Transcript Highlights:

• kindergarten literacy Readiness program kindergarten literacy Readiness program is<00:39:25.280>
• Yes, it's totally a voluntary program. It's a choice program.
• nursing program shall complete a program nursing program shall complete a program within<01:30:26.560
• tax credit scholarship program.
• Just recently did a pilot program.

Keywords: 928, house, all

Summary: The committee first addressed House Bill 415, which would remove the requirement that schools provide menstrual products. Members supporting an ITL said the mandate was unfunded, had been in place since 2019, and was already working without complaints from districts. Other members opposed the bill, arguing menstrual products are essential and that the requirement helps students, especially those with fewer resources. The committee voted ITL on HB 415 by a roll call of 17 yeas, 0 nays. The committee then took up House Bill 388, concerning public reports on special education. Supporters of ITL said they agreed with the goal of transparency but were concerned about student privacy, especially in small districts, and thought the bill’s information requests went too far. They noted that related issues could potentially be addressed in another bill, HB 557. The committee voted ITL on HB 388, 17-0. House Bill 730, which would require schools and some colleges to provide information on adoption, was also moved ITL. The sponsor said adoption is personally important to him but that the bill was not the right vehicle and involved entities such as colleges and the Attorney General unnecessarily; he said related ideas might be folded into other bills later. The committee agreed and voted ITL, 17-0. The committee then discussed House Bill 671, a preschool/early literacy proposal involving a statewide nonprofit digital program, likely Waterford. Members raised questions about who would be covered, data privacy, prior use of federal ESSER funds, whether the program had measurable results, and whether the bill’s nonprofit requirement was too restrictive. Department of Education witness Melissa White said the state had spent $400,000 in FY22 and $600,000 in FY23 on a Waterford contract using ARP ESSER funds, but she did not have participant counts and said the department could not measure literacy gains for that population. She also said the bill’s funding level would likely require an RFP and that, if enacted as written, the program would probably still be Waterford-based. The discussion continued without a final vote in the portion provided.

Transcript Highlights:

• program.
• The state program provides program.
• The existing available for the program.
• This bill authorized under the program.
• have to be enrolled in the DMC program. have to be enrolled in the DMC program.

Bills: HF3298, SF3832, HF3528, HF3516, HF3972, HF4118

Keywords: underground storage tanks, petroleum, reimbursement program, environmental regulation, pollution control, dairy assistance, investment relief, agriculture support, food production, economic relief, barbering, licensing, examinations, barber schools, public safety, certifications, Barber Examiners Board, dentistry, licensure, registration

Transcript Highlights:

• These programs all work together.
• The program supported 188 educators in FY25.
• program?
• Great programs. Great comments.
• These are voluntary programs.

Bills: SB2

Transcript Highlights:

• Musical Awards programming that we are continuing to implement.
• So previously we were collecting data through only our program.
• Understanding of the programming, we're looking at leadership.
• Chair, the "Call Me Mr." program is at Clemson University.
• Those programs are shrinking and shrinking and shrinking.

Transcript Highlights:

• Protecting the program integrity.
• But this program is very simple.
• And so I go back to my point: this program is designed for a So I go back to my point: this program is
• Is this a government program? Ms.
• , is it not incumbent upon the government to determine what the program, how the program operates?

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Transcript Highlights:

• program uh in questions as to program program uh in questions as to program utilization<00:05:22.280
• The IC program is a creation of DHS, and as providers struggle to navigate the program requirements because
• The IC program is a creation of DHS, and as providers struggle to navigate the program requirements because
• costs uh while Medicaid waiver programs costs uh while Medicaid waiver programs fund<00:51:07.160
• <01:04:16.960> is 2025 they alleged that the program is 2025 they alleged that the program

Keywords: 1187, senate, all

Transcript Highlights:

• The old minimum program.
• programs that's around 3500. programs that's around 3500.
• tech program.
• :58:52.000> program.
• many drop out of the programs? many drop out of the programs?

Keywords: 924, joint, all

Transcript Highlights:

• To be blunt, though, the program isn't working.
• California currently has no state program to solve this problem.
• There is nothing better. programs and decision-making.
• Yet despite its success, the program remains vulnerable.
• No program has been spared. That is why codifying California's Farm to School program is essential.

