Transcript Highlights:

• to do federal inspections to ensure they meet the standards set by the Centers for Medicare and Medicaid
• to do federal inspections to ensure they meet the standards set by the Centers for Medicare and Medicaid
• I've met with several urban hospitals and medical providers, and the concerns around the Medicaid cuts
• And anytime you have people rolling off Medicaid and not being able to qualify for Medicaid services,
• The next slide shows that some of the early Medicaid dates in H.R. 1 that we're tracking.

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:

• Um so I I and Medicare um and Medicaid.
• The other issue I had with this is just for Medicaid patients.
• Is it not a Medicaid patient? So those are the two breakdowns that I saw.
• </c> Medicaid patient.
• Is it not a Medicaid Medicaid patient. Is it not a Medicaid patient?

Committee: Senate Health and Human Services

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:

• Primary care provider on Medicaid; some of those records can be shared.
• We could assist more with Medicaid utilization and outcomes.
• Medicaid claims that cross over from Centennial Care to Turquoise Care.
• So, that clinical data as well as the claims data that's coming from Medicaid.
• If you want to receive Medicaid claim funding, then you need to share data.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• </c> dric and Gynecology uh save Medicaid dric and Gynecology uh save Medicaid Hawaii<00:36:32.720><c
• to be able to for Medicare and Medicaid to be able to get<01:03:30.839><c> help</c><01:03:31.160><c>
• </c><01:03:40.680><c> Savings</c><01:03:41.160><c> Program</c> the Medicare Medicaid Savings Program
• the Medicare Medicaid Savings Program the<01:03:41.880><c> extra</c><01:03:42.240><c> help</c><01:03:
• </c><01:04:17.200><c> we</c><01:04:17.400><c> also</c><01:04:17.680><c> have</c> qualify for Medicaid

Committee: House Human Services & Homelessness

Summary: The House Committee on Human Services and Homelessness met on February 6, 2025, and heard testimony on several measures. HB 44, which would appropriate funds to the Department of Human Services to work with community-based organizations on social services needs, drew broad support from nonprofit providers and coalitions that said contracts and reimbursement rates have not kept pace with the actual cost of services, leaving agencies unable to retain staff or meet demand. DHS said it supported the bill’s intent but asked for clarification because the language was broad and did not specify which organizations or how funds should be allocated. Committee members and the bill’s introducer discussed how to make the measure more specific and equitable, including whether to set a percentage increase, use a baseline date, and direct DHS to distribute funds among different program areas; the True Cost Coalition and DHS agreed to follow up in writing with proposed language and a funding number. The committee then heard HB 1349, which would authorize Medicaid/CHIP coverage for income-qualified pregnant persons and children regardless of immigration status. Supporters, including the Legal Clinic, Aloha Care, and the Hawaiʻi Coalition for Immigrant Rights, said the bill would improve prenatal and child health, reduce the chilling effect of immigration enforcement on care-seeking, and help prevent premature or underweight births by ensuring earlier access to providers. DHS provided comments and the committee asked where the measure would fit in the budget; the department identified the relevant budget code. Written testimony in support came from multiple advocacy and health organizations and dozens of individuals. Finally, the committee heard HB 613, which would appropriate funds to DHS for emergency shelter and services for unaccompanied homeless youth. The Office of the Public Defender, the Statewide Office of Homelessness and Housing Solutions, the Office of Youth Services, Rise, the Hawaiʻi State LGBTQ+ Commission, and others supported the bill, emphasizing youth homelessness, the need for coordinated shelter and outreach, and the high share of LGBTQ+ youth among homeless minors. OYS asked that the committee consider funding its existing Safe Spaces pilot rather than creating a new program, while DHS said it supported the intent but wanted clarification because multiple department programs could be implicated. No votes were taken during the hearing; the chair instead requested follow-up language and funding information for HB 44 and continued the measures for further consideration.

