Transcript Highlights:

• Another element of the federal HR1 bill was to require an administrative error rate below 6%.
• Another<00:44:19.680> element<00:44:20.240> of<00:44:20.480> the<00:44:20.720>
• > federal<00:44:21.200> HR1<00:44:22.079> bill Another element of the federal HR1 bill
• Another element of the federal HR1 bill was<00:44:22.800> to<00:44:23.119> require<00:

Keywords: 1189, house, all

Transcript Highlights:

• But also paired with that, a consumer education element so that consumers are more aware of the issues
• 46:12.880> uh<00:46:13.040> consumer<00:46:13.520> education<00:46:14.079> element
• with that uh consumer education element with that uh consumer education element so<00:46:14.880>

Keywords: 919, house, all

Summary: The task force held its first meeting on the insurance affordability crisis affecting single-family housing, common interest communities, and multifamily rental housing. Members and staff introduced themselves, including representatives from insurers, the Department of Commerce, housing advocates, affordable housing developers, and HOA/community association interests. Representative Steve Elkins was elected chair by roll call vote with 10 members in favor, after discussion that the Senate appointee’s formal appointment had not yet arrived; the group noted the intent to later move to co-chair leadership once that appointment is finalized. Staff reviewed the task force’s enabling statute and open meeting law requirements. The task force is charged with studying homeowners and commercial property insurance, property resilience and risk mitigation, liability laws and possible tort reform, notice and oversight issues, public reporting, and the state-supported insurance program, including possible expansion to a catastrophic reinsurance fund or self-insured pool. The final report is due February 15 and will go to the commissioners of commerce, housing finance, and employment and economic development, as well as relevant legislative committees. Members were also briefed on meeting logistics, a draft charter to be voted on at the second meeting, a resource page for shared materials, and the schedule of future meetings. The Department of Commerce then gave an overview of Minnesota’s property and casualty insurance market. Commerce described its regulatory role, the state’s competitiveness test, and how homeowners insurance is often filed under a “file and use” process rather than prior approval. The presentation emphasized that homeowners coverage has been under pressure for years: insurers have lost money in many recent years, premiums have risen, some consumers are taking on more risk through higher deductibles or reduced coverage, and some are moving into the surplus market. Commerce also highlighted the impact of severe weather losses, the growth in premiums since 2014, and gaps in oversight for homeowners associations and related policies. The meeting then shifted to brainstorming the problems the task force should address. Early discussion focused on climate and construction-related resilience, including hail and wind-driven rain damage, discontinued building materials, and whether stronger materials are reflected in insurance pricing. Members also raised the need to study programs like Alabama’s fortified roof model and Minnesota’s own Strengthen Minnesota Homes effort, along with questions about whether the construction industry is prepared to support broader resilience measures. No additional votes were taken during the discussion segment.

Transcript Highlights:

• This slide shows some of the primary elements of the work we intend to complete, such as student support
• 45.120> primary This slide shows some of the primary This slide shows some of the primary elements
• :46.159> work<00:21:46.320> we<00:21:46.559> intend<00:21:46.799> to elements
• of the work we intend to elements of the work we intend to complete<00:21:47.520> such<00:21:

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:22 Forging the Future: Kentucky's National Leadership in Metals Manufacturing 00:01:33 Improvements to Kentucky’s Incentive Programs 00:52:05, 958, all

