training pathways, retention, and sustained Medicaid reimbursement are key to improving access and keeping providers in the system. Senate Bill 6138, requiring a multi-provider system for dental procedures performed under deep sedation, drew testimony centered on patient safety after recent deaths in dental settings. The sponsor said the bill responds to a pattern of tragic incidents and would ensure one person is dedicated to monitoring sedation. Supporters from anesthesiology and some oral surgery groups backed stronger monitoring requirements, while oral surgeons and dental representatives argued the current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. The committee then heard Senate Bill 6072, which would update veterinarian-client-patient relationship rules to allow telemedicine-based relationships and limited telehealth services; animal welfare and veterinary telehealth advocates supported it as an access-to-care measure, while the veterinary association sought clearer guardrails and federal-law language. Finally, the committee heard Senate Bill 6094 on pediatric transitional care services, which would create a Medicaid payment pathway and related program changes for residential care for substance-exposed infants; supporters said the model helps infants and parents, improves outcomes, and is financially unsustainable under current funding, and the hearing began with testimony in favor before time expired.

Transcript Highlights:

• .110, the department is required to recover fee-eligible costs and must not exceed the cost for licensure

Bills: SB5816 , SB5971

Committee: Senate Agriculture & Natural Resources

Keywords: juice grapes, agriculture, commerce, state regulation, market access, green fertilizer, low-carbon, sustainability, incentive program

Transcript Highlights:

• Does this regulation and the licensure, does that apply to, I know they're exempt from the taxes, but

Summary: The committee first heard House Bill 2483, which would create an annual data broker registry at the Department of Licensing beginning in 2027. Staff explained that data brokers would have to register, pay a fee, and disclose information about the types of data collected, security measures, opt-out options, and whether precise geolocation or consumer health data is involved. Prime sponsor Rep. Kloba said the bill is intended to make data collection and resale more visible to consumers and to address harms such as scams, tracking, and surveillance pricing. Testimony was mixed: TechNet, the Association of Washington Business, and the Washington Retail Association opposed the bill as drafted, saying the definition of data broker is too broad and could sweep in businesses that are not true data brokers, while the sponsor and committee members discussed possible clarifying amendments and public-data carve-outs. The committee then heard House Bill 2400, which would regulate monetized social media content featuring children. Staff described provisions requiring vloggers above certain revenue thresholds to register with the Department of Revenue, creating trust accounts for minor children appearing in monetized videos, allowing young adults to request deletion of monetized childhood content, requiring reporting by social media services, and establishing civil penalties and statutory damages. Rep. Reeves said the bill is meant to draw a line between ordinary family posting and monetizing children online, citing concerns about child labor protections and exploitation. TechNet and AWB opposed the bill, arguing that social media platforms should not be made the middleman for trust accounts and that the private right of action and enforcement structure should be revisited; they urged further work during the interim. Finally, the committee took testimony on House Bill 2439, an omnibus tobacco and vapor product bill. Staff said it would create a responsible vendor program, raise license fees and penalties, require retailers to buy from licensed wholesalers or distributors, add certification requirements for vapor manufacturers, study extended producer responsibility for vapor waste, expand lab testing authority, tighten age-verification rules, prohibit certain imitation or entertainment vapor products, remove state preemption so local governments could adopt stricter rules, and redirect portions of tobacco tax revenue to public health accounts. Supporters, including public health groups, King County, the American Heart Association, and pediatricians, backed the youth-prevention, local-control, and funding provisions. Industry and retail witnesses opposed the bill, focusing on the loss of preemption, higher fees, compliance burdens, and the risk of pushing sales to the illicit market; some also argued the bill should rely more on state-level uniform regulation and stronger enforcement rather than new restrictions.