Transcript Highlights:

• These folks are losing their Medicaid directly as a result of actions in the other Washington.
• coverage as a result... ...Medicaid coverage as a result.
• We said yes to Medicaid expansion so more Washingtonians could be insured.
• of dollars to comply with red tape, the Trump administration is now mandating wasteful changes to Medicaid
• Our Medicaid system covers more people for more maladies than nearly any other state does.

Summary: The House convened for the opening day of the 2026 regular session of the 69th Legislature with roll call, the Pledge of Allegiance, the national anthem, a prayer, and a tribal welcome from Squaxin Island Tribe member Chris Peters and other tribal leaders. Justice Mary Yu administered the oath of office to Representatives Hall, Obras, Thomas, Salahuddin, and Zahn. The Speaker also recognized the service of Justice Yu, the late Senator Bill Ramos, the late Speaker Emeritus Frank Chopp, and Trooper Tara Marissa Gooding. The Speaker and Republican leader Stokesbary delivered opening remarks focused on the session’s priorities and challenges, including affordability, taxes, housing, public safety, and the impact of federal policy on Washington. The House adopted several organizational resolutions and motions. House Resolution 4665, notifying the Governor that the House was organized and ready to do business, passed. House Concurrent Resolution 4406, setting the Governor’s address to the Legislature, and House Concurrent Resolution 4407, returning bills and resolutions to the normal process for consideration, both passed. Senate Concurrent Resolution 8407, establishing cutoff dates for the 2026 session, also passed. The House suspended rules to move various measures, referred introduced bills to committees, and approved House Resolution 4667 adopting the permanent House rules. The Speaker announced committee assignment changes, including new appointments for Representatives Engel, Hall, Parshley, and Zahn, and reminded members of pink slip deadlines. A House delegation then reported back from the Governor’s office, saying he welcomed the Legislature and was ready for the session. The House adjourned until the next day, with a pro forma session and the Governor’s State of the State address scheduled for the following morning.

Transcript Highlights:

• And that was speaking to the Medicaid...
• Concerns that some of the providers have, and that was speaking to the Medicaid and the Medicaid managed
• One of the practitioners made it clear that many of these who are on Medicaid, once they are assigned
• Medicaid will provide this.
• Medicaid will provide this.

Summary: The Senate opened with a prayer, pledge, and several introductions recognizing guests and groups in the gallery, including representatives from Moffitt Cancer Center, students from Lakeland Christian School, space industry guests, Kappa Alpha Psi, the Florida Association of Licensed Investigators, and local visitors from Groveland and Polk County. The chamber also noted the doctor of the day and later adopted Senate Resolution 1856 honoring the life and legacy of Senator Geraldine Thompson, with 38 co-introducers recorded. In addition, Senate Bill 1324 by Senator Simon was withdrawn from further consideration. The main floor action was on Committee Substitute for Committee Substitute for Senate Bill 112, relating to children with developmental disabilities. Senator Harrell explained that the bill is aimed at improving autism diagnosis, early intervention, and services by expanding screening and referral grants, extending Early Steps services, designating the University of Florida Center for Autism and Neurodevelopment as a coordinating research hub, creating grants for autism-focused charter schools and summer programs, and establishing a microcredential for workers who serve children with autism. Several senators spoke in support while raising implementation concerns, especially about provider recruitment, Medicaid managed care coverage, and the need for more research and technology support. In closing, Senator Harrell said the bill is a first step in a broader effort to improve services and research, and she addressed concerns by stating the services would be covered under new contracts and Medicaid, subject to a federal waiver, and that the microcredential would be developed online by the University of Florida with a stipend to encourage participation. The Senate then voted 38-0 to pass the bill. Afterward, the Rules Chair moved to waive rules and immediately certify the bill to the House, which was adopted without objection, and the Senate adjourned until the next scheduled meeting.