Summary: The committee met for its third interim meeting, approved the prior meeting minutes, and heard a presentation from the Metals Innovation Initiative (MI2) on Kentucky’s metals industry. Speakers described metals manufacturing and recycling as a major economic backbone for the Commonwealth, including steel, aluminum, stainless steel, and copper operations, with broad impacts across production, fabrication, supply chains, and related businesses. They emphasized that the industry supports high-paying jobs, significant capital investment in Kentucky, and is aligned with broader efforts to expand U.S. manufacturing. A central theme was workforce development. MI2 leaders said the industry faces a persistent talent gap and that current education programs do not always produce the skills needed for modern metals jobs. They argued for stronger exposure and awareness, more direct industry involvement, and a dedicated metals career pathway through high schools, area technology centers, career and technical centers, and KCTCS. They also described pilot efforts in Logan, Warren, and Carroll counties that would introduce students to metals careers in middle school, move them into credits and pathways in high school, and connect them to internships, apprenticeships, and postsecondary training. Recycling and supply-chain security were the other major topics. Testimony stressed that recycled inputs are far cheaper than raw ore extraction and that recycling is increasingly important to competitiveness, environmental performance, and keeping materials from leaving the U.S. Speakers also raised concerns about China’s large steel and aluminum capacity and said unfair trade and global market manipulation make it harder for Kentucky producers to compete. Committee members and presenters framed MI2 as a collaborative effort among industry, state government, and academia to strengthen workforce pipelines, recycling, and long-term industry growth. No votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• And could you also speak to the value of one of the elements of this language is to require the department
• of<00:34:23.919> one<00:34:24.159> of<00:34:24.240> the<00:34:25.040> elements
• <00:34:25.679> of to the value of one of the elements of to the value of one of the elements

Keywords: 928, house, all

Summary: The Environment and Agriculture Committee held a hearing on a non-germane amendment to SB 302, a Senate bill originally requiring background checks for solid waste and hazardous waste facility owners. Representative Patenza explained that the amendment was intended to preserve and separate out language developed for the governor’s budget proposal and HB 2 concerning a solid waste facility site evaluation committee, a moratorium, and related public-benefit/site-benefit provisions, so the policy would still have a vehicle if the budget language did not advance. He said the proposal reflects extensive work by the House, the governor’s office, and DES, and he was open to further changes to align with any budget conference committee outcome. Dr. Adam Finkele testified in support of the amendment and the underlying site evaluation concept, arguing that landfill siting decisions should be based on cost-benefit analysis that includes public harms, local impacts, and regional impacts rather than only private benefits. He praised the committee process and prior legislation requiring agencies to respond substantively to public comments, and said the new language improves on the governor’s version by moving the committee’s review earlier in the process and requiring more complete application information, including alternatives and impacts on nearby wells and aquifers. He also supported a three-year moratorium on new landfill applications, saying it would give the state time to address leachate, PFAS, waste reduction, and weak siting rules. Members asked about possible conference committee changes, the value of having a separate review body, and whether the new rules would invite litigation. Dr. Finkele said he would likely sue over the rules because he считает them too weak, but also said the legislature could fix the problems through other bills such as HB 77. He acknowledged that the site evaluation committee is not a perfect solution, but said it is a useful intermediate step between the agency and the courts and likely would meet only rarely if capacity need remains the main trigger for future landfill decisions. No vote or final action was taken during the hearing.

Transcript Highlights:

• them to make sure that they reflect current science and new science. ...they have many different elements
• steam at District Energy. science and they have many different science and they have many different elements
• 14.799> but<01:01:14.960> they<01:01:15.079> talk<01:01:15.280> about elements
• to them but they talk about elements to them but they talk about biodiversity<01:01:16.520> soil<

