Transcript Highlights:

• Speaker, two-thirds of the trauma patients at Harborview Hospital are enrolled in Medicare, Medicaid,
• The Medicaid out of the system, especially after cost-based reference-based pricing, especially after
• Yes, $1 billion of Medicaid funds cut by this legislature already.
• Again, for decades, the state of Washington has failed to increase Medicaid reimbursements.
• Again, for decades, the state of Washington has failed to increase Medicaid reimbursements.

Bills: HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5831 , SB6137 , SB6244 , SB6044 , SB6132 , SB5109 , SB5877 , SB6258 , HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5831 , SB6137 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives

Transcript Highlights:

• I will note that that only. covers federal eligible, Medicaid eligible population.
• Those are optional benefits, even in the federal Medicaid space.
• For Medicaid, pharmacy as a whole is an optional benefit.
• Several other states, several other Medicaid agencies also implement this.
• Please go ahead, Linda Harrington, Assistant State Medicaid Director.

Transcript Highlights:

• This bill is about written parental consent for new services to a Medicaid-enrolled child.
• because that's the issue here Medicaid because that's the issue here is<00:07:45.879><c> getting</c>
• </c><00:09:50.959><c> enrolled</c> to do with services to Medicaid enrolled to do with services to Medicaid
• enrolled child if we pass this Medicaid enrolled child if we pass this bill<00:11:18.920><c> we</c><
• </c><00:12:20.920><c> enrolled</c><00:12:21.440><c> children</c> only only Medicaid enrolled children

Committee: Senate Education

Transcript Highlights:

• Before you is House Bill 2385 relating to the Medicaid Access Program.
• Washington's Medicaid program is known as Apple Health.
• The Centers for Medicare and Medicaid Services, or CMS, determine how payments are made within the Medicaid
• Last year, the legislature enacted the Medicaid Access Program.
• It has been decades since we've seen Medicaid rate increases, and Washington's Medicaid rates are now

Summary: The committee opened with a public hearing on Senate Bill 5808, a proposal to require nonprofit health carriers with “excess surplus” to pay 10% of that surplus into the state health care affordability account for Cascade Care Savings. Committee staff said the bill could generate about $330 million one time in 2027, while the Office of Insurance Commissioner would have implementation costs. Supporters argued the bill would redirect consumer premium dollars to help people afford coverage, while opponents from health plans said reserves are needed for solvency, claims, and capital needs and warned the bill would destabilize nonprofit insurers. The committee also heard testimony on House Bill 2254, which would let the Partnership Access Line assessment cover administrative costs; HCA and Seattle Children’s supported it as a technical fix that saves general fund dollars, and a child psychiatrist asked that savings be reinvested in behavioral health services. House Bill 2385, which extends deadlines for the Medicaid Access Program because of federal restrictions on new provider taxes, also drew support from provider groups seeking future Medicaid rate increases. The committee then heard Substitute Senate Bill 6286, which would increase fines on private detention facilities that deny Department of Health inspections and dedicate the fines to an account for community repair and assistance to harmed individuals and families. Supporters, including Tacoma’s mayor and family members affected by detention, framed the bill as an accountability measure; fiscal staff estimated Department of Health costs of about $395,000 in the 2025-27 biennium. Senate Bill 6006 would exempt food banks from sales tax on certain services enacted last session, with food bank and tribal representatives saying the savings would go directly to food and operations. Senate Bill 6351 would create exemptions from the new sales tax on live presentations for before- and after-school care, arts and cultural nonprofit classes, and K-12 school purchases; school districts, arts groups, and PTA representatives supported it, while asking for clarifying language and broader nonprofit exemptions. Engrossed Substitute House Bill 1717 would let cities and counties create local sales tax remittance programs for affordable housing projects, and housing builders, Habitat affiliates, counties, and city officials supported it as a local tool to lower development costs. In executive session, the committee received briefings on several tax and spending bills and then voted to advance multiple measures. It adopted a substitute and passed Senate Bill 5949, which narrows a B&O tax exemption related to insurance premiums; a proposed retroactivity-removing amendment failed. It adopted a substitute and passed Senate Bill 6129 on cigarette, tobacco, and nicotine taxes after rejecting several amendments, including proposals to study the tax policy or replace the bill with illicit-market enforcement language. The committee also passed Senate Bill 6228 repealing a preferential B&O rate for prescription drug resellers, Senate Bill 6231 repealing data center sales tax exemptions, and Second Substitute Senate Bill 5965, which retained a bag-fee approach rather than a full ban after adopting an amendment. The committee then returned to public hearing and began testimony on Senate Bill 6353, a major Working Connections Child Care bill that would keep income eligibility at 60% of state median income, lower the provider rate target from the 85th to the 75th percentile, and make other program changes; the briefing was underway when the transcript ended.