Transcript Highlights:

• Um when we think about Medicaid and SNAP, uh we did a lot of work to try and protect those programs um
• So, we think about what they're doing with Medicaid, about what they're doing with SNAP, uh with unfunded
• Um when we think about<00:04:23.040><c> Medicaid</c><00:04:23.720><c> and</c><00:04:23.880><c> SNAP,<
• and SNAP, uh we did a lot about Medicaid and SNAP, uh we did a lot of<00:04:25.560><c> work</c><00:04
• ,</c> about what they're doing with Medicaid, about what they're doing with Medicaid, with<00:05:09.960

Summary: The interview focused on the Minnesota Senate DFL’s end-of-session accomplishments and frustrations. The senator said the caucus entered the session expecting little to get done in a divided, election-year legislature, but instead passed a range of major measures, including emergency rental assistance, immigration enforcement, gun violence prevention, an independent Office of the Inspector General, consumer protections for homeowners associations, and a $1.2 billion bonding/infrastructure bill for water, roads, and bridges. He said the bonding bill was a success but criticized the limited funding for lead pipe replacement, noting only $15 million was included. He also discussed affordability measures, especially a vehicle tab fee reduction negotiated in connection with the bonding bill, saying Democrats wanted the relief to take effect sooner but Republicans pushed implementation to January. He described other unfinished or blocked items, including a small business relief package tied to Metro Surge and efforts to protect Medicaid and SNAP from federal changes. He said many Senate proposals were developed through committee hearings and were meant to be negotiated publicly, but argued the House often failed to do comparable work, leading to last-minute deals and more party-line votes. The senator was sharply critical of federal actions under the Trump administration, saying cuts and mandates were harming states, counties, Medicaid, and SNAP, and weakening the state-federal partnership. Looking ahead, he said interim work will likely focus on procedural changes and health care, including stabilizing HCMC and supporting rural hospitals. He said the session’s work was aimed at serving Minnesotans first, and expressed optimism about the upcoming election season and the possibility of changing legislative practices next session.

Transcript Highlights:

• The department would bill the Division of Medicaid for a 50% federal match for these positions, with
• to rent revenue; add three FTP and $397,300 from dedicated funds for enhancement number two for Medicaid
• For Medicaid procurement staff, include requested program transfers for enhancements three and four for
• I have worked with the Director of Administration and Medicaid trying to make sure that we solve this
• And if there is one thing that they are in need of, it's procurement agents working with Medicaid or

Summary: The committee took up a series of JFAC budget items, beginning with health education programs. Members approved an FY 2027 increase of $900,000 and 2.5 FTP for psychiatry, family medicine, OB fellowship, child psychiatry, and veterinary education slots. They then adopted language to shift funding for the family medicine OB fellowship to the rural health transformation program if those funds become available before July 1, 2026, with the general fund then redirected to undergraduate medical education seats under H 368. The language drew debate about whether rural health money should be reserved for rural facilities and whether the provision would preempt a future committee’s role, but it ultimately passed. The committee next approved the Office of the State Board of Education budget, including Canvas LMS renewal, transfer of risk managers to institutions, and a federal post-secondary improvement grant, with a net increase of $4,487,900 and a reduction of four FTP. For colleges and universities, a substitute motion to add general fund support for an additional rescission restoration and other items failed, and the original motion passed instead, providing a smaller increase. Community colleges received a one-time general fund increase of $1,123,200 after the committee rejected a substitute that would have only reduced Canvas costs. Career Technical Education was addressed twice: first, the committee approved $957,600 one-time from the Career Ready Students Fund to restore a prior rescission in secondary programs; later, it approved $1,877,300 one-time from the same fund for secondary CTE programs after rejecting a substitute that would have used ongoing general fund support. The Department of Administration budget included utilities, Medicaid procurement staffing, training, document services, IT hardware, and a rescission correction. The committee rejected the main motion after concerns were raised about staffing for a large Medicaid managed care contract, but then approved the Permanent Building Fund budget, including $890,100 for design of a National Guard Readiness Center in Bonneville County and $71.6 million for replacement items and maintenance projects. Standard language and reporting language for that fund were adopted by unanimous consent. Finally, the State Lottery received approval for $25,800 in dedicated funds for replacement computers used in scratch-game design. The committee adjourned after announcing future work group meetings and upcoming budget agenda items.