Summary: The Assembly Committee on Agriculture met as a subcommittee and heard several bills, with extensive discussion focused on balancing agricultural land preservation, water scarcity, renewable energy, and farm equity. AB 1156 by Assembly Member Wicks would update the solar use easement program to allow certain Williamson Act lands facing water constraints to be used for solar projects through a suspension rather than cancellation of contracts. Supporters said the bill could help landowners and local governments adapt to falling water supplies and meet clean energy goals, while opponents, including the Farm Bureau, warned it could weaken Williamson Act protections, expand solar development onto prime farmland, and eliminate cancellation fees that help preserve agricultural land. RCRC said its concerns had largely been addressed through amendments and moved from opposition to support once changes are in print, though committee members continued to raise concerns about prime farmland, community benefits, and definitions of commercial viability and water constraints. The bill passed the committee on a due-pass-as-amended motion, with a later roll call recording six votes in favor and one absent member voting aye. AB 524 by Assembly Member Wilson would create a new state land access program for beginning and socially disadvantaged farmers and ranchers, using Proposition 4 funding to provide financial and technical assistance for land acquisition, protection, and long-term leases. Testimony emphasized the lack of secure land tenure for small and underserved farmers, the loss of farmland statewide, and the difficulty of investing in sustainable practices without stable access to land. Committee members strongly supported the measure, with several noting the importance of land access for family farms and equity in agriculture. The bill passed unanimously on an 8-0 vote. The committee also approved AB 675 by Majority Leader Aguiar-Curry, which would codify California’s Farm to School program in statute. Supporters said the program connects students to healthy local food, creates stable markets for farmers, and supports agricultural and nutrition education, while helping direct school meal dollars to California producers. Witnesses from the Center for Ecoliteracy and CAFF described the program’s statewide reach and benefits for small farms and high-need schools. The bill passed on an 8-0 vote. The committee also adopted the consent calendar, approving AB 1322 and AB 1505 on an 8-0 vote.

Transcript Highlights:

• , program, a a wonderful robotics program, program, a a wonderful robotics program, great<01:47:13.440
• EFA program.
• This could be a clever way to kill the program.” programs all over the country and that programs all
• Is that money going into which program? program? program?
• <03:36:19.680> But these programs. But these programs.

Keywords: 1189, house, all

Transcript Highlights:

• Open Enrollment Program indexing.
• So it's just current programs with this bill going forward.
• So, taking those programs... And that's the base year going forward.
• But was that because we didn't give the amount of dollars to the program, or was that because the program
• All right. ...funding for the state disaster assistance program. All right.

Keywords: 970, all

Transcript Highlights:

• The examples of this are are nursing program.
• One goal is to continue to work with the College out Science program in nursing programs to ensure continued
• We have a huge and strong worker workforce program here at the college and is not a program that we need
• Lastly, I want to see expanding the nursing program.
• It's higher education programs.

Keywords: 999, senate, all

Transcript Highlights:

• regarding that program. regarding that program.
• Uh, and how do we again develop programs, continue to support programs, enhance programs that will allow
• continue to support programs, enhance continue to support programs, enhance programs<00:47:18.560
• programs and low performing<00:56:59.920> programs<00:57:00.319> or<00:57:00.559> programs
• of Nursing Practice program, and four certificate programs online.

Keywords: 958, all

Summary: The committee met with a full quorum and approved the prior minutes. Members offered introductions of guests and family members, then heard a presentation from University of Louisville President Thomas Jared Bradley, who was sworn in before testifying. He described his background and outlined U of L’s strategic priorities: student success, access and affordability, workforce development, community engagement, and research. Bradley highlighted enrollment growth, increases in first-generation and Pell-eligible students, strong transfer pathways with KCTCS, and support programs such as the Cardinal Commitment Grant, 15-to-Finish, Comeback Cards, tutoring, mentoring, and mental health services. Bradley also emphasized U of L’s statewide and regional impact through UofL Health, rural outreach, the Bullitt County rural cancer education and research center, nursing expansion, and the Kentucky Manufacturing Extension Partnership program. He noted major institutional distinctions, including R1 status, a new Carnegie Opportunity College and University designation, and community-engaged classification. He said the university is one of only 10 public universities nationwide with all three designations and reported record enrollment, improved retention, and strong research expenditures. He also thanked lawmakers for significant capital and operating support, including funding for the simulation center, health science center, asset preservation, and the MEP program. During questions, members praised the university’s public service role and asked about first-generation enrollment, retention, graduation rates, and post-graduation outcomes. Bradley said the university is working to improve completion by expanding academic support, early alerts, incentives for tutoring, and faculty/advisor mentoring, especially for first-generation and high-need students. He acknowledged that post-graduation employment data is difficult to collect but said the new Carnegie classification reflects positive outcomes. No votes were taken beyond approving the minutes, and no formal actions were taken on legislation in this portion of the meeting.

Transcript Highlights:

• He became a leader in his program.
• People in those programs.
• program.
• And as you stated, we transferred our programs over. Do we have any ongoing programs?
• So we can say that step program...