Transcript Highlights:

• So this is the Medicaid Trust Fund.
• But then it also fixes Medicaid.
• This helps us stabilize our Medicaid costs and our Medicaid funding. Thank you, Mr. President.
• He didn't really go anywhere around Medicaid, even though the House has an $880 billion cut in Medicaid
• Medicaid is a game-changer for New Mexico.

Transcript Highlights:

• Medicaid reimbursement rates to reflect the true cost of providing emergency medical care and continue
• Medicaid reimbursement rates to reflect the true cost of providing emergency medical care and continue
• Can someone speak to Medicaid?
• </c><00:25:30.320><c> And</c> Medicaid in the state of Minnesota.
• And Medicaid in the state of Minnesota.

Summary: The meeting focused on the financial and workforce crisis facing Minnesota emergency medical services, especially ground ambulance providers in rural areas. Michael Johnson of the Minnesota Ambulance Association said EMS serves more than 600,000 Minnesotans a year and argued that reimbursement rates do not cover the cost of readiness, staffing, and 24/7 response. He and others called for ongoing EMS sustainability funding of about $50 million, higher Medicaid reimbursement, and continued support for EMT/paramedic scholarships, first responder training, and high school EMS programs. Senator Grant Hoschild and Representative Jeff Backer echoed the urgency, describing EMS as a moral imperative and emphasizing that rural communities cannot wait for ambulances when lives are at risk. Backer, who also volunteers as an EMT, described staffing shortages, reliance on volunteers, and a recent cardiac arrest response to illustrate the importance of local EMS coverage. Becca Hitch of PUM Area EMS said rural services are paid only when patients are transported, not for responding or treating on scene, and that one-time aid helped but did not solve underlying deficits. Bradley Peterson of the Coalition of Greater Minnesota Cities said local governments that hold ambulance licenses are being forced to absorb unrecovered costs through property taxes, and that state support is needed to prevent service failures and rising local burdens. In response to questions, speakers said a 2023 statewide study found about $120 million in need, with roughly half tied to operational deficits and half to volunteer support; last year’s aid included about $24 million for rural services and some improvements in volunteer call pay and equipment needs. They also discussed a proposed 10% Medicaid increase, possible special tax district ideas, and the need to target any new funding toward rural services most at risk.

Transcript Highlights:

• :28.160><c> 70,000</c><03:28:28.720><c> mark,</c> Medicaid in below the 70,000 mark, Medicaid in below
• </c><03:28:41.760><c> and</c> collect from two sources, Medicaid and collect from two sources, Medicaid
• :51.279><c> chasing</c> Medicaid is something they're chasing Medicaid is something they're chasing too
• </c><03:44:30.880><c> is</c> legitimate according to Medicaid is legitimate according to Medicaid is
• </c><03:51:46.640><c> for</c> making sure that we build Medicaid for making sure that we build Medicaid

Committee: House Education Funding

Transcript Highlights:

• Now, admittedly, that's across both Medicaid and commercial providers.
• The population this bill is addressed to is the Medicaid population.
• And that is a... ...this bill is addressed to is the Medicaid population.
• But to the taxpayer, remember, Medicaid is costing the state $5.5 billion out of $14 billion.
• But I haven't seen Medicaid have the negative impact yet. It's always been the positive impact.

Committee: Senate Health and Welfare

Transcript Highlights:

• And it's got the E-A-D-D, CFS, and Medicaid.
• So if you hit the Medicaid tab, it should pop up and you'll see a bunch of yellow lines.
• It's basically a Medicaid waiver that helps with behavioral health.
• It's a Medicaid waiver that helps with behavioral health.
• The total Medicaid line is $1.6 billion. So, you know, it's $2 million.