Transcript Highlights:

• So Medicaid, um, people on Medicaid do not have dental coverage in all cases.
• But for a lot of Medicaid recipients, they do not have any dental coverage.
• So Medicaid, um, um, Thank you. for another covered medical procedure.
• So Medicaid is not, don't, people on Medicaid do not have dental coverage in all cases.
• But for a lot of Medicaid recipients, they do not have any dental coverage.

Committees: Senate Health & Welfare , Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present. After adopting the April 28 minutes, the committee heard a brief presentation on the new Leadership Louisiana Health Fellows Program, which is intended to bring together health care, business, policy, and education leaders to study Louisiana health challenges and build a network for action. Members expressed support for the program and its potential value to health policy work. The committee then advanced several bills, often with technical or substantive amendments. SB 57, a nutrition-labeling bill, was amended to push its effective date to December 31, 2028 and reported as amended. HB 62 increased the membership of the Louisiana Women’s Policy and Research Commission to 27 members and was reported as amended. HB 193 updated membership rules for the sickle cell commission foundations so long-serving executive directors would not have to reapply repeatedly, and it was reported as amended. HB 815 would allow financial institutions to receive death certificates to help families manage accounts after a death; it was reported favorably after a question about state-licensed banks. SB 405 was substantially revised to codify LDH’s new Ascend nursing-facility quality initiative, including statewide quality oversight goals, stakeholder involvement, reporting requirements, and tools such as dashboards and surveys; after reconsidering prior action and adopting the new amendment, the bill was reported as amended. The committee also approved HB 222, which provides Medicaid dental coverage when needed for another covered medical procedure, and HB 420, which requires background checks for all DCFS employees with access to sensitive information. HB 475 requires verbal consent when AI is used to record or transcribe a medical visit and was reported favorably after a technical question. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council on grandparents raising grandchildren, including replacing an inactive coalition seat with the state police superintendent or designee. HB 486 would enter Louisiana into the psychology inter-jurisdictional compact to expand access to mental health care, and HB 574 updated outdated board names on the Mental Health Advisory Services Board; both were reported favorably. Later, the committee reported HB 949, which creates a licensure framework for radiologist assistants to help address imaging workforce shortages, especially in rural areas, and HB 584, which requires foster children to be provided luggage instead of trash bags for their belongings and restores “rights” language in the Foster Youth Bill of Rights. The committee also reported HB 1214, restructuring certain LDH facilities into a single system under the secretary’s office; HB 1092, a technical renaming/terminology cleanup bill; and HB 203, which adds members to the uterine fibroids commission. Throughout the meeting, members and witnesses emphasized access to care, workforce shortages, child welfare, and quality improvement, and the committee repeatedly adopted amendments and reported the bills favorably or as amended before adjourning.

Transcript Highlights:

• And I want to level with you about Medicaid expansion.
• And I want to level with you about Medicaid expansion.
• The 1,400 jobs that Medicaid expansion supports are created is another thing.
• My friends, I know that there are concerns about the cost of Medicaid.
• I know that there are questions about whether this state can afford to keep Medicaid expansion.

Bills: SB1287 , SB1983 , SB1796 , SB1806 , SB1558 , SB2135 , SB483 , SB1198 , SB1265 , SB2154 , SB2139 , SB1552 , SB2118 , SB1775 , SB259 , SB1344 , SB1380 , SB2007 , SB1572 , SB2074 , SB1423 , SB1425 , SB1502 , SB1503 , SB1833 , SB1561 , SB1555 , SB2044 , SB1749 , SB904 , SB1565 , SB1500 , SB667 , SB1484 , SB1562 , SB1644 , HR1045 , SB227 , SB1627 , SB1475 , SB1966 , SB2049 , SB1531 , SB80 , SB1734 , SB1630 , SB1894 , SB1975 , SB1432 , SB1437 , SB1812 , SB346 , SB710 , SB1489 , SB1614 , SB2045 , SB1250 , SB1304 , SB1501 , SB1946 , SB592 , SB65 , SB1257 , SB444 , SB640 , SB2178 , SB1242 , SB1642