Keywords: 1185, senate, all

Transcript Highlights:

• <00:14:37.360> which eligibility to this program which eligibility to this program which remains
• means could could get into this program means could could get into this program where<00:14:53.920
• , from public schools with this program, from public schools with this program, and<00:32:20.640>
• Any further... programming at will without board programming at will without board participation.
• education uh tax credit program. education uh tax credit program.

Keywords: 1191, senate, all

Transcript Highlights:

• <00:02:10.360> that and this was an excellent program that and this was an excellent program
• the um, as was shared as the the program the um, as was shared as the the program has<00:08:29.480
• We talked about the uh, program.
• . program. program.
• program? program?

Keywords: 1187, senate, all

Transcript Highlights:

• first registered apprenticeship program first registered apprenticeship program in<00:04:58.639>
• I think that we're looking at programs every year, and we do review small programs every year, and we
• Academic program. So, uh, whether you're H... My unit, my office, does not offer programs.
• We'll blank out the... that uh looks at these um programs that that uh looks at these um programs that
• participating in the current programs participating in the current programs offered<01:15:49.880

Keywords: 912, senate, all

Summary: The hearing covered Senate Bill 426, which would create an early learning apprenticeship grant program. Testimony was overwhelmingly supportive from the City and County of Honolulu, the Department of Human Services, the Executive Office on Early Learning, the University of Hawaiʻi College of Education, the Attorney General’s office, the Early Childhood Action Strategy, Hawaii Children’s Action Network, the University of Hawaiʻi’s early childhood educator project, and a Zoom testifier who described the importance of investing in high-quality early childhood education. Committee discussion focused on the program’s estimated cost, with figures of about $14.5 million in 2025-26 and $15 million in 2026-27, and on whether the program would require ongoing base-budget funding. The committee recommended technical, non-substantive amendments, including a statewide-concern amendment and a deferred effective date, and both committees adopted the recommendation by vote. The committees then heard Senate Bill 1622, which would appropriate funds to establish the Aloha Intelligence Institute within the University of Hawaiʻi to support statewide artificial intelligence initiatives. University representatives described the proposal as the product of campus-wide input and outlined five pillars: governance and policy, outreach and engagement, research and development, workforce development, and AI tools for key sectors such as health care, creative industries, manufacturing, data science, astronomy, and climate change. Members questioned staffing distribution, tuition, enrollment timing, housing, campus placement, and whether positions would be permanent or temporary; the university said it planned about 10 positions across campuses, would start with internal resources, and would house the effort under the Vice President for Research and Innovation initially. The committees recommended an SD1 with the appropriation amounts blanked out, a July 31, 2050 effective date, and committee-report language on housing and West Oʻahu, and the higher education and labor/technology committees adopted the amended recommendation. Finally, the Higher Education Committee took up Senate Bill 1488, a housekeeping measure to consolidate existing University of Hawaiʻi conference center statutes into a single revolving fund structure, and Senate Bill 636, which would fund retention and internship coordinator positions and broader enrollment management efforts at the University of Hawaiʻi at Hilo. SB 1488 drew university support and no opposition. SB 636 prompted substantial questioning about Hilo’s declining enrollment, current retention rate of 72.8 percent, and the scope of the request, which includes not only two named positions but also about $432,000 for enrollment management initiatives such as data analysis, IT support, and other student services. Hilo said it is targeting 3 to 5 percent annual enrollment growth and that the positions would support recruitment, retention, internships, and data-driven enrollment strategy. The committee pressed for a clearer broader plan, but the discussion in the transcript ended before a final vote on SB 636 was shown.

Transcript Highlights:

• Last year, there was a pilot program.
• My second and less favorable lens into these programs is as a professional.
• home- and community-based services programs is $2,901.
• and community-based services programs is $2,901.
• Our school-based Medicaid program should be a powerful tool to leverage.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• Washington's expanded behavioral supports, or EBS program, and the EBS Plus program were the first or
• the second state program that BHS began working with.
• A very exciting program. I appreciate the update.
• We've been working to grow that program throughout the state. Thank you.
• General overview of health care price transparency programs that exist.

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.

Transcript Highlights:

• Yeah, the program continues to expand. Again, it's a proven success.
• to other communities across southeast Minnesota. program.
• Uh, program. It's win for our community.
• Senator, we know the program workforce.
• Yeah, the program in the future?

Keywords: 1187, senate, all

Transcript Highlights:

• the state and a community grant program the state and a community grant program could<00:44:17.920
• administer a Federal grant program administer a Federal grant program through<00:49:20.160> the
• bill this grant could this grant program bill this grant could this grant program through<00:49:
• partnership with our DOD repe program partnership with our DOD repe program and<01:01:51.200>
• Not going to cut the REEP program.

Keywords: 910, house, all