Transcript Highlights:

• identify every physician in the state that had, or excuse me, every physician that had a current licensure

Transcript Highlights:

• During the rulemaking to implement CAA licensure, a technical gap was identified in the statute that

Bills: SB5877 , SB5967

Committee: Senate Health & Long-Term Care

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, preventive services, state authority, healthcare access, insurance coverage, public health

Transcript Highlights:

• During the rulemaking to implement CAA licensure, a technical gap was identified in the statute that

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

Transcript Highlights:

• The Office of Community Health Systems is largely responsible for the licensure and regulation of health

Committee: House Health Care & Wellness

Summary: The committee heard a JLARC audit presentation on the Department of Health’s oversight of hospital inspections, complaints, and hospital data reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state requirements, did not consistently collect proof of those inspections, and was not reviewing adverse health event corrective action plans as required. JLARC also said DOH’s complaint system may have language-access barriers and that hospital data posted online is difficult for the public to use. JLARC made five recommendations to DOH and one to the Legislature; DOH concurred with the recommendations. DOH then outlined a response plan and said it had already begun work on several items. Officials said they would develop staffing and performance plans for inspections, verify accrediting body standards and require proof of third-party inspections, expand complaint forms into additional languages, seek funding and legal updates for adverse event review, and improve public access to hospital data, including a possible dashboard. They said annual progress updates would be provided to the Legislature and noted some improvement in inspection timeliness, while also emphasizing staffing, funding, and pandemic-related backlogs as constraints. The committee also received a DOH presentation on certificate of need modernization. DOH described the current program as a tool to assess community need, financial feasibility, quality, and cost containment for certain facility expansions and new services, and recommended a phased modernization focused on clarifying statutory purpose, creating a planning entity, adding flexibility, reducing legal costs, modernizing access standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, securing ongoing funding, and using new state data systems. Members asked about streamlining overlapping inspections and whether triggers could be used to target inspections more efficiently. A final panel discussed artificial intelligence in health care, with a Coalition for Health AI representative describing industry efforts to create standards for responsible AI, including principles of usefulness, fairness, safety, transparency, security, and privacy, plus tools such as model cards and quality-assurance frameworks. The committee then heard testimony on federal and state health care funding changes from the Washington State Hospital Association and Providence Swedish, which warned that state cuts, taxes, and federal HR1 changes would worsen already thin margins, lead to service reductions, layoffs, and delayed capital investments, and increase charity care and uncompensated care. The Washington Health Benefit Exchange also began a presentation on expiring federal ACA premium tax credits and the state’s Cascade Care Savings program, warning that coverage affordability for exchange customers could be affected if federal enhancements are not extended.

Transcript Highlights:

• The Office of Community Health Systems is largely responsible for the licensure and regulation of health

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• What this doesn't address is licensure.

Transcript Highlights:

• at page three And CYFD has a pilot project, oh, I'm assuming to increase master-level social work licensure

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• So, yes, in theory, the FCC is supposed to... ...regulate the licensure of those who broadcast, and if

Summary: The committee hearing covered several bills related to privacy, consumer protection, and online harms. SB 259 by Senator Wahab would prohibit surveillance pricing based on device data such as geolocation or battery level; supporters argued it would curb discriminatory and predatory pricing, while opponents raised concerns about geolocation definitions, legitimate location-based pricing, and impacts on discounts and loyalty programs. The bill was moved on a due pass motion to the Judiciary Committee and passed 8-1, with members noting amendments and ongoing discussions with stakeholders. SB 22 by Senator Laird would raise the amount of gift cards that can be redeemed for cash, with the author saying the goal is to update the long-standing $10 threshold for inflation and preserve consumer value. Consumer advocates supported the bill, while retailers, restaurants, grocers, and chambers of commerce opposed or opposed unless amended, citing fraud concerns, safety issues, and the need for clarification on donated or returned gift cards. The committee voted the bill out on a 6-1 vote and kept it on call. SB 576 by Senator Umberg would apply broadcast-style loudness rules to streaming advertisements. The author said the bill is intended to prevent ads from being much louder than programming, especially for children, while the opposition argued that streaming ad insertion is technically different and that existing industry standards and FCC oversight already address the issue. The bill passed 8-0. SB 683 by Senator Cortese would clarify that people can seek injunctive relief, including a TRO, for unauthorized use of name, image, or likeness; supporters said it strengthens privacy protections, while opponents warned about prior restraint and First Amendment concerns. The bill was moved out on a due pass motion and kept on call. The final bill discussed, SB 771 by Senator Stern, would clarify that existing civil rights and hate-related laws apply to social media platforms and their algorithms, with higher penalties for intentional or reckless violations. Supporters, including the Simon Wiesenthal Center and the Islamic Networks Group, described online hate as fueling real-world violence and urged stronger accountability; opponents argued the bill could conflict with Section 230, chill lawful speech, and create vague standards. Members raised questions about constitutionality, definitions, and whether the bill would be workable, but several expressed support for the author’s goals.