Keywords: 1183, house

Summary: The committee heard testimony on sustainable aviation fuel (SAF) and Minnesota’s efforts to build a SAF industry. Andrea Veble of the Minnesota Department of Agriculture said the Walz administration strongly supports SAF because it could benefit agriculture, forestry, clean energy, and rural economies. She highlighted the 2023 state SAF tax credit and sales tax exemption for facility construction, describing the credit as a nation-leading incentive designed to stack with federal IRA credits and attract producers and blenders to Minnesota. Jeff Davidman of Delta Airlines said aviation is difficult to decarbonize and that SAF is the airline industry’s best available tool to reach net-zero goals by 2050. He explained that SAF is a certified drop-in fuel that can be blended with conventional jet fuel and used in existing aircraft and infrastructure, and he cited growing global demand and limited supply. He said Minnesota has many potential feedstocks, including used cooking oil, corn, soybeans, and camelina, and praised the state’s SAF tax credit and the Minnesota SAF Hub as important steps toward making Minnesota a leader in the sector. Peter Fros of Greater MSP described the Minnesota SAF Hub as a public-private partnership aimed at building an industrial-scale SAF value chain in Minnesota. He said the state has key advantages, including airport demand, corporate partners, research institutions, and agricultural inputs, and estimated that three SAF biorefineries could create tens of thousands of jobs and significant emissions reductions. He also said the Hub is working on blending infrastructure, private demand commitments, a winter camelina expansion study, and efforts to secure additional refineries before 2030. Members raised questions about how sustainability is measured, and Fros said the Hub relies on the federal GREET model but wants a clearer, transparent, and standardized national method that also accounts for issues like water quality and biodiversity. Amanda Bellik of the Minnesota Corn Growers Association said corn-based ethanol is a strong fit for SAF production through the alcohol-to-jet pathway because it is abundant, affordable, and supported by existing infrastructure. She said SAF development could create a new value-added market for corn without requiring new acres, but emphasized the need for significant capital investment, stable tax policy, and efficient permitting. She also said the group has worked with a consultant on third-party sustainability assessments of corn production practices to help fill data gaps and support the carbon-intensity requirements tied to SAF incentives.

Transcript Highlights:

• We have all the other data elements that do get reported annually.
• But I think with this legislation, it adds that extra element for women to truly feel safe and to have
• monetized online the ability to delete content from when they were a minor and take back control of that element

Keywords: 988, house, all

Transcript Highlights:

• We have all the other data elements that do get reported annually.
• But I think with this legislation, I think it adds that extra element for women to truly feel safe and
• monetized online the ability to delete content from when they were a minor and take back control of that element

Summary: The committee heard several bills focused on civil rights, housing, public safety, and administrative process. Early items included SB 46, which would authorize the Secretary of State to remove constitutionally ineligible presidential and vice presidential candidates from California ballots; SB 1078, requiring notice to the Civil Rights Department when court filings involve civil rights violations; SB 989, expanding access to Care Court by letting first responders refer cases through county behavioral health agencies; SB 998, clarifying and expanding discrimination prevention coordinators in the new Office of Civil Rights; SB 1146, requiring disclosure for AI-generated health advertisements and giving physicians a limited private right of action; SB 1164, a California Voting Rights Act expansion responding to federal voting-rights rulings; SB 1256, a housing bill aimed at limiting repeated litigation over the Harmony Grove Village South project; SB 1267, addressing HOA liability and indemnification for EV charger installations; and SB 1425, authorizing an encroachment permit program for high-speed rail right-of-way management. The committee also later heard SB 873, restricting ICE arrests near courthouses, and SB 1160, requiring eviction data reporting by zip code. Most bills drew support from sponsors, advocacy groups, labor organizations, or local officials, while opposition centered on concerns about county workload, due process, fire safety, civil liberties, or the scope of the policy changes. Members generally expressed support for the bills while noting unresolved issues and the need for amendments or further stakeholder work, especially on SB 1164, SB 1256, SB 1267, SB 1425, and SB 1160. The Judicial Council opposed SB 1160 because of the burden of adding zip-code reporting to court systems, while the author and supporters argued the data would help target eviction-prevention efforts. SB 873 drew strong support from public defenders, immigrant-rights groups, and court-related stakeholders, with the San Bernardino County Sheriff’s Department opposing. SB 989 drew support from firefighters and family advocates, while Disability Rights California opposed, arguing Care Court is too costly and diverts resources from community-based services. SB 1164 received broad civil-rights and voting-rights support, with cities opposing unless amended over definitions, cure periods, and litigation risk. SB 1256 drew support from housing and labor interests and opposition from local residents and environmental groups concerned about fire safety and evacuation. SB 1267 was supported by the HOA and utility stakeholders after amendments addressing liability concerns. After quorum was established, the committee voted to pass a consent calendar and then approved the listed bills, sending them to the appropriate committees or to Appropriations, including SB 46, SB 873, SB 989, SB 998, SB 1078, SB 1146, SB 1164, SB 1256, SB 1267, and SB 1425. The transcript ends with SB 1160 still under discussion, with members indicating support for the bill’s goals but acknowledging the Judicial Council’s implementation concerns and the need for further work.

