Transcript Highlights:

• Getting the 10 day, I thought you might wonder why is it 10 days.
• This bill will take care of the caregivers that have in turn stepped up to care for these kids.
• It has been documented that children in kinship care situations compared to children in foster care with
• So I've seen kinship care in the um. Traditional foster care, you know, type court system.
• For kinship care, seems to me we should err on the side of kinship care.

Committee: House S/C on Family & Fiduciary Relationships

Transcript Highlights:

• health care economy.
• But when you exclude long-term care, Medicaid growth is at 9.1%. ...term care.
• of their care.
• Anyways, and then when my grandmother left the hospital for eight days, there was no... they didn't care
• This is taken care of.

Keywords: 962, all

Summary: The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting. The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data. Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.

Transcript Highlights:

• rely on every day.
• rely on every day.
• We take for granted every single day that if we need some hair care product or we want a haircut, we
• Children are in hospital care, and when they get released, they have no hair care abilities while they're
• Be careful, I'm on record.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Keywords: 995, all

Summary: The committee hearing covered a wide range of child welfare, family support, and human services bills. Testimony strongly supported a guaranteed cash stipend for young adults aging out of foster care (S.161), with the Attorney General’s Office, youth advocates, and foster care providers describing high rates of homelessness and poverty after exit from care. Providers also urged action on a resolve to study the foster care liability insurance crisis (H.197/S.1280), saying premiums and coverage losses are forcing program cutbacks and could reduce foster care capacity statewide. Another major topic was a direct care worker medication administration program registry (H.237/S.162), which supporters said would help recruit and train workers, especially bilingual staff, to address workforce shortages in human services. Several bills focused on child protection and child welfare system practices. Supporters of H.267/S.145 called for advance notice to children’s attorneys when placements or other major events change, arguing that timely communication is essential to prevent unnecessary disruption and improve advocacy. Testimony also backed legislation to formally recognize and strengthen children’s advocacy centers and the Massachusetts Children’s Alliance (H.233/S.112), with prosecutors and CAC leaders describing the trauma-informed model as a longstanding, effective response to child abuse and trafficking. A bill to establish a Massachusetts children’s cabinet (S.115) drew support from advocates who said cross-agency coordination is needed to align policy and funding for children’s well-being. The committee also heard testimony on bills addressing safety, equity, and family support. Senator Lovely and survivors supported S.152, which would create a civil cause of action for sexual abuse by adults in positions of authority or trust, with witnesses describing grooming and power imbalances in schools and youth-serving settings. H.274, a bill of rights for people experiencing homelessness, was supported by advocates who said it would add anti-discrimination protections and voting and privacy rights amid rising criminalization of homelessness. H.272/S.171 to protect maternal health received support from Rep. Montaño, MLRI, and a physician, who said the bills would make cash assistance available earlier in pregnancy and remove the medical-verification barrier. H.4216 on equitable hair care for children in state custody was supported by social workers and advocates who said hair care is tied to identity, dignity, and mental health. H.255 on empowering early educators drew testimony about barriers faced by renters and condo owners trying to open home-based child care programs. H.217, concerning resources and support for pregnant and parenting families, drew testimony from anti-abortion pregnancy resource center advocates. No votes were taken during the hearing, and several bills had no one signed up to testify or were deferred when witnesses were unavailable.

Transcript Highlights:

• They care for our seniors.
• The Senate bill's amendment is five days rather than seven days before adoption.
• Mother's Day.
• , and updated ...individualized treatment plans every 30 days when a person is receiving inpatient care
• We don't care. They didn't care so bad. You know what they did?