Bills: SB2399

Committee: Senate Appropriations - Human Resources Division

Summary: The committee reconvened and first reconsidered House Bill 1612, the aerospace medical and mental health support center bill. Senator Cleary offered an amendment to reduce the general fund appropriation from $500,000 to $250,000 and require the university or project sponsors to find the remaining funding from other sources. The amendment passed, and the bill was then recommended do pass as amended, with members citing concerns about university funding, but others supporting the project as a one-time seed investment. The committee also discussed a possible future FMAP increase beginning October 1, 2026, which could reduce general fund costs by roughly $9 million, though members noted the figures were still preliminary and could be addressed later if needed. The committee then returned to Human Services budget items, including early childhood and child care funding, a community cultural center grant, and several other adjustments. Members discussed reducing the “best in class” amount, changes to child care grants and quality/infrastructure funding, and clarifying that prior child care assistance appropriations were in fact being spent. They also agreed to reduce the 1915(i) Medicaid waiver line by $2 million, with the understanding that the entitlement would still be funded as needed. The committee also considered taking guardianship funding out of House Bill 1012 because a separate bill, Senate Bill 2029, would move that funding elsewhere; members agreed that removing it from the budget could help the overall bill and could be restored if the separate bill failed. Several study amendments were discussed. Senator Cleary proposed adding a maternal health study related to prenatal services, doulas, midwives, and Medicaid, and members expressed support. The committee also discussed a software/case-management study proposal, but the department said it had not requested it and would not support it as presented, so members leaned against advancing it unless the department first evaluated it. Another amendment would authorize the department to work with the city of Grafton on a long-term plan for the LSTC campus and require a report back to the legislature; members supported that as legislative intent. The committee also agreed to remove a truancy study section for later conference discussion, and it reviewed other possible study ideas, including assistive technology, before adjourning to await updated long sheets and bill text.

Transcript Highlights:

• An act to amend the Social Services Law in relation to authorizing Medicaid coverage for complex care
• Straightforward, it's expanding Medicaid so that Medicaid pays for complex care assistance.
• been vetoed before, unfortunately, and would make licensed creative arts therapists able to bill Medicaid
• amend the social services law in relation to authorizing license creative art therapists to bill Medicaid
• Licensed creative arts therapists to be able to bill Medicaid. Any questions or comments on them?

Committee: Senate Health

Summary: The meeting covered a long list of health and social services bills, many of them recurring proposals that had passed the Senate before or been vetoed in prior years. Topics included primary care investment, penalties for adult care facility safety violations, emergency insulin access, limited nursing services in adult care facilities, a State Medical Indemnity Fund ombudsman, hospital ownership and private equity oversight, controlled substances for people with substance use disorder, rescue inhaler information in the immunization system, nursing home closure procedures, Medicaid coverage for complex care assistance, increased personal needs allowances, parental education for minors with disabling conditions, physician and dentist loan repayment/support, higher public health penalties, direct Medicaid billing for licensed creative arts therapists, adoption registry information release, fetal and infant mortality review boards, reusable food and beverage containers, DNR and hospice decision rules, a special needs assisted living demonstration program, temporary licensure for out-of-state health professionals at a triathlon event, and lead reporting and mitigation in school water. Sponsors described most bills as straightforward efforts to improve access, transparency, or care quality, while several members noted technical fixes or fiscal concerns on a few measures, including outdated program references and the need for funding to support expanded loan repayment eligibility. Some bills were framed as responses to prior vetoes or as renewed attempts to advance previously passed Senate measures. The chair also noted the committee still lacked a budget and expected additional meetings. For each bill, members generally moved and seconded the measures, and the committee voted favorably, usually with some members recorded as without recommendation. Most bills were advanced either to first reading, finance, or higher education, depending on referral. No bill was defeated in the transcript.

Transcript Highlights:

• Next up on the agenda is the Medicaid Subcommittee, which has not met since 2018, and Representative
• The Medicaid Subcommittee met Thursday, February 12, 2006, and adopted the minutes from its last meeting
• Audit’s role related to Medicaid.
• Staff from the Department of Human Services, the Office of Medicaid Inspector General, and the Attorney
• regarding Medicaid.