Transcript Highlights:

• presenting something... ...they haven't fully adopted yet, but certainly willing to share some key elements
• So some elements of the proposed policy is that it applies to associate, and this came from the recommendation
• So what we'll talk about includes that, but it also includes various elements of what we reviewed this

Keywords: 908, all

Transcript Highlights:

• uncomfortable presenting something they haven't fully adopted yet, but certainly willing to share some key elements
• So some elements of the proposed policy is that it applies to associate, and this came from the recommendation
• So what we'll talk about includes that, but it also includes various elements of what we reviewed this

Summary: The Higher Education Funding Review Committee met to continue work on a draft higher education funding formula and related capital building fund changes. Lisa Johnson of the North Dakota University System updated the committee on the board’s developing policy for low-producing academic programs. She said the board is using a five-year rolling window, with thresholds of fewer than 10 undergraduate graduates or fewer than 5 graduate graduates, and that programs flagged in three consecutive review cycles would go to the board for review. Possible outcomes include continuation, continuation with modifications, inactivation, or termination. Members asked about how the policy would account for enrollment, program costs, workforce need, and programs that serve students outside their major. Johnson said the board would likely use an accompanying procedure to consider those factors. She also reported that about 200 programs could potentially be reviewed under current guidance, with 135 inactivated and 112 terminated, and said the process is intended to support quality and stewardship rather than simply cut programs. Jamie Wilkie then reported on the Capital Building Fund. He reviewed the fund’s history, matching requirements, and use for extraordinary repairs, deferred maintenance, and some legislatively authorized projects. He said about $334 million in state and matching dollars has been invested overall, with roughly 78.7% going to deferred maintenance and extraordinary repairs. Committee members pressed for updated information on how much deferred maintenance has actually been reduced, and several members said they wanted clearer reporting on the return on investment from new buildings versus repairs. NDSU representatives said the tier funding has helped significantly reduce deferred maintenance and allowed demolition and renovation work on campus. The committee also discussed the need for updated five-year facility plans and space-utilization information from the institutions. The committee then began a section-by-section review of a draft bill that would replace the current higher education funding formula with an FTE-based model and restructure the capital building fund. The draft would fund UND and NDSU differently from the other nine institutions, use fall enrollment rather than completed credits, add performance funding for completions in in-demand fields, create research incentives for UND and NDSU, and combine capital building fund tiers while changing matching requirements and eligible uses. Members raised concerns about the treatment of professional students, the use of CIP codes, incentives for waivers, and whether the formula should rely on more current data. The committee did not take final action on the draft during this meeting, but it continued detailed discussion and indicated more review would follow.

Transcript Highlights:

• template-based system-level articulation approach would allow faculty across segments to agree on the core elements
• template-based system-level articulation approach would allow faculty across segments to agree on the core elements
• So it will count as one of those elements.