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and recognized several introductions and memorials, including a resolution designating August 9, 2026, as Bob Graham Day and a moment of silence for firefighter Roger Timmy Miley. The chamber then moved through a long special-order calendar, with several bills substituted with House companions and adopted by voice vote or recorded vote. Early measures included a tax conformity bill tied to federal Internal Revenue Code changes, which passed 34-0, and a Medicaid/public assistance bill that drew extensive debate over work requirements, fraud reduction, behavioral health services, and SNAP/EBT reforms. Amendments offered by Senators Berman and Osgood to condition or soften the work and photo-ID provisions were rejected, and the underlying bill was placed on the third-reading calendar after lengthy questioning about implementation, exemptions, and eligibility effects. The Senate also passed bills on computer science education and AI instruction, a Parkinson’s disease registry public-records exemption and registry update, designation of the SS American Victory as Florida’s official state flagship, electronic payments for local governments, repeal of the legal-tender sunset for gold and silver, public-records protections for gold/silver custodians and stablecoin-related entities, a Florida stablecoin pilot program, and local government budget transparency/spending measures. Most of these measures were adopted after minor amendments or technical substitutions, with votes generally ranging from 31-3 to 34-0. The chamber also recognized the Florida Channel’s 30 years of legislative coverage. Later, the Senate approved a digital voyeurism bill expanding the reasonable-expectation-of-privacy definition to include private fenced yards, and an insurance customer representative licensing bill allowing high school students to complete insurance/personal finance coursework and later qualify for licensure. The final major item was a medical freedom bill that would expand parental vaccine information requirements, add a conscience-based exemption to immunization mandates, allow behind-the-counter ivermectin for adults, and repeal the sunset on the mRNA mandate prohibition; two amendments clarifying anti-kickback rules and requiring vaccine information to include risks, benefits, safety, and efficacy were adopted, while questions from Senators Smith and Massullo focused on public-health impacts and the content of the required materials. The transcript ends during discussion of that bill, with no final vote shown in the excerpt.

Transcript Highlights:

• We took guns to school every day. Every day. Every day. Every day. And we had guns.
• The first thing I'm going to do is, and I don't care if it's night or day, I'm going to go to Johnny's
• the day of the week.
• They must care for the mother. They also must care for the baby.
• This is two days left. This is two days left.

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the House Journal for the prior day by a 123-0 roll call vote. Members then used personal privilege remarks to recognize National Police Week and honor fallen officers, and several members offered farewell tributes to departing colleagues and interns. The chamber also introduced a number of special guests, including the Hallsville FFA Barbecue Contest Team, Mizzou wheelchair basketball players, school groups, interns, and a visiting alderwoman and former representative. The House received Senate messages and committee reports on several bills, then took up House Bill 1839, along with related bills 2921 and 3015, concerning online age verification for certain adult content and related matters. After a brief explanation that the Senate amendment was a technical fix, the House concurred in Senate Amendment 1 by 104-30 and then finally passed the combined bill package by 112-25. The chamber also adopted and then finally passed the conference committee report on House Bill 2596, which was described as a small-business health insurance measure that modernizes pooled plan language and includes a contraception coverage provision expanding private insurance coverage from a six-month to a 12-month supply; the report was adopted 120-26 and the bill was finally passed 119-27. The most extended debate centered on Senate Bill 905, which would create the Missouri Ranger training program and allow school districts, if they choose, to place specially trained armed rangers on campus with narrow arrest powers. Supporters argued it would give districts a voluntary, locally controlled, and potentially low-cost option to improve school safety, especially where school resource officers are unavailable or response times are long. Opponents said schools already have other options, warned about liability, funding, training, and the lack of child-development or mental-health components, and argued that more armed personnel would make schools feel more like prisons and would not address the root causes of school violence. The transcript ends during continued questioning and debate on SB 905, before any final vote is shown.

Transcript Highlights:

• caring professions.
• Every day, more than 48 million family caregivers provide essential care to loved ones who are aging,
• </c> that they do every day. Thank you, Mr. that they do every day.
• </c> felonies a day without even knowing it. felonies a day without even knowing it.
• </c> components of our health care system. components of our health care system.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, December 1, 2025, 1012, house, all

Transcript Highlights:

• The bill before you adds a child care licensing exemption: a school-day ECEAP program or a Head Start
• care.
• They talked about 45 days. Are those 45 days calendar days or school days? Thank you, Madam Chair.
• , not school days.
• And adding days in the unit of school days might actually extend it beyond the 60 calendar days.