Committee: All LEGISLATIVE JOINT AUDITING

Transcript Highlights:

• Authority after serving as Maryland's Deputy Secretary for Health Care Financing and the state's Medicaid
• director, where I oversaw the commitment to our state's Medicaid program, about a million and a half
• Marylanders, and 125,000 enrolled Medicaid providers.
• how another Medicaid program does from that particular lens, and also the purview of the particular
• So I've obviously touched on those in the Medicaid transformation waiver, but also understanding that

Bills: SB5899 , SB6292 , SB6094 , SB6182 , SB5947 , SJR8206 , SB5933 , SB6138 , SB5823 , SB6210 , SB5921 , SB6226 , SB6159 , SB5924 , SGA9291 , SGA9307

Committee: Senate Health & Long-Term Care

Keywords: chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, health care, financing, legislative committee, joint committee, policy management, pediatric care, transitional services, healthcare, licensing, children's health, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund

Transcript Highlights:

• Next up, Medicaid.
• Next<00:13:38.040><c> up,</c><00:13:39.040><c> Medicaid.</c> Next up, Medicaid. Next up, Medicaid.
• </c><00:13:54.240><c> for</c><00:13:54.399><c> their</c> Minnesota rely on Medicaid for their Minnesota
• rely on Medicaid for their healthcare.<00:13:55.760><c> This</c><00:13:56.079><c> administration</c>
• ,</c> nearly $1 trillion in cuts to Medicaid, nearly $1 trillion in cuts to Medicaid, which<00:24:55.600

Transcript Highlights:

• We don't submit expenses to Medicaid or Medicare for reimbursement.
• </c><00:31:18.880><c> and</c> capitation for Medicare and Medicaid and capitation for Medicare and Medicaid
• ,</c> handle about 300 active SNAP, Medicaid, handle about 300 active SNAP, Medicaid, cash<00:58:21.119
• Timely Medicaid enrollment is becoming a top priority for long-term care providers to address.
• </c> to anyone who is billing Medicaid. to anyone who is billing Medicaid. &gt;&gt; Okay.

Bills: HF4421 , HF1937 , HF4675 , HF4715 , HF4684

Committee: House Human Services Finance and Policy

Transcript Highlights:

• We started with claiming reimbursements for Medicaid. programs, your commitment and support of the CalAIM
• We started with claiming reimbursements for Medicaid. It was a year earlier than projected.
• So what do we do to reform the state's elderly parole process to ensure that offenders who continue to

Transcript Highlights:

• , to provide legislative findings and intent, to define terms, to establish provisions regarding Medicaid
• , to provide legislative findings and intent, to define terms, to establish provisions regarding Medicaid
• I am all for reforming CPS. I think that is a great idea, and I think we should look at doing that.

Transcript Highlights:

• So all of our eligibility staff work on all the other programs: Medicaid, child care, TANF, all the state
• So there are nearly 50 different types of eligibility programs, many of them Medicaid-related.
• So we definitely need to press to have some reforms in that whole area.

Summary: The work session was limited to House Bill 1750, a supplemental appropriation for the Department of Health and Human Services’ SNAP administration. Before testimony, Representative Terski distributed a written statement from Representative Priest for the record. Department officials Karen Heert and Nathan White then walked the committee through a chart showing SNAP participation, federal benefit dollars, and state administrative costs, emphasizing that the benefits themselves do not flow through the state budget. They explained that the reported administrative cost includes overhead and cost-allocation methods used to maximize federal reimbursement, and that the current participant count is about 75,000 with the trend steady in recent years. Members questioned whether the reported costs were stable, how much of the administrative expense was directly tied to SNAP, and whether reducing overhead would lower the need for the appropriation. The department said the cost per participant and per dollar distributed would be lower if SNAP were isolated, but that the broader allocation system also supports federal claiming across multiple programs. Officials said SNAP eligibility is redetermined every six months, that the department processes nearly 50 eligibility programs with about 250 field staff, roughly 70 unfunded positions, and a vacancy rate around 25%. They also said most errors in the program are unintentional and can come from either staff or participant mistakes, and that the department reviews errors to identify systemic fixes. The committee discussed the fiscal impact of the bill and related budget issues. DHHS said the current adjusted authorization for 2026 is about $31 million, but actual spending is expected to be closer to $25–26 million because of vacancies and unfilled positions. Members asked whether the $4.4 million shortfall identified in the fiscal note would come from the rainy day fund; staff said it would not be taken directly from that fund, but would reduce the amount available to flow into it at the end of the biennium. The committee also reviewed Senate Bill 603 FN, which was described as an alternative approach that would require DHHS to transfer funds within its existing budget rather than provide new money; officials said it would simply codify an option the department already has. No vote or final action on House Bill 1750 was taken during the portion of the meeting provided.