Keywords: 988, house, all

Transcript Highlights:

• sets<00:13:33.760> a<00:13:34.000> 12<00:13:34.240> month<00:13:35.120> element
• <00:13:35.920> um this bill sets a 12 month element um this bill sets a 12 month element um

Bills: SB3179, SB2872, SB2391, SB3282, SB2836, SB2181

Keywords: educational workers, harassment, workplace safety, temporary restraining orders, investigation procedures, retired education employees, teacher shortage, rehired retirants, entry level salary, collective bargaining agreements, pension benefits, education, teacher salaries, automatic increments, collective bargaining, teacher retention, workforce development, Pell grant program, short-term education, eligibility

Summary: The joint committee first heard SB 3179, which would require the Department of Education and charter schools to report harassment incidents involving educational workers and adopt procedures for handling them. DOE supported the bill, while the Attorney General recommended clarifying amendments to limit the measure to harassment directed at workers because of their position, to limit DOE legal assistance to temporary restraining order actions, and to clarify whether the harassment must come from outside the school system. Members also discussed whether the bill should cover non-DOE individuals on campus, whether investigations could be handled in-house, and whether training should be embedded in existing workday or school-year training rather than added as a separate requirement. The committee later voted to pass the bill with amendments as SD1. The committee then took up SB 2872, which would require retired teachers or administrators rehired into shortage or hard-to-fill positions to be paid the entry-level salary for that position. DOE supported the bill, and the Attorney General requested clarifying language about its effective date and that it would not affect already matured rights and duties. The Employees’ Retirement System administration emphasized that the bill should retain a 12-month break in service to preserve the pension system’s tax-exempt status and noted the importance of consistent classification of eligible positions. Members expressed support for using retired educators to help fill staffing gaps, but no final action was taken in the portion provided. The committee also heard SB 2391, which would provide annual step increases for public school teachers under bargaining unit 5, subject to funding. The Attorney General said the bill could conflict with collective bargaining procedures and Chapter 89, while DOE said unit 5 includes more than teachers and asked that the benefit be considered for other bargaining units as well, with funding provided if enacted. HSTA strongly supported the measure, arguing that annual step movement is already recognized in the collective bargaining agreement as a recruiting and retention tool. Testimony totals were noted as 16 in support, two in opposition, and three comments. Finally, the committee heard SB 3282, which would establish a statewide framework for the federal workforce Pell Grant program to fund short-term workforce education and training. The Attorney General suggested clarifying that the matter is one of statewide concern because UH is involved. UH and the Chamber of Commerce supported the bill, and DLIR testified that it is coordinating with DOE, the Workforce Development Council, and national groups on implementation. Members questioned whether the Workforce Development Council or DLIR should handle rulemaking and administration, and DLIR said the council is advisory while the department has grant administration expertise. The committee then moved into decision-making after discussion of possible amendments and implementation concerns.

Transcript Highlights:

• National Association of Drug Court Professionals, which is now known as All Rise, as an essential element
• to our community, but it also provides purpose, structure, and stability, which are all critical elements
• to our community, but it also provides purpose, structure, and stability, which are all critical elements

Keywords: 958, all

Summary: The subcommittee received an overview of Kentucky’s specialty courts from Audrey Collins of the Department of Specialty Courts and the Administrative Office of the Courts, along with testimony from Christian County District Judge Foster Cutoff. Collins described the mission and structure of drug, mental health, and veterans treatment courts, emphasizing therapeutic jurisprudence, individualized treatment, judicial oversight, and multidisciplinary teams. She said Kentucky currently has about 2,991 active participants across the three court types, with drug courts in all 120 counties, mental health courts in 17 counties, and veterans treatment courts in eight counties. She also highlighted reported outcomes such as 7,658 entrants and 4,384 successful completions from 2020 to 2024, a five-year average completion rate of 57%, and lower recidivism among graduates than the statewide average. Collins also reviewed funding and costs, saying the department’s fiscal year 2025 budget was $18.6 million, with most of it from general funds, plus restricted and federal funds. She noted spending on personnel, treatment services, and drug testing, and said specialty courts allow participants to remain employed and meet obligations such as child support and restitution. She said participants paid more than $5.4 million in child support, restitution, and other court-related obligations over five years, and that a statewide evaluation by Morehead State University is underway. In response to questions, she said a dip in 2024 collections may have been affected by a case management system overhaul, and that court costs can be waived in some indigent cases while restitution is still required. Judge Cutoff described veterans treatment court and mental health court in Christian County, saying the programs are especially important because of the nearby Fort Campbell military community and because they help veterans with PTSD, traumatic brain injury, substance use, and related issues. He said the courts rely heavily on staff, treatment providers, and the VA, which helps connect participants to benefits and therapy. He also said mental health court participants receive housing, benefits, and medication support, and that the programs can keep people out of jail and help them stabilize. Committee members asked about the legal basis and history of the courts, and Collins explained that Kentucky’s specialty courts began as pilot programs in the mid-1990s, shifted from federal support to state funding around 2008-2009, and are now largely state funded. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• When you're looking at a cost per ride, that is more of an element just to look at our efficiency of
• There's a couple of different elements to it.