Summary: The committee heard testimony on several House education bills. HB 1796 would allow school districts, under existing debt limits and with voter-approved capital levies, to issue non-voted bonds for certain new construction projects. The sponsor and school district witnesses said it would let districts front-fund projects, speed construction, and reduce inflation-related costs; a member of the public opposed it as bypassing voters. HB 2317 would exempt school-day ECEAP and Head Start programs located in public school or community/technical college buildings from child care licensing. The sponsor and providers said the current licensing process is duplicative, delays services, and creates barriers to expanding early learning; no opposition was heard. The committee also heard HB 2594, which would codify McKinney-Vento homeless student protections in state law, require OSPI planning and reporting, and reinforce district responsibilities for students experiencing homelessness. The sponsor gave personal testimony about experiencing homelessness as a student, and advocates said the bill would improve coordination and accountability at no added cost. For HB 2557, which requires school districts to give parents a copy of special education evaluation reports by the 35th school day and hold the eligibility meeting at least five school days later, the sponsor said it would give families time to review reports; school psychologists and OSPI supported the substitute version, while some advocates asked for shorter timelines and clearer waiver language. After the hearings, the committee moved to executive session and advanced two bills: Substitute HB 2360, allowing schools to maintain and use stock albuterol under specified conditions, and Engrossed Substitute HB 2534, updating requirements for military families’ enrollment, records transfer, and related services. Both bills received due pass recommendations and were sent to Rules, with no recorded opposition in the executive session.

Transcript Highlights:

• continue to access that care for a period of 60 days in order to help transition that care to other
• c><02:20:25.359><c> of</c><02:20:25.520><c> 60</c><02:20:25.840><c> days</c> access that care for a period
• of 60 days access that care for a period of 60 days in<02:20:26.720><c> order</c><02:20:26.800><c> to
• And that's what I do every day is take care of patients.
• We hear from our moms every day about these child care challenges.

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• Self-care.
• Are there every day to learn? Every day to feel safe.
• of losing medical care.'
• of our children, and yet they are being threatened all day, every day.
• It is important that we tell people that mental health care is just the same as health care.

Summary: The Assembly met in session, established a quorum, and opened with a prayer and the Pledge of Allegiance. Members then moved through guest introductions, including students and fellows from California Lutheran University, UC Merced’s CAPE program, the Maddy Institute, and Madera High School’s Madtown Robotics Team 1323, which was recognized for multiple robotics world championships. The chamber also adopted an adjournment in memory and took up the daily file. Several bills and resolutions were considered and passed, including AB 1390 on school board compensation thresholds, AB 1338 on air district cost recovery for fence-line air monitoring, AB 648 on community college housing, AB 1207 on cap-and-trade price ceilings, ACR 66 recognizing Skin Cancer Awareness Month, AB 49 on keeping ICE out of public schools, AB 317 on a CEQA exemption for certain single-family homes, AB 527 on geothermal exploratory wells, AB 665 on the Department of Financial Protection and Innovation ombudsman report, AB 940 creating quantum innovation zones, AB 1021 on workforce housing for education agencies, AB 1112 on property tax apportionment in Rancho Mirage, AB 1318 on nonprofit eligibility for public funding, and AB 1470 on using student housing loan funds for affordable housing in downtowns and commercial districts. Most measures passed with broad support; AB 49 and AB 1318 were urgency bills and passed with the required higher vote threshold. The floor also adopted H.R. 40, declaring May 25 as Rosenda’s Day to honor a teen killed by a drunk driver, and H.R. 42, recognizing May as Behavioral Health Awareness Month. Both drew extensive personal testimony from members about mental health, suicide, substance use, and the need to reduce stigma and expand access to care. Additional health-related bills passed, including AB 408 creating a physician health and wellness program, AB 546 requiring coverage for HEPA purifiers for certain enrollees after wildfire disasters, AB 967 expediting licenses for out-of-state physicians, and AB 968 expanding pharmacist authority to provide non-hormonal contraception. The Assembly also debated AB 1056 on phasing out gill net fishing and AB 1376 on limiting juvenile probation terms, with supporters framing both as conservation or rehabilitation measures and opponents warning about economic harm or public safety concerns. Both bills ultimately passed. Throughout the session, members repeatedly emphasized public safety, education, housing, climate, health care access, and support for immigrant and youth communities, with recorded roll-call votes and voice votes taken on each measure.

Transcript Highlights:

• establishing an education commissioner appointed through a formal process, this bill helps separate day-to-day
• It has 22,000 new child care slots.
• downstream health care savings.
• the health care they need and deserve, and it expands access to menopause care by requiring health plans
• It funds abortion care and reproductive care and LGBT care and menopause care, which, by the way, isn't