Transcript Highlights:

• And that is the current licensure structure. All right.

Committee: Senate Health and Human Services

Transcript Highlights:

• not only would these physicians be held to that standard, but we're also held to the standards of licensure

Bills: SB128 , SB640 , SB672 , SB904 , SB1141 , SB1263 , SB1525 , SB1528 , SB2041 , SB2306 , SB2308 , SB2357 , SB2446 , SB2695 , SB2857 , SB2891 , SB2583

Committee: Senate Health & Human Services

Transcript Highlights:

• HEALTH IS REQUIRED TO ISSUE TEMPORARY PROVISIONAL LICENSES TO NURSING GRADUATES WHO MEET ALL THE LICENSURE

Transcript Highlights:

• Sections eight, nine, 10, and 11 have to do with CPA licensure.

Bills: HF2783

Committee: House State Government Finance and Policy

Transcript Highlights:

• This is vital for people in completion and licensure.

Transcript Highlights:

• Now, that is something we're working toward in the department: to look at how we can combine the licensure

Committee: House Appropriations

Summary: The committee first heard Senate Bill 2271, which would formally place adult residential facilities in code and rebase their Medicaid reimbursement rates. Sponsor Chairman Ruby and HHS staff explained that these facilities, often serving people with dementia or acquired brain injury, are reimbursed at a much lower rate than skilled nursing care and help reduce bottlenecks in higher-level facilities. Members questioned how the program differs from basic care and nursing facility memory care, and the bill was referred to the HR section for deeper review before possible action on Monday. The committee then took up Senate Bill 2396, as amended, which would authorize an independent third-party performance audit of the Department of Commerce and the North Dakota Development Fund, with findings shared with the state auditor. Sponsors said the proposal was prompted by concerns raised in testimony and that a private audit could begin faster than a state audit. The committee adopted an amendment adding an emergency clause and directing the report to the Legislative Audit and Fiscal Review Committee, then passed the bill 20-0 with 3 absent. Next, Representative Clemine presented Senate Bills 2226, 2036, and 2037. SB 2226 would presume an incarcerated person indigent at initial appearance so counsel can be provided at that critical stage; the commission said the appropriation would fund contract attorney hours, and the bill was sent to HR for further review. SB 2036 would create procedures for determining juvenile fitness to proceed in delinquency cases, with a $500,000 appropriation for mental health evaluations, and SB 2037 would begin a juvenile criminal code framework and include a $300,000 appropriation for fitness-to-proceed evaluations; both were also referred to HR, with some concern raised about staffing and overlapping functions. After a short break, the committee heard education-related appropriations bills. SB 2234 would replace expired ESSER funding for Choice Ready grants, but members noted the program was not included in the K-12 budget and sent it to E&E for comparison with existing appropriations. SB 2286, a University of North Dakota request for a new nursing school facility, drew extensive discussion about the age and condition of the current building and the size and scope of the project; the committee ultimately adopted a do-not-pass motion 22-0. SB 2213, the “science of mathematics” bill modeled on the science of reading initiative, would fund math professional development and implementation; it was also referred to E&E for further review. The committee then briefly passed the Racing Commission budget, SB 2023, and began discussion of the Trust Lands budget, SB 2013, including a proposed retention increase for investment-related positions.

Transcript Highlights:

• Committee on Public Environmental Regulation HP 1731 by compost relating to the physician's Assistant licensure

Transcript Highlights:

• , that they have legitimate medical services and advice, and yet they are exempt from regulatory licensure