Keywords: 908, all

Summary: The Government Finance Transportation Study Subcommittee met to review fixed-route transit systems and related funding needs. After approving the prior meeting minutes, the committee heard presentations from Cities Area Transit in Grand Forks/East Grand Forks, Bisman Transit in Bismarck-Mandan, and MATBUS/Fargo, along with comments from North Dakota Protection & Advocacy. The transit agencies described their routes, paratransit services, ridership trends, fare structures, fleet replacement needs, and rising operating costs, emphasizing that transit supports access to work, school, medical care, and other essential services. Testimony also noted that ridership fell during the pandemic and has been recovering, while vehicle and maintenance costs have risen sharply. Grand Forks transit reported 17 routes, a recent fare increase, and operating costs that exceed fare revenue, with paratransit service extending beyond the federal minimum service area. Bisman Transit outlined its fixed-route and paratransit operations, recent service expansions, local mill levies, sales tax support, and federal grant structure, and said it is seeking more stable funding and flexibility beyond paratransit-only support. Minot’s transit superintendent explained the state’s existing transit aid formula, the use of refurbished buses, and the challenges of driver recruitment and electric bus infrastructure. Fargo asked for additional state support for fixed-route urban transit. Committee members discussed whether ride-share services could replace transit, the cost per trip, local match requirements, and whether a separate state funding source should be recommended for the four urban fixed-route systems. The subcommittee ultimately approved a motion to have Legislative Council prepare a summary of its activities for inclusion in the full Government Finance Committee report, and members indicated they would seek more detailed funding figures from the transit agencies before making any specific recommendation.

Transcript Highlights:

• Another element is that there's a pasture-based system where you take the animals to the pasture.
• So one of the elements behind that is, of course, there's also research and cultivated wild rice, and

Bills: HF3692

Keywords: Farmer-Lender Mediation Act, mediation, agriculture finance, debt relief, civil law, 1183, house

Transcript Highlights:

• emergencies and disasters to occur, we haven't necessarily put together all of the tools and the resource elements
• emergencies and disasters to occur, we haven't necessarily put together all of the tools and the resource elements

Keywords: 912, senate, all

Summary: The committees heard testimony on several public safety and emergency-related measures. SB 3192, on emergency healthcare license waivers, drew support from nursing and healthcare advocates who said automatic emergency licensure during a governor-declared emergency would help avoid delays in bringing qualified clinicians to disaster areas, citing the Lahaina wildfire response. The committee reported 13 supportive testimonies, none in opposition, and one comment. It later recommended passage of SB 3192 with technical non-substantive amendments and a defective effective date, and the recommendation was adopted by vote. SB 2121, requiring ASL interpretation and visible picture-in-picture display during official emergency announcements, received supportive testimony from the Disability and Communications Access Board and the Hawaii Association of Broadcasters. DAP demonstrated why captions alone are not sufficient and why an interpreter on screen improves effective communication. Broadcasters supported the bill’s intent but raised practical concerns about implementation and staffing, suggesting amendments. SB 3239, which would appropriate funds to HMA for bilingual resources and services for residents with limited English proficiency, was supported by legal aid and immigrant-rights advocates who emphasized the need for language access during disasters and noted the large LEP population in Hawaii. After discussion, the chair proposed folding the sign-language and multilingual access concepts into SB 21109, a broader emergency preparedness communications bill, and the committee deferred SB 2121 and SB 3239. The committee also heard SB 2645 on fire prevention and the Office of the State Fire Marshal. The fire marshal supported the bill’s provisions to modernize the office, create cross-certified assistant fire marshals, shift inspections to a risk-based schedule, establish the state fire code as the baseline, and create a special fund, but DLNR opposed the section changing the marshal selection process from a council-based appointment to gubernatorial appointment. The chair ultimately recommended passage of the proposed SD2 with blank appropriation amounts and committee-report concerns, and the recommendation was adopted. The committee then passed SB 21109 with amendments, incorporating the deferred sign-language and language-access ideas into the broader emergency communications framework. It also later took up measures from the prior day’s agenda, passing SB 2882, SB 3191, and SB 2339 with amendments, including changes to the state buildings, water safety/drowning prevention, and building code council measures.