Summary: The Assembly convened after a quorum call, prayer, and pledge, then moved through a largely procedural session with several unanimous-consent motions, guest introductions, and budget-related trailer bills. Members also adopted resolutions recognizing June as Dairy Month and June 2026 as Electronic Dance Music Month, and later approved H.R. 88 commemorating the 250th anniversary of the Declaration of Independence. Guest introductions highlighted the Los Angeles Dodgers, San Diego Kappa League, Assembly staff member Mukhtar Ali, and Jennifer Levy, who is advocating against drunk driving after the death of her son. On the floor, the Assembly considered a series of Senate budget trailer bills presented by Assembly Member Gabriel. SB 170 reorganizes housing and homelessness agencies; SB 171 makes labor-related cleanup changes; SB 172 addresses general government, broadband, and NextGen 9-1-1; SB 174 extends remote court hearings and related court provisions; SB 177 advances options related to Medi-Cal and employer contributions; SB 180 extends the California Competes tax credit and conforms tax treatment for certain savings accounts; SB 169 covers transportation and DMV-related provisions; SB 168 creates a zero-emission vehicle incentive program and other clean-energy changes; SB 166 implements natural resources and environmental protection budget items; SB 165 extends the skilled nursing facility financing framework; SB 163 updates developmental services; and SB 135 funds higher education initiatives, including community college enrollment and Cal Grant changes. Most of these measures passed with bipartisan support, though several drew opposition over concerns about bureaucracy, fees, oversight, or policy direction. The Assembly also passed SB 719, which updates vehicle-related protections for domestic violence survivors, SB 97, an urgency bill making clarifying changes to digital financial asset law, SB 1350, which supports hydrogen and clean energy development, and SB 1344, which aims to reduce meritless lawsuits delaying affordable and supportive housing projects. AB 182, which sets the order for proposition numbers on the November ballot, was approved despite criticism that it manipulates the ballot numbering process. Votes on the measures were recorded, with many passing on strong margins and several transmitted immediately to the Senate or Governor as noted in the proceedings.

Transcript Highlights:

• homelessness, our aging community that struggles every day, just quality care in general.
• I learn more every day.
• I'm also, in my day job, an attorney.
• The first thing is community-based care.
• We literally had to take a whole day, have a board retreat, and spend the majority of that day—well,

Summary: The Human Services Subcommittee held its first meeting of the term and heard introductory remarks from the chair, vice chair, ranking member, and members, who broadly described their interest in child welfare, mental health, aging services, homelessness, and agency accountability. The chair then outlined the subcommittee’s jurisdiction, including child welfare, mental health and substance abuse safety net services, domestic violence, developmental disabilities, elder services, and child support, and introduced the Department of Children and Families (DCF) as the first agency panel for the term. DCF presented an implementation update on HB 7089, a 2024 law aimed at increasing accountability and transparency for community-based care (CBC) lead agencies that deliver most child welfare services under contract. The department said the bill was prompted by forensic examinations that found problems such as noncompetitive procurement, related-party transactions, excessive executive compensation, and weak financial oversight. DCF described new contract requirements and monitoring tools covering board governance and annual training, conflict-of-interest disclosures, financial penalties for noncompliance, fidelity bond requirements, limits on direct service provision by lead agencies, related-party procurement rules, procurement thresholds, real-property approvals, compensation caps, expanded public reporting, and a new Future of Child Protection and Funding Work Group. DCF reported that some lead agencies had completed required board training, others were still on schedule, and two agencies exceeding the direct-service threshold had been referred to the Auditor General. Members asked DCF about the reasons for the bill, the impact on children, the work group’s regional representation, aging-out youth, the Embrace Families transition, board training requirements, and whether enforcement actions had been taken. DCF said the bill was intended to protect funds for children and families and improve oversight, and clarified that the Central Florida lead agency contract was awarded through competitive procurement rather than an absorption. DCF also said the board training was designed to be meaningful but not overly burdensome, with timing left partly to lead agencies as they implement the new requirements. The committee then heard from two CBC leaders, who generally supported the accountability goals of HB 7089 and said their agencies had already addressed most of the new governance and disclosure requirements. They reported that board training had been completed or was being scheduled, but both agencies said the fidelity bond requirement has been difficult or impossible to obtain in the market as written, though they were able to secure the separate performance bond. The CBC witnesses also warned that recruiting providers is increasingly difficult, especially for higher-acuity children and group-home placements, due to limited provider supply, regulatory burden, insurance costs, and rising risk. They said these pressures are contributing to budget deficits in some areas and urged lawmakers to consider the funding model, insurance and indemnification issues, and the risk of overregulation reducing provider participation.