Summary: The House convened with a roll call, prayer, and Pledge of Allegiance, then heard several introductions and special recognitions, including students and civic groups in the galleries, the Morris Eagles High School Academic Team, Calumet state champion teams, and Cherokee Nation Day at the Capitol. Cherokee Nation Principal Chief Chuck Hoskin Jr. delivered extended remarks focused on tribal investments in public education, health care, housing, child care, rural infrastructure, and workforce development, and he urged lawmakers to preserve Medicaid expansion, saying it has brought major health-system revenue, jobs, and broader economic benefits to Oklahoma. The chamber also recognized the Doctor of the Day, Dr. Abby Woods, and Nurse of the Day, Kara Delapena. Members made personal remarks about the Pauls Valley High School incident and a trooper accident, with prayers offered for those affected. Representative Rowe highlighted the courage of school officials and first responders in Pauls Valley and tied the event to the Legislature’s recurring school safety funding. On legislation, the House adopted House Resolution 1045 designating the second week of April as Lung Cancer Action Week. Senate Bill 227, dealing with gross production tax and ad valorem taxation of oil and gas production equipment and flow lines, drew extensive debate over alleged double taxation and fiscal impacts; it passed 76-14. Senate Bill 1627, a criminal statutes cleanup measure addressing duplicate sections from modernization, passed 89-0 and its emergency clause also passed 89-0. The House also approved motions to request further conference on House Bills 2155 and 2157, and then adjourned until the next day.

Transcript Highlights:

• House Bill 16, an act relating to Medicaid. Representative Burke.
• House Bill 16, an act relating to Medicaid. Representative Burke.
• </c><00:29:08.880><c> Representative</c> to Medicaid expansion.
• Representative to Medicaid expansion. Representative Burke. Burke. Burke.
• </c><00:29:16.559><c> House</c> Medicaid. Representative Burke. House Medicaid.

Transcript Highlights:

• Last year we passed this policy for our Medicaid plans, and we have seen the policy working for the last
• So, as I said, we've been doing this in our Medicaid plans. We're seeing that it's working.
• It has not So, as I said, we've been doing this in our Medicaid plans.
• We are statewide for Medicaid. We have participated in the exchange since its inception.
• I don't qualify for tax credits or Medicaid due to my income.

Summary: The committee first met in executive session and advanced Senate Bills 6102 and 6103 with due-pass recommendations to the Rules Committee, and referred Senate Bill 6194 to the Ways and Means Committee without recommendation. SB 6102 would align the Ambulance Transport Fund quality assurance fee with federal regulations, SB 6103 would make payments for rural emergency hospital services subject to appropriation, and SB 6194 would allow cost-based Medicaid payments for rural hospitals on federally recognized Indian reservations under specified conditions. The committee then held public hearings on several bills. SB 6183 would require health plans, beginning in 2027, to cover FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management, with one therapeutic-equivalent exception for prevention drugs. The prime sponsor and one testifier supported the bill as a way to reduce barriers to timely HIV treatment and prevention; sign-in testimony showed 53 pro, 58 con, and one other. SB 5985 would create an online endometriosis resource center, require Department of Health training modules, and direct OSPI to include menstrual health and endometriosis awareness in school standards. The sponsor and multiple patients and clinicians testified in support, emphasizing long diagnostic delays and the need for earlier education; sign-in testimony showed 36 pro, 56 con, and 92 not testifying. SB 6019 would revise home care rate statutes to clarify how Medicaid home care agency rates are set, cap administrative portions at 20%, and require verification that funds are spent as required. The sponsor, labor, and provider representatives supported it as a technical fix to preserve pay parity, while sign-in testimony showed 46 pro and 57 con. SB 6161 would direct the Department of Health to include dementia risk-reduction information in public and provider materials when appropriate and to consult experts; supporters said it could help reduce cognitive decline and align with the state Alzheimer’s plan, while sign-in testimony showed 61 pro and 62 con. Finally, SB 6210 would authorize the Health Benefit Exchange to add a new certification criterion for marketplace plans to address affordability and access, including possible requirements tied to county availability, plan differentiation, and metal-level offerings. The prime sponsor, the Exchange, AARP, and patient advocates supported it as a response to rising premiums and limited choices, especially in rural or single-carrier counties; insurers, brokers, and some carriers opposed it, warning it could reduce competition, create uncertainty, and raise costs. The Office of the Insurance Commissioner supported the bill with a requested amendment to avoid premature disclosure of proposed rates.

Transcript Highlights:

• population, so they only speak to the Medicaid-enrolled population.
• These results are derived from the Medicaid-enrolled population, so they only speak to the Medicaid-enrolled
• Another thing that's nice about this study is we have Medicaid outcome data going back to 2012.
• So in this case, we have annual Medicaid claims data between 2012 through 2023.
• They speak to the Medicaid-enrolled population.

Committee: House Consumer Protection & Business

Summary: The committee held a work session on earthquake insurance and later on Washington State Institute for Public Policy (WSIPP) cannabis and I-502 research. The Office of the Insurance Commissioner explained that earthquake coverage is usually excluded from standard property policies, is expensive, and often carries very high deductibles. Staff also described admitted versus surplus line insurers, and introduced parametric insurance and captive insurance as specialized risk-transfer tools mainly used by commercial and sophisticated buyers. OIC data showed about 226,000 admitted earthquake policies in 2023, with most personal policies concentrated in the Puget Sound and Vancouver areas and commercial endorsements more broadly distributed. A second panel, including insurance and banking representatives, focused on potential catastrophic earthquake exposure for commercial buildings and collateralized loans. They argued that many commercial properties may lack earthquake coverage, leaving banks and the broader economy exposed if owners default or surrender damaged properties after a major quake. They discussed the Nisqually earthquake, the Cascadia subduction zone, building age, soil and slope conditions, retrofit standards, pollution remediation, and the need for property resilience assessments and inventories of vulnerable buildings. Members asked about consumer impacts, affordability, education, and whether legislation like prior work on unreinforced masonry buildings could help reduce risk; the Washington Bankers Association said earthquake insurance is costly and that affordability is a major concern. Committee members also discussed inventories and risk assessment efforts, including state geologist work on school buildings and whether similar approaches could be extended to nearby private structures. The presenters said banks likely have good inventories of their collateral but may not know which properties are most vulnerable to earthquake damage. The discussion ended with a request for follow-up information on consumer education and disaster planning resources. WSIPP then presented its long-running evaluation of Initiative 502 and cannabis legalization. Staff explained WSIPP’s nonpartisan role and its legislatively directed 20-year study, with final benefit-cost work due in 2032. The presentation summarized prior findings that cannabis misdemeanor convictions dropped sharply after legalization, though racial disproportionalities persisted at lower absolute levels. WSIPP also reported that shorter drive times to cannabis retailers were associated with higher reported adult cannabis use, more fatal traffic crashes involving local drivers, higher THC-positive rates among blood-tested crash drivers, and higher cannabis use disorder diagnoses and co-occurring substance use disorder diagnoses among Medicaid enrollees. For high school students, nearby retail access was associated with more reported use, more unexcused absences, and a lower likelihood of graduating on time. In the newest 2025 Medicaid study, WSIPP said retailer openings were associated with higher cannabis use disorder diagnoses, hospitalizations, inpatient treatment, and co-occurring mental health diagnoses, while emphasizing that the analyses show associations rather than direct causation and that results are specific to Medicaid enrollees.

Transcript Highlights:

• We're trying to find money for Medicaid to keep people into houses to fight this drug crisis.
• We're trying to find money for Medicaid to keep people into houses to fight this drug crisis.
• Right now, our assisted living facilities are being reimbursed for Medicaid on rates that were based
• Assisted living is one of the only long-term care settings where Medicaid rates have been cut rather
• This budget adds another on the rough order of 200 or 200-plus million dollars in Medicaid cuts.