Transcript Highlights:

• And again, as far as the subsidizing element, look, I think it's pretty well noted that you and I maybe
• see... ...subsidizing element.

Keywords: 914, all

Transcript Highlights:

• this bill, other triggers that are based on capacity, on supply, on workforce, so that all of the elements
• this bill, other triggers that are based on capacity, on supply, on workforce, so that all of the elements

Bills: SB204, SB241, HB34

Keywords: higher education, research funding, federal funding, New Mexico, appropriation, University of New Mexico, New Mexico State University, New Mexico Institute of Mining and Technology, child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department

Transcript Highlights:

• violating any of our state laws, which rightfully so bright students should not be exposed to things, elements
• So those are the kind of elements that we really feel like are going to be important.

Transcript Highlights:

• Those are some of the elements that those studies looked at, and we carried those over.
• homes as you're targeting the highest-risk folks and you're right there is a clear care coordination element

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• So, the item indicates that it is a federally required element of this building project, and it feels
• like it's a long ways into the game to be funding a federally required element.

Keywords: 928, house, all

Summary: The Fiscal Committee met on Friday, November 21st and first approved the October 17th minutes, with one member abstaining because she was not present. The committee then adopted the remainder of the consent calendar after removing two items for separate consideration. On tab four, members discussed item 25282 with the Commissioner of Administrative Services and Public Works staff; the project had been delayed after testing revealed design errors and flaws, and the committee was told the work would restart with test piles the following week and was projected for completion in fall 2027. The item was approved. On tab five, item 25279 concerned a Health and Human Services facility project and a federally required element added late in the process. Commissioners explained that the project had originally been funded at $21 million, later required additional financing, and that the legislature had recently lifted a restriction so non-ARPA funds could be used. They also said the sale of the existing Manchester property would not be needed to complete the build, that a broker RFP was about to be issued, and that any sale would require further approvals. The committee approved the item. The committee then approved item 25280 after a brief exchange about rainy day fund estimates and prior budget assumptions, and approved item 25278 without discussion. Item 25272 drew questions about the consumer advocate’s RFP for outside utility-rate-case assistance; the office said it eliminated proposals focused only on return on equity work after the Eversource decision, selected a Michigan firm for spreadsheet and operating-cost analysis, and noted there were no in-state firms doing this specialized work. The committee approved the item, with one member recorded in opposition. On tab nine, item 25261 concerned a new judicial council budget obligation tied to legislation and public defense staffing needs. The presenter said the request reflected a late-added obligation from the judicial branch, that more requests may still be needed, and that public defense staffing was strained by vacancies and competition from Massachusetts. The committee approved the item. Under informational items, members received an update on 529 plan distributions and on interest and dividends tax refunds, with Revenue Administration saying roughly $21 million more in refunds remained and that the repeal-related refunds were nearly finished. The committee also noted an environmental services item for which questions would be submitted separately. The next meeting was set for December 19th at 11:00 a.m., and the committee adjourned.