Transcript Highlights:

• We care about not only access to care, but the quality of care that they receive so that our workers
• We care about not only access to care, but the quality of care that they receive so that our workers
• to care and quality of care.
• We think the most important care, a part of care for an injured worker is an upfront accurate diagnosis
• Every day matters, and delays in care cause increased pain, prolonged disability, and increased cost

Bills: HB2107 , HB2137 , HB2243 , HB2264

Committee: House Labor & Workplace Standards

Keywords: construction safety, hazard notification, worksite regulations, labor safety, state law, law enforcement, correctional officers, interest arbitration, collective bargaining, public safety, workers' compensation, healthcare providers, physical therapy, occupational therapy, employment, unemployment insurance, benefits, layoffs, workforce reduction, 904

Transcript Highlights:

• And George Fajou, Christian Care Ministry.
• I don't deal with the claims every day.
• I want a little bit more assurance in my health care.
• Happy first day. I'll keep this real brief.
• The proposal here seeks to increase the deadline to 45 days.

Committee: Senate Banking and Insurance

Keywords: 999, senate, all

Transcript Highlights:

• They're concerned about the impacts on education, housing, health care, and child care. So Mr.
• It won't be one day we won't be fine and the next day falling off. That's not how this works.
• On a single day in December, U.S.
• Care and exacerbate the workforce shortage in the health care sector.
• Every day.

Committee: Senate Senate Budget

Transcript Highlights:

• Texas requires health care providers to furnish records within 15 days. Arizona, 14 days.
• So, you know, a further clarification of patient and health care provider within 14 days at no cost would
• </c> provide appropriate care. provide appropriate care.
• afford care.
• </c> and the child care slot. and the child care slot.

Committee: House Health, Human Services & Elderly Affairs

Keywords: 1189, house, all

Transcript Highlights:

• care.
• And then partnerships and value-based care—very familiar with the Ohio high-value care network.
• care pricing as well.
• At the end of the day, having worked in health care, the specialty I probably respect the most are pediatricians
• You know, at the end of the day, I, you know, having worked in health care, the specialty I probably

Summary: The Rural Health Transformation Committee met to receive an overview from Department of Health and Welfare Director Juliet Sharon on Idaho’s Rural Health Transformation Program application and the federal rules governing the five-year funding. Sharon explained the program was created by the One Big Beautiful Bill Act, that Idaho’s award is about $186 million annually in year one, and that the state must obligate the funds by October 30 or risk losing them. She reviewed the application timeline, the federal scoring process, reporting and audit requirements, and the state’s plan to hire a 12-person limited-term team to manage solicitations, monitoring, and compliance. Committee members asked about scope-of-practice issues for dental hygienists and physician assistants, the risk of losing or gaining funds, survey methodology, telehealth, and how the state will use the money for workforce, technology, behavioral health, infrastructure, and tribal set-asides. Sharon said the department would continue working with the legislature on scope-of-practice policy, provide more detail on survey data and funding caps, and set up a shared information space with LSO for committee access. Sharon also walked through the five main initiative areas in Idaho’s plan: technology and access, innovative models, workforce, chronic disease and behavioral health, and rural infrastructure/partnerships. She emphasized that allowable uses include telehealth and EHR modernization, cybersecurity, EMS support, workforce recruitment and retention incentives, evidence-based behavioral health and chronic disease programs, renovations and mobile units, and a 3.5% tribal set-aside. She said the department is still refining what is allowable with CMS and that the committee will receive monthly summaries, procurement information, and performance reports. Members raised concerns about the survey’s heavy use of “other” responses, the amount of money going to administration, and whether telehealth spending is the best use of funds. Chris Jones of Catalyst Policy Group then offered outside perspective on rural health strategy and the federal program. He praised Idaho’s application but urged the committee to think in terms of integrated, patient-centered systems rather than isolated projects. He highlighted examples from other states involving community health workers, telehealth hubs, remote monitoring, value-based care networks, rural training pipelines, and partnerships among hospitals, FQHCs, and tribal providers. He cautioned against focusing on social determinants of health funding, encouraged use of technology to reduce labor burden and improve sustainability, and emphasized that training providers in rural areas tends to keep them there. No votes were taken. The committee agreed to tentatively meet again on May 28 during CMS’s planned Idaho visit, and the meeting adjourned.