Summary: The House Appropriations Committee met in executive session on a proposed substitute operating budget bill and worked through a long series of amendments before voting on the bill. Members discussed a wide range of budget items, including court funding for Thurston County civil filings, Attorney General funding for a domestic extremism task force, grants for Yakima aquatics access, North Mason mobile integrated health, mentoring programs, poverty reduction work, a proposed Department of Housing task force, federal grant inventory staffing, HEAL Act funding, assisted living rebasing, DCYF family resource centers and pediatric interim care, law enforcement training and equipment, shellfish and birthing center licensing fees, school bus depreciation, charter school accountability, transition to kindergarten priorities, and several Fish and Wildlife and OSPI grants. The committee also considered amendments related to the Columbia River Gorge Commission, shrub-steppe habitat mitigation, and a study on Lower Snake River reservoir drawdown impacts. Debate on many amendments centered on whether items were statewide priorities or local projects, and on the fiscal constraints of the budget. Supporters often argued that proposals would protect vulnerable populations, improve public safety, or leverage future savings and outside funding; opponents frequently cited budget pressure, the availability of existing funding, or the need to avoid singling out local projects. Some amendments were adopted, including Clark 343 on intent to fund up to 10,000 additional eCAP slots, Jones 419 on paint stewardship funding, and Stevens 070 limiting birthing center license fees. Many others failed, including amendments on Thurston County court funding, the domestic extremism task force, Yakima aquatics, North Mason mobile integrated health, mentoring, poverty reduction workgroup funding, the Department of Housing task force, federal grant staffing, HEAL Act funding, assisted living rebasing, the PIC Center contract, the Lacey regional training academy, and several Fish and Wildlife and OSPI-related proposals. The committee then moved to the underlying bill, Proposed Substitute House Bill 2289, and adopted a do pass motion after disposing of the amendments. The transcript indicates the committee ultimately reported the bill out of committee with a do pass recommendation.

Transcript Highlights:

• Medicaid recipients must spend down to $2500.<01:04:31.359><c> Now,</c><01:04:31.599><c> Medicaid</c
• Now, Medicaid currently allows an $2500.
• Um what my the portion of the Medicaid.
• Um, and so then I will bill Medicaid, Um, and so then I will bill Medicaid, which<01:10:24.199><c> becomes
• So it's really a on Medicaid in total.

Summary: The Finance Committee first took up Senate Bill 63, which Representative Maguire described as a straightforward bill setting funding for the Division of Travel and Tourism. He said it was not controversial. The committee voted to retain the bill by roll call, with one no vote and one member absent, and the motion passed 23-1-1. The committee then considered Senate Bill 74, dealing with annual reporting requirements for state departments that issue permits. Representative Maguire explained Amendment 2282 would shorten the reporting burden by requiring summary data on delayed permits rather than listing every permit, and would delay the first report until 2027 so agencies would not have to reconstruct old data. The amendment was adopted by voice vote, and the bill was then approved as amended by a 24-1 roll call vote. Next, the committee heard Senate Bill 241 on construction of a public pier at Hampton Beach. Representative Sweeney moved inexpedient to legislate, saying the project was ambitious and lacked public support. The motion passed unanimously 25-0, sending the bill to consent. Division Two then took up Senate Bill 145, a replace-all amendment to the education freedom account bill. Supporters said the amendment clarified the bill, kept the policy intact, removed a reimbursement program and an open-ended appropriation, and established a cap of 10,000 students with priority for current students and certain other groups. Opponents argued the measure was still a major expansion, would increase spending after crossover, and that the cap was not meaningful. After discussion, Amendment 2301H was adopted and the bill was approved as amended by a 25-0 vote, with members noting it could go on consent because no money remained in it.

Transcript Highlights:

• Signed, Senator Brennan, chairman. centers Medicaid coverage centers Medicaid coverage respectfully<00
• </c> House Bill 4, Birthing Centers Medicaid House Bill 4, Birthing Centers Medicaid Coverage,<02:42:
• It'd be just like any other Medicaid provider. They get paid according to the Medicaid regulations.
• </c> It'd be just like any other Medicaid It'd be just like any other Medicaid provider.<02:48:40.479
• </c> Medicaid regulations. Medicaid regulations.