Transcript Highlights:

• The bill reforms language depicting children by creating a new statute for lewd and lascivious images
• It also requires that the agency look at and conduct a study on a total redesign of... ...the Medicaid
• that we will include is to... ...really address the special needs children and come back with that Medicaid

Bills: SCR4 , SCR18 , SCR43 , SB227 , SB269 , SB330 , SB434 , SB437 , SB438 , SB463 , SB528 , SB584 , SB604 , SB663 , SB668 , SB682 , SB747 , SB841 , SB912 , SB968 , SB1013 , SB1020 , SB1044 , SB1137 , SB1138 , SB1143 , SB1164 , SB1169 , SB1200 , SB1236 , SB1244 , SB1299 , SB1325 , SB1335 , SB1369 , SB1410 , SB1418 , SB1422 , SB1455 , SB1468 , SB1495 , SB1534 , SB1579 , SB1580 , SB1612 , SB1624 , SB1667 , SB1734 , SB1745 , SB1746 , SB1760 , SB1784 , SB1860 , SB1862 , SB1864 , SB1896 , SB1898 , SB1920 , SB1940 , SB1952 , SB1998 , SB1999 , SB2004 , SB2032 , SB2052 , SB2068 , SB2073 , SB2121 , SB2127 , SB2141 , SB2145 , SB2161 , SB2167 , SB2196 , SB2207 , SB2216 , SB2246 , SB2323 , SB2332 , SB2395 , SB2429 , SB2431 , SB2439 , SB2443 , SB2581 , SB2601 , SB2629 , SB2702 , SB2705 , SB2717 , SB2798 , SB2873 , SB2881 , SB2964 , SB3034 , SCR4 , SCR38 , SB39 , SB227 , SB240 , SB330 , SB401 , SB407 , SB467 , SB506 , SB512 , SB527 , SB584 , SB618 , SB619 , SB636 , SB648 , SB663 , SB715 , SB732 , SB758 , SB801 , SB843 , SB847 , SB870 , SB957 , SB1013 , SB1020 , SB1065 , SB1152 , SB1164 , SB1181 , SB1183 , SB1257 , SB1283 , SB1299 , SB1325 , SB1349 , SB1395 , SB1433 , SB1455 , SB1490 , SB1558 , SB1574 , SB1624 , SB1626 , SB1640 , SB1717 , SB1718 , SB1727 , SB1734 , SB1756 , SB1757 , SB1789 , SB1832 , SB1845 , SB1868 , SB1920 , SB1924 , SB1964 , SB2004 , SB2018 , SB2031 , SB2037 , SB2052 , SB2073 , SB2075 , SB2080 , SB2111 , SB2117 , SB2154 , SB2161 , SB2196 , SB2206 , SB2253 , SB2268 , SB2322 , SB2323 , SB2349 , SB2533 , SB2540 , SB2570 , SB2623 , SB2626 , SB2658 , SB2660 , SB2692 , SB2705 , SB2717 , SB2722 , SB2742 , SB2743 , SB2753 , SB2788 , SB2877 , SB2900 , SB2920 , SB3031 , SB5 , SB260 , SB1786 , SB1 , HJR4 , HB135 , HB 1109 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR38 , SCR4 , SCR18 , SCR43 , SCR46 , SCR48 , SCR19 , SB2023 , SB1257 , SB240 , SB1727 , SB870 , SB618 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1026 , SB1349 , SB1433 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1860 , SB2037 , SB1924 , SB2253 , SB2018 , SB2206 , SB1299 , SB841 , SB668 , SB584 , SB1085 , SB2431 , SB1490 , SB1868 , SB2314 , SB434 , SB2046 , SB1667 , SB2127 , SB1975 , SB1760 , SB1734 , SB1335 , SB2246 , SB2439 , SB1624 , SB1244 , SB1468 , SB2717 , SB1612 , SB1262 , SB604 , SB2395 , SB1832 , SB1745 , SB1746 , SB2207 , SB1784 , SB1524 , SB528 , SB437 , SB269 , SB1137 , SB968 , SB636 , SB747 , SB1325 , SB1455 , SB2056 , SB1940 , SB2052 , SB1579 , SB2068 , SB3034 , SB1920 , SB1558 , SB1236 , SB1044 , SB884 , SB463 , SB227 , SB517 , SB1200 , SB1410 , SB1626 , SB1845 , SB1863 , SB2216 , SB2681 , SB1717 , SB2141 , SB2323 , SB2200 , SB2332 , SB2199 , SB1757 , SB2050 , SB1138 , SB2458 , SB1864 , SB2201 , SB1862 , SB1055 , SB2660 , SB1898 , SB2662 , SB2161 , SB2964 , SB2881 , SB1065 , SB801 , SB2743 , SB2533 , SB2073 , SB3014 , SB3013 , SB2702 , SB2629 , SB2443 , SB2349 , SB2167 , SB2145 , SB2121 , SB758 , SB648 , SB647 , SB512 , SB438 , SB1721 , SB2268 , SB1495 , SB2705 , SB2366 , SB1422 , SB1369 , SB1013 , SB682 , SB2692 , SB2570 , SB2797 , SB2111 , SB1896 , SB1164 , SB1020 , SB663 , SB2371 , SB1152 , SB2196 , SB2383 , SB2581 , SB2798 , SB330 , SB646 , SB843 , SB1998 , SB1418 , SB2788 , SB1169 , SB2873 , SB1754 , SB1534 , SB1718 , SB2779 , SB2004 , SB1143 , SB1756 , SB912 , SB2119 , SB2032 , SB527 , SB1580 , SB1952 , SB2601 , SB2322 , SB2448 , SB1777 , SB1283 , SB407 , SB2392 , SB2076 , SB2786 , SB3031 , SB2877 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1395 , SB1972 , SB2540 , SB1183 , SB2742 , SB2595 , SB2217 , SB2117 , SB715 , SB2330 , SB1964 , SB1383 , SB500 , SB1640 , SB39 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2658 , SB1574 , SB2900 , SB2753 , SB2398 , SB401 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB2031 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , SB843 , SB1152 , SB1164 , SB1299 , SB1349 , SB1868 , SB2037 , SB2349 , SB2788 , SB39 , SB1183 , SB1717 , SB1832 , SB2743 , SR429 , SR432 , SCR38 , SB39 , SB240 , SB618 , SB870 , SB1183 , SB1257 , SB1717 , SB1727 , SB1832 , SB2743 , SB2 , SB3058 , SB3059 , HB6 , HB14 , HB43 , HB 100 , HB136 , HB149 , HB204 , HB206 , HB307 , HB467 , HB685 , HB 1130 , HB1393 , HB1644 , HB2027 , HB2118 , HB2176 , HB2468 , HB2488 , HB2525 , HB2596 , HB2890 , HB2894 , HB3077 , HB3114 , HB3204 , SCR4 , SCR18 , SCR43 , SB269 , SB330 , SB434 , SB437 , SB438 , SB463 , SB528 , SB604 , SB663 , SB668 , SB682 , SB747 , SB841 , SB912 , SB968 , SB1020 , SB1044 , SB1138 , SB1143 , SB1236 , SB1244 , SB1325 , SB1335 , SB1369 , SB1418 , SB1422 , SB1455 , SB1468 , SB1495 , SB1534 , SB1579 , SB1580 , SB1612 , SB1624 , SB1667 , SB1734 , SB1745 , SB1746 , SB1760 , SB1784 , SB1860 , SB1862 , SB1864 , SB1896 , SB1898 , SB1920 , SB1940 , SB1952 , SB1998 , SB2032 , SB2052 , SB2068 , SB2073 , SB2121 , SB2127 , SB2141 , SB2145 , SB2161 , SB2167 , SB2196 , SB2207 , SB2216 , SB2246 , SB2323 , SB2332 , SB2395 , SB2431 , SB2439 , SB2443 , SB2581 , SB2601 , SB2629 , SB2702 , SB2705 , SB2798 , SB2873 , SB2881 , SB2964 , SB3034 , SB227 , SB584 , SB1013 , SB1137 , SB1169 , SB1200 , SB1299 , SB1410 , SB1999 , SB2004 , SB2429 , SB2717 , SB3058 , SB3059 , HB6 , HB14 , HB43 , HB 100 , HB136 , HB149 , HB204 , HB206 , HB307 , HB467 , HB685 , HB 1130 , HB1393 , HB1644 , HB2027 , HB2118 , HB2176 , HB2468 , HB2488 , HB2525 , HB2596 , HB2890 , HB2894 , HB3077 , HB3114 , HB3204

Transcript Highlights:

• Members, Senate Bill 1645 lays out how the audit process should work for Medicaid providers in the state
• death records before covering anybody under Medicaid.
• This bill would put in place a mandatory dispensing fee, equal to the Medicaid, excuse me, the Medicaid
• . to bring these fees up to the Medicaid rate.
• This is what Medicaid pays.

Bills: SB206 , SB640 , SB667 , SB1344 , SB1380 , SB1423 , SB1425 , SB1436 , SB1484 , SB1500 , SB1502 , SB1503 , SB1557 , SB1562 , SB1572 , SB1644 , SB1645 , SB1794 , SB1796 , SB1806 , SB1849 , SB1984 , SB2007 , SB2074

Committee: House Health and Human Services Oversight

Summary: The committee opened with prayer and then took up a series of health and human services bills, most of them moving forward on do-pass motions. Senate Bill 1645 would set audit procedures for Medicaid providers, with discussion focused on protecting providers from penalties for scrivener’s or typographical errors while still holding them accountable for fraud or failure to provide services. Senate Bills 1796 and 1806 addressed foster care, including a 72-hour cap on informal care and extending foster care to age 21 for youth continuing their education. Senate Bills 1423, 1425, and 1502 all repealed outdated advisory councils or programs that were no longer active or needed. SB 206, as amended, expanded licensed ambulance services as essential services to help them access more federal funding, and SB 500 sought to prevent pharmacy benefit managers from delaying payments to pharmacists. These measures were reported out with unanimous or near-unanimous votes. The committee also heard Senate Bill 1503, which would allow certain nonprofit pregnancy-support organizations without an Oklahoma physical address to apply for Choosing Childbirth grants. Members questioned whether state dollars could go to out-of-state personnel and how telehealth and reporting requirements would work. The bill was laid over for further amendment work. Senate Bill 1557 would place certified behavioral analysts under the State Board of Examiners of Psychology, and members raised questions about how it might interact with a separate bill affecting board authority; it passed after discussion. Senate Bill 1894 gave the podiatry board authority over continuing education, and SB 1984 was a cleanup bill for the Board of Osteopathic Medicine, including authority over certain licensure and telemedicine-related review issues; both passed after questions about scope and reciprocity. Later, the committee considered several pharmacy and insurance-related bills. SB 1344 created an insulin access and affordability program to partner with manufacturers of low-cost biosimilar insulin, and SB 1380 required Medicaid eligibility checks against death records, with an amendment discussed to protect long-term care facilities from retroactive nonpayment when eligibility is delayed. SB 1572 would commission a feasibility study on dissolving the Department of Mental Health and temporarily allow the Health Care Authority commissioner to oversee both agencies. SB 2007 required PBMs to reimburse pharmacists at actual acquisition cost when reimbursement falls below cost, with escalating fines for noncompliance. SB 2074 would impose a mandatory dispensing fee tied to the Medicaid rate; it drew extensive debate over whether costs would be shifted to employers, employees, or the state, and over the impact on pharmacy closures and rural access. The committee ultimately reported the bills out, with SB 2074 passing after lengthy discussion and a final vote.

Transcript Highlights:

• So it does not include things such as Medicaid or certain federal funding.
• So once you include other aspects of special education funding, like transportation or Medicaid, this
• So Medicaid was not included because, for several reasons.
• And in that one, they were able to get Medicaid expenditures from districts.
• Medicaid, the primary source of revenue for that, would be a 200-level program.

Committee: House Education