Transcript Highlights:

• </c><03:52:09.080><c> of</c> care physicians within 30 days of care physicians within 30 days of reeding
• </c> care physicians that's within 30 days care physicians that's within 30 days this<03:54:03.080><c
• If they have already been able to do that within 30 days with primary care, they see no reason why it
• </c> the primary care provision is a 30-day the primary care provision is a 30-day provision<04:18:12.800
• physician can get credentialed in care physician can get credentialed in 30<04:20:28.920><c> days</c

Keywords: 928, house, all

Summary: The committee heard testimony on a non-germane amendment to HB 297 that would create the Granite State Home Mitigation and Resiliency Program. Insurance Commissioner DJ Beton, joined by department staff, explained that the proposal is intended to help homeowners afford insurance by funding proactive home improvements that reduce risk and improve insurability. He said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 available on a first-come, first-served basis. Beton described the problem as rising homeowners insurance premiums, hard-market underwriting, nonrenewals, and the resulting shift to more expensive surplus lines coverage. He said eligible projects could include roof fortification, exterior improvements, flood-related foundation work, and removal of hazardous trees or limbs. He cited similar programs in other states, especially Alabama, Louisiana, and North Carolina, as evidence the model can work and noted that industry representatives were present in support. He also said the program would use means testing aligned with the Department of Energy’s weatherization program to target lower-income applicants. Members asked about the non-germane process, who would administer the program, and how the bill would prevent misuse of grant funds. The commissioner said the department would administer the program using one repurposed existing position, with Treasury handling fund flow through an MOU. Staff explained that applicants would have to show completed work through a signed contract, itemized work, and a sworn contractor affidavit, with some upfront payment allowed for materials and the remainder paid after completion. The chair and members discussed that the amendment is being attached to a different bill only to move the proposal through committee and on to House Finance for further consideration.

Transcript Highlights:

• health care that were removed.
• If they receive developmental disability or long-term care services through the ACA, which personal care
• It does include tribal members in our state, foster care and former foster care youth, those who are
• It does include tribal members in our state, foster care and former foster care youth, those who are
• that care.

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• This also serves the foster care population.
• We do that in our day-to-day work with revising policies, and that is one of our core functions, I would
• , if the managed care organization... ...if the managed care organization does not pay for these changes
• case management fee to primary care providers to help manage the care of someone and also increase the
• , that we will have some sort of other primary care case management through managed care.

Summary: The Joint Finance-Appropriations Committee held a budget hearing on the Division of Medicaid within the Department of Health and Welfare. Legislative Services analyst Alex Williamson reviewed Medicaid’s five budgeted programs, enrollment groups, staffing, historic spending growth, and the distinction between ongoing base adjustments and one-time enhancements. She explained that most Medicaid spending is in trust and benefit payments, discussed the large FY 2026 and FY 2027 budget changes, and walked through the governor’s recommendations, including hospital assessment fund alignment, claims forecast updates, MMIS procurement funding, estate recovery, program integrity support, and population forecast adjustments. Members asked extensive questions about the 4% provider rate reduction, the expansion population, federal match rates, and the effect of House Bill 345 and federal changes on Medicaid costs and eligibility. Williamson and Deputy Director Sasha O’Connell said the expansion population has declined, but costs are driven by utilization, provider rates, pharmacy, hospital, developmental disability, behavioral health, and long-term care services. They said the department is pursuing cost containment through prior authorization, redeterminations, higher cost sharing, and program integrity efforts, while noting that expansion is codified in law and any repeal or major eligibility change would require legislative action and could affect hospital assessment revenue and other offsets. The committee also discussed the MMIS replacement project, with lawmakers emphasizing milestone-based funding and risk control. O’Connell explained the estate recovery request as a replacement case management system plus contractor support to help recover Medicaid costs from estates, and said the program is federally required and revenue-generating. Several members raised concerns about backlogs, contractor costs, and whether AI or other technology could improve efficiency in program integrity and estate recovery. No votes were taken during the hearing; the discussion remained informational and focused on the governor’s budget recommendations and possible future reductions or policy changes.

Transcript Highlights:

• </c> been on the front lines of health care been on the front lines of health care since<00:17:56.640
• </c><00:19:01.919><c> Please</c> care hero. Trevor Fuji Saka. Please care hero. Trevor Fuji Saka.
• </c><00:19:19.360><c> That</c> paramedics care for his father. That paramedics care for his father.
• Care Hero. a healthc care professional can have. a healthc care professional can have.
• So ordered. honoring healthc care heroes. If we honoring healthc care heroes.

Keywords: 